How can I get a Mirena®? A trained doctor will assess you by: Asking you questions about your reproductive, sexual, and medical health Check that your Pap tests are up to date Possibly test for infection Ask if you tend to faint easily Provide you with a prescription for the Mirena® You will be asked to return with the Mirena®, that day or another time, for insertion according to the best time for you. It is a good idea to have something to eat before coming to the clinic. The procedure takes about 10 minutes. Most women find the procedure a little uncomfortable, some women find it painful. For the insertion, sometimes a local anaesthetic is given into the cervix. Occasionally a woman may prefer or need to have the insertion as a day case in a hospital while asleep. Occasionally some women feel faint during or after the procedure. After insertion you will be asked to rest at the clinic for 10-15 minutes before you leave. Following insertion, some women notice bleeding or abdominal cramping overnight or for a few days. You should expect light intermittent spotting from 2 weeks to 6 months while the IUD settles in. A follow up visit will be made for 3-4 weeks to check on the placement and the bleeding pattern.