This product is a small, flexible device that is placed in the womb (uterus) to prevent pregnancy.

It is used by women who have had at least one child and want to use a reversible birth control method that works for a long time (up to 5 years). It is also used to treat heavy menstrual bleeding in women who choose to use this birth control method.

This product may contain inactive ingredients, which can cause allergic reactions or other problems.

Side effects may include pain, bleeding, or dizziness during and after placement of the device. Cramps, irregular menstrual periods, and vaginal bleeding between periods (spotting) may also occur, especially during the first few weeks of use. Others are headache, nausea, breast tenderness, or weight gain. If any of these effects persist or worsen, tell your doctor promptly. After your body adjusts to this product, it is normal to have fewer bleeding days during your menstrual periods, and some women stop having periods altogether.


Before using this medication device, tell your doctor or pharmacist if you are allergic to levonorgestrel, or to any other progestins (such as norethindrone, desogestrel); or if you have any other allergies.

Talk to your pharmacist for more details. Tell your doctor or pharmacist your medical history, especially of:

  • recent pregnancy,
  • current breastfeeding,
  • bleeding/blood disorders,
  • high blood pressure,
  • abnormal breast exam,
  • cancer (especially endometrial or breast cancer),
  • depression,
  • diabetes,
  • severe headaches/migraines,
  • heart problems (such as heart valve disease, irregular heartbeat, previous heart attack),
  • liver disease (including tumors),
  • previous pregnancy outside the uterus (ectopic pregnancy),
  • stroke,
  • unexplained vaginal bleeding,
  • uterus problems (such as fibroids, pelvic inflammatory disease-PID),
  • conditions that weaken the immune system/increase the risk of infection (such as HIV, leukemia, IV drug abuse).



Drug interactions may change how your medications work or increase your risk for serious side effects. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Overdose with this device is highly unlikely. However, if overdose is suspected, call emergency hotline immediately.


Available brands:

  • Cerazette
  • Gracial
  • Mercilon

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