Why doesn't Mirena prevent ovulation?

Isn't that what the levonorgestrel is supposed to do?

I was thinking that maybe the progestogen just acts locally to thicken cervical mucus and thin the endometrium, but then it wouldn't have the systemic effects like acne, weight gain, etc.

Posted Oct 13, 2014, 7:19 PM UTC

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LevyWifeNexplanon•

I think it's because of how small the dosage is and where it is located.

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[deleted]•

[deleted]

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Zombiekiller_17•

But the Depo shot only contains progesteron (medroxyprogesteron) and prevents ovulation, so how does that work?

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