How is Mirena administered?

• A. It is inserted through the cervix and sits at the top of the fundus
• B. It is swallowed as a pill
• C. It is injected into the arm
• D. It is placed in the lower uterus

Answer: (A)

Mirena is a hormonal intrauterine device, so it needs to be placed inside the uterus. The correct way is to insert it through the cervix into the uterine cavity, where it sits with its stem oriented toward the fundus—the top portion of the uterus. This positioning allows the device to stay in place and release the hormone directly near the endometrium for effective contraception.

The other options don’t fit because Mirena isn’t a pill, so it isn’t swallowed. It isn’t injected into the arm, and it isn’t placed in the lower part of the uterus. The important distinction is that Mirena lives inside the uterine cavity, high toward the fundus, rather than being taken by mouth, injected, or placed lower in the uterus.