I have the IUD Mierena and i have not had a child! What are the risk of not being able to have a child later in life? and what other risk may i may risking without having a child?

Mirena is not recommended for women with no children. A woman's uterus is smaller if she has not carried a pregnancy to full term, and a smaller uterus poses greater risk for irritation from the IUD and subsequent infection of the uterus.

The IUD should never be used by women with multiple sex partners, due to the increased chance of contracting pelvic-inflammatory disease (PID). PID is usually sexually transmitted, but can also be caused by germs entering the uterus during the insertion procedure. Women who have more than one sexual partner have a higher chance of getting PID. PID can cause serious problems such as infertility, ectopic (tubal) pregnancy, constant pelvic pain, or even death.

IUDs should not be used by any woman with PID or who has had PID in the past. The IUD should not be used by women with a prior ectopic pregnancy, due to increased risk of future ectopic pregnancy, which is also life-threatening.

The risk is different for each woman, dependent on how many different partners you have. To find out about other risks see the web page about Mirena at http://www.contracept.org/iud-mirena.php

Best of luck,
Dr. Williams