{"id":53922,"date":"2022-09-20T08:59:30","date_gmt":"2022-09-20T12:59:30","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=53922"},"modified":"2023-08-04T16:06:56","modified_gmt":"2023-08-04T20:06:56","slug":"mirena-alternatives","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/mirena-alternatives\/","title":{"rendered":"Mirena alternatives: What can I take instead of Mirena?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\"><a href=\"#compare-mirena-alternatives\">Compare Mirena alternatives<\/a> | <a href=\"#annovera\">Annovera<\/a> | <a href=\"#depo-subq-provera-104\">Depo-SubQ Provera 104<\/a> | <a href=\"#nexplanon\">Nexplanon<\/a> | <a href=\"#twirla\">Twirla<\/a> | <a href=\"#xulane\">Xulane<\/a> | <a href=\"#natural-alternatives\">Natural alternatives<\/a> | <a href=\"#how-to-switch-meds\">How to switch meds<\/a><\/span><\/p>\n<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/ig7JrwmzJZ8?rel=0\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe><\/p>\n<p><span style=\"font-weight: 400;\">The decision to avoid pregnancy is complex\u2014but once that decision has been, you are faced with a plethora of options with ways to uphold it. Hormonal birth control comes in many forms\u2014from <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/best-birth-control-pill-contraceptive-guide\/\"><span style=\"font-weight: 400;\">pills<\/span><\/a><span style=\"font-weight: 400;\">, injections, patches, subdermal implants, to intrauterine devices (<\/span><a href=\"https:\/\/www.singlecare.com\/blog\/iud-birth-control-contraceptive-guide\/\"><span style=\"font-weight: 400;\">IUDs<\/span><\/a><span style=\"font-weight: 400;\">). The type of hormonal contraceptive to use is often up to preference, and an IUD, like Mirena, is an option for someone without any risk factors for the use of a combination hormonal contraceptive. It\u2019s also a good option for someone that will not remember to take a daily pill reliably, or knows they want <\/span><a href=\"https:\/\/www.empr.com\/home\/news\/mirena-approved-for-pregnancy-prevention-for-up-to-8-years\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">long-term contraception<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hormonal contraceptives are not always taken to avoid pregnancy; they are also considered a first-line option to treat <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/endometriosis-treatment-and-medications\"><span style=\"font-weight: 400;\">endometriosis-<\/span><\/a><span style=\"font-weight: 400;\">associated pain because they shrink endometrial tissue. Hormonal contraception may also be beneficial in women who experience dysmenorrhea, or menstruation with painful abdominal cramps. Mirena may be particularly helpful in patients suffering from dysmenorrhea and <\/span><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/menorrhagia\/symptoms-causes\/syc-20352829\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">menorrhagia<\/span><\/a><span style=\"font-weight: 400;\">, which is heavy menstrual bleeding. Hormonal contraception can even protect against <\/span><a href=\"https:\/\/www.cdc.gov\/std\/pid\/stdfact-pid.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">pelvic inflammatory disease (PID)<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/9687-ectopic-pregnancy\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">ectopic pregnancy.<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Mirena IUD contains only a <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/progesterones\"><span style=\"font-weight: 400;\">progesterone<\/span><\/a><span style=\"font-weight: 400;\"> hormone, levonorgestrel. Combination hormonal contraceptives, which also include an estrogen, are often preferred over progestin-only products since side effects like headaches, irregular vaginal bleeding, weight gain, and mood changes are more common with those products. However, these combination hormonal products come with risks in certain higher-risk patients due to underlying comorbid conditions. For many reasons, a person may benefit from Mirena alternatives\u2014be it different IUDs, or different forms of hormonal contraceptives altogether.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here we will discuss Mirena and the type of patient for which it is a good option for birth control, as well as scenarios in which other hormonal contraceptive alternatives other than <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/best-birth-control-pill-contraceptive-guide\/\"><span style=\"font-weight: 400;\">birth control pills<\/span><\/a><span style=\"font-weight: 400;\"> might be a better option. It is important to point out that hormonal birth control methods never prevent sexually transmitted infections (STIs).\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What can I take in place of Mirena?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are birth control <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/birth-control-options\/\"><span style=\"font-weight: 400;\">options<\/span><\/a><span style=\"font-weight: 400;\"> available other than hormonal IUDs like Mirena. These alternative forms of contraception include other types of IUDs and other classes of reversible hormonal contraception, such as injectable, topical, and oral formulations. These options may be more suitable for certain individuals due to their different routes of administration, side effect profiles, drug interactions, and efficacy in preventing pregnancy. <\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h2 id=\"compare-mirena-alternatives\"><span class=\"title\">Compare Mirena alternatives<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Drug name<\/b><\/td>\n<td><b>Uses<\/b><\/td>\n<td><b>Dosage<\/b><\/td>\n<td><b>Savings options<\/b><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/mirena-52-mg\/what-is\"><span style=\"font-weight: 400;\">Mirena\u00a0<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">(levonorgestrel)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Contraceptive<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Intrauterine device with levonorgestrel 20 mcg\/day for up to 5 years; must be removed after 8 years<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/mirena-52-mg\"><span style=\"font-weight: 400;\">Mirena coupons<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/annovera\/what-is\"><span style=\"font-weight: 400;\">Annovera\u00a0<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">(ethinyl estradiol\/segesterone)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Contraceptive<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Ethinyl estradiol 13 mcg\/day; segesterone acetate 150 mcg\/day<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Vaginal ring inserted and left in for 3 weeks and removed for 1 week<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/annovera\"><span style=\"font-weight: 400;\">Annovera coupons<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/depo-subq-provera-104\/what-is\"><span style=\"font-weight: 400;\">Depo-SubQ Provera 104<\/span><\/a><span style=\"font-weight: 400;\"> (medroxyprogesterone acetate)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Contraceptive<\/span><\/td>\n<td><span style=\"font-weight: 400;\">0.65 mL (104 mg) medroxyprogesterone acetate subcutaneous injection into the anterior thigh or abdomen, once every 3 months (12 to 14 weeks)<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/depo-subq-provera-104\"><span style=\"font-weight: 400;\">Depo-SubQ Provera 104 coupons<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/nexplanon\/what-is\"><span style=\"font-weight: 400;\">Nexplanon<\/span><\/a><span style=\"font-weight: 400;\"> (etonogestrel)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Contraceptive<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Etonogestrel 60 to 70 mcg\/day \u2013 reduces annually, must be removed by end of the third year<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Implanted subdermally at the inner side of the non-dominant arm<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/nexplanon\"><span style=\"font-weight: 400;\">Nexplanon coupons<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/nuvaring\/what-is\"><span style=\"font-weight: 400;\">Nuvaring<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(ethinyl estradiol\/etonogestrel)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Contraceptive<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Ethinyl estradiol 15 mcg\/day; etonogestrel 0.12 mg\/day<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Vaginal ring inserted and left in for 3 weeks then removed for 1 week\u00a0<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/nuvaring\"><span style=\"font-weight: 400;\">Nuvaring coupons<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/twirla\/what-is\"><span style=\"font-weight: 400;\">Twirla<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">(ethinyl estradiol\/ levonorgestrel)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Contraceptive<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Ethinyl estradiol 30 mcg\/day; levonorgestrel 120 mcg\/day<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Transdermal patch applied weekly (for 3 weeks, then week 4 is patch free)<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/twirla\"><span style=\"font-weight: 400;\">Twirla coupons<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/xulane\/what-is\"><span style=\"font-weight: 400;\">Xulane<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(ethinyl estradiol\/ norelgestromin)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Contraceptive<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Ethinyl estradiol 35 mcg\/day; norelgestromin 150 mcg\/day<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Transdermal patch applied weekly (for 3 weeks, then week 4 is patch free)<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/xulane\"><span style=\"font-weight: 400;\">Xulane coupons<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><span style=\"font-weight: 400;\">Other alternatives to Mirena<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Combination birth control pills<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Monophasic<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Biphasic<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Triphasic<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Quadriphasic<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Progestin-only pills<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Drospirenone<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Slynd<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Camila<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Deblitane<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Errin<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Heather<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Incassia<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Jencycla<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lyleq<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nora-BE<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Norethindrone 0.35mg<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Norlyda<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sharobel<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Emergency contraception<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Aftera<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">EContra One Step<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">My Way<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Plan B One-Step<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ella<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Other <\/span><span style=\"font-weight: 400;\">contraceptives<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Depo-Provera CI<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kyleena<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Liletta<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">EluRyng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Paragard<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Phexxi<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Skyla<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Zafemy<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Top 5 Mirena alternatives<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The following are some of the most common alternatives to Mirena.<\/span><\/p>\n<h3 id=\"annovera\">1. Annovera<\/h3>\n<p><span style=\"font-weight: 400;\">Annovera is a vaginal ring combination hormonal contraceptive which can be inserted and left in for three weeks and then removed for one week. The ring can be reused for up to 13 cycles, or a full year of use, but should be washed prior to reinsertion. Hormonal contraceptive rings like Annovera have the advantage over other combination hormonal contraception of avoiding difficulty with daily or weekly use; its advantage over an IUD like Mirena is the user control it offers as easily reversible contraception since an IUD must be removed by a healthcare professional. <\/span><\/p>\n<h3 id=\"depo-subq-provera-104\">2. Depo-SubQ Provera 104<\/h3>\n<p><span style=\"font-weight: 400;\">Like an IUD, depot medroxyprogesterone is a good hormonal <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/birth-control-shot-depo-provera-contraceptive\/\"><span style=\"font-weight: 400;\">contraceptive option<\/span><\/a><span style=\"font-weight: 400;\"> in someone at risk for non-adherence since it is long-acting. It is also a good option for someone that knows they do not want to conceive within the next year; return to <\/span><a href=\"https:\/\/mothertobaby.org\/fact-sheets\/depot-medroxyprogesterone\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">ovulation and fertility<\/span><\/a><span style=\"font-weight: 400;\"> may be delayed in those taking Depo-SubQ Provera 104 since it can take from two months to over a year to completely clear progestin from the body. Depo-SubQ Provera 104, as a progestin-only containing birth control like Mirena, is also a preferred type for <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/birth-control-for-women-over-35-and-40\/\"><span style=\"font-weight: 400;\">women greater than 35 years old<\/span><\/a><span style=\"font-weight: 400;\"> who smoke and who have other comorbidities like high blood pressure or an increased risk of thrombosis. Certain medications known as CYP3A4 inducers (e.g., phenytoin, carbamazepine, some HIV drugs, topiramate, rifampin, St. John\u2019s wort) induce the metabolism of estrogen and therefore could potentially decrease the efficacy of hormonal contraceptives containing it. In patients taking a CYP3A4 inducer, depot medroxyprogesterone is a preferred hormonal contraceptive. <\/span><\/p>\n<h3 id=\"nexplanon\">3. Nexplanon (etonogestrel)<\/h3>\n<p><span style=\"font-weight: 400;\">Like an IUD, Nexplanon must be both inserted and removed by a healthcare professional. Nexplanon is implanted subdermally just under the skin at the inner side of the non-dominant arm, where it can remain for three years. Etonogestrel, the active ingredient of Nexplanon, is poorly metabolized in patients with liver disease and should be avoided in this patient population. This product should be <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/nexplanon-side-effects\/\"><span style=\"font-weight: 400;\">used cautiously<\/span><\/a><span style=\"font-weight: 400;\"> in patients who are overweight as it may be less effective due to lower serum concentrations of the active ingredient. <\/span><\/p>\n<h3 id=\"twirla\">4. Twirla (ethinyl estradiol and levonorgestrel)<\/h3>\n<p><span style=\"font-weight: 400;\">Abnormal uterine bleeding (AUB) is a women\u2019s health issue referring to heavy menstrual bleeding. Estrogen-progestin combination contraceptives are first-line management for AUB since they can prevent heavy periods. Twirla is a transdermal patch containing both an estrogen and progestin. This patch is applied weekly for three weeks (week 4 is patch-free), offering the potential benefit of improved compliance. Effectiveness is reduced in females with a body mass index (BMI) greater than or equal to 25 kg\/m<\/span><span style=\"font-weight: 400;\">2<\/span><span style=\"font-weight: 400;\">; it is contraindicated in females with a BMI greater than or equal to 30 kg\/m<\/span><span style=\"font-weight: 400;\">2 <\/span><span style=\"font-weight: 400;\">due to the risk of venous thromboembolism.<\/span><\/p>\n<h3 id=\"xulane\">5. Xulane (ethinyl estradiol and norelgestromin)<\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/blog\/birth-control-patch-xulane-contraceptive\/\"><span style=\"font-weight: 400;\">Xulane<\/span><\/a><span style=\"font-weight: 400;\"> is another option for a combination hormonal contraceptive transdermal patch applied weekly for three weeks (week 4 is patch-free). The transdermal patch may be a good option for patients who have difficulty swallowing pills. In 2020, the FDA labeled this patch as contraindicated in females with a BMI greater than or equal to 30kg\/m2 based on the concern for elevated venous thromboembolism (VTE) risk in this population. A disadvantage of transdermal patches over an IUD includes the possibility of the patch not sticking well or falling off.\u00a0<\/span><\/p>\n<h2 id=\"natural-alternatives\"><span style=\"font-weight: 400;\">Natural alternatives to Mirena<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Non-hormonal forms of birth control are available, and range from barrier methods (e.g., male and female condoms), copper IUDs (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/paragard-intrauterine-copper\"><span style=\"font-weight: 400;\">ParaGard<\/span><\/a><span style=\"font-weight: 400;\">), and forms of natural family planning. <\/span><a href=\"https:\/\/www.nhs.uk\/conditions\/contraception\/natural-family-planning\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Natural family planning<\/span><\/a><span style=\"font-weight: 400;\"> requires identification of the signs and symptoms of ovulation and fertility during a menstrual cycle to either plan or avoid pregnancy, including monitoring and recording the length of the menstrual cycle, daily readings of body temperature, and changes to cervical mucus secretions. When performed correctly, its <\/span><a href=\"https:\/\/www.aafp.org\/pubs\/afp\/issues\/2012\/1115\/od1.html\"><span style=\"font-weight: 400;\">failure rate<\/span><\/a><span style=\"font-weight: 400;\"> is similar to hormonal and barrier contraceptive methods. The lactational amenorrhea method (LAM) is another form of natural contraception, as women are unlikely to ovulate or have any periods when exclusively breastfeeding. The <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/1346183\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">probability of pregnancy<\/span><\/a><span style=\"font-weight: 400;\"> following this method is also similar to hormonal and barrier contraceptive methods. <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/phexxi\"><span style=\"font-weight: 400;\">Phexxi <\/span><\/a><span style=\"font-weight: 400;\">is a vaginal gel that is non-hormonal, containing a combination of lactic acid, citric acid, and potassium bitartrate\u2014one applicatorful up to one before each episode of vaginal intercourse (can be used during menstrual cycle).\u00a0<\/span><\/p>\n<h2 id=\"how-to-switch-meds\"><span style=\"font-weight: 400;\">How to switch to a Mirena alternative<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">When switching from Mirena to a different contraceptive, the IUD removal should occur during the first seven days of a menstrual cycle, and the new therapy should then begin. If IUD removal does not occur at that time, or if you experience irregular menstrual cycles or no cycles, the new method should start at least seven days before the IUD is removed. If the new method is not initiated at that time, a backup barrier contraceptive method should be used for the seven days after the IUD is removed if abstention is not possible.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When switching from an oral, transdermal, or vaginal hormonal contraceptive to Mirena, IUD insertion can occur anytime\u2014including the hormone-free interval of the previous method. If Mirena is inserted during active use of the previous method, the previous method should be continued for seven days after Mirena\u2019s insertion or until the end of the current menstrual cycle. If using continuous hormonal contraception, continue the previous contraceptive method for seven days past Mirena\u2019s insertion. If switching to Mirena from an injectable progestin, Mirena can again be inserted at any time. If Mirena is inserted more than 13 weeks after the last injection, a backup barrier contraceptive method should be used for seven days. If switching from an implant or a different intrauterine system (such as a copper IUD), Mirena can be inserted on the same day the implant or intrauterine system is removed, at any time during the menstrual cycle.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Given the complexities of making changes, medication changes should be discussed in detail with healthcare providers to obtain the best medical advice.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Compare Mirena alternatives | Annovera | Depo-SubQ Provera 104 | Nexplanon | Twirla | Xulane | Natural alternatives | How to switch meds The decision to avoid pregnancy is complex\u2014but once that decision has been, you are faced with a plethora of options with ways to uphold it. Hormonal birth control comes in many forms\u2014from [&hellip;]<\/p>\n","protected":false},"author":133,"featured_media":54016,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[4783,4350,8670],"coauthors":[10869],"class_list":["post-53922","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-birth-control","tag-prescription-savings","tag-womens-health","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Mirena alternatives: What can I take instead of Mirena? | SingleCare<\/title>\n<meta name=\"description\" content=\"Annovera, Depo-SubQ Provera 104, Nexplanon, Twirla, and Xulane are some Mirena alternatives. Get the full list here, including natural contraceptions.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.singlecare.com\/blog\/mirena-alternatives\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Mirena alternatives: What can I take instead of Mirena?\" \/>\n<meta property=\"og:description\" content=\"Annovera, Depo-SubQ Provera 104, Nexplanon, Twirla, and Xulane are some Mirena alternatives. Get the full list here, including natural contraceptions.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.singlecare.com\/blog\/mirena-alternatives\/\" \/>\n<meta property=\"og:site_name\" content=\"The Checkup\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/singlecare\" \/>\n<meta property=\"article:published_time\" content=\"2022-09-20T12:59:30+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-08-04T20:06:56+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2022\/09\/mirena-alternatives.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Marissa Walsh, Pharm.D., BCPS-AQ ID\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:site\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Marissa Walsh, Pharm.D., BCPS-AQ ID\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/mirena-alternatives\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/mirena-alternatives\\\/\"},\"author\":{\"name\":\"Christie Falzone\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#\\\/schema\\\/person\\\/5ff7c7bb5ce0c66a6962ecf7c8d7941e\"},\"headline\":\"Mirena alternatives: What can I take instead of Mirena?\",\"datePublished\":\"2022-09-20T12:59:30+00:00\",\"dateModified\":\"2023-08-04T20:06:56+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/mirena-alternatives\\\/\"},\"wordCount\":1635,\"publisher\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/mirena-alternatives\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/09\\\/mirena-alternatives.png\",\"keywords\":[\"Birth control\",\"Prescription savings\",\"Women's health\"],\"articleSection\":[\"Drug Info\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/mirena-alternatives\\\/\",\"url\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/mirena-alternatives\\\/\",\"name\":\"Mirena alternatives: What can I take instead of Mirena? | SingleCare\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/mirena-alternatives\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/mirena-alternatives\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/09\\\/mirena-alternatives.png\",\"datePublished\":\"2022-09-20T12:59:30+00:00\",\"dateModified\":\"2023-08-04T20:06:56+00:00\",\"description\":\"Annovera, Depo-SubQ Provera 104, Nexplanon, Twirla, and Xulane are some Mirena alternatives. Get the full list here, including natural contraceptions.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/mirena-alternatives\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/mirena-alternatives\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/mirena-alternatives\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/09\\\/mirena-alternatives.png\",\"contentUrl\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/09\\\/mirena-alternatives.png\",\"width\":1920,\"height\":1080,\"caption\":\"Rx IUD: What can I take instead of Mirena?\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/mirena-alternatives\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Mirena alternatives: What can I take instead of Mirena?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#website\",\"url\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/\",\"name\":\"The Checkup, a health blog by SingleCare\",\"description\":\"Read the latest in prescription, wellness, and healthcare news\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#organization\",\"name\":\"SingleCare\",\"url\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/wp-content\\\/uploads\\\/2020\\\/01\\\/placeholderimage-1.jpg\",\"contentUrl\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/wp-content\\\/uploads\\\/2020\\\/01\\\/placeholderimage-1.jpg\",\"width\":1200,\"height\":630,\"caption\":\"SingleCare\"},\"image\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/singlecare\",\"https:\\\/\\\/x.com\\\/SingleCare\",\"https:\\\/\\\/www.instagram.com\\\/singlecare\\\/?hl=en\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/singlecare\\\/\",\"https:\\\/\\\/www.youtube.com\\\/channel\\\/UCd9kiPIjCQw95-2BHCYePKA\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#\\\/schema\\\/person\\\/5ff7c7bb5ce0c66a6962ecf7c8d7941e\",\"name\":\"Christie Falzone\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/2e99585820d49affcf442acba86e464b68d836bf071db26829d667da12209555?s=96&d=mm&r=gf47683752158743086d9c95bc1ebdaa7\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/2e99585820d49affcf442acba86e464b68d836bf071db26829d667da12209555?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/2e99585820d49affcf442acba86e464b68d836bf071db26829d667da12209555?s=96&d=mm&r=g\",\"caption\":\"Christie Falzone\"},\"description\":\"Christie Falzone recently graduated summa cum laude from Old Dominion University in Norfolk, Virginia, with a bachelor\u2019s degree in professional writing. During her time in college, she developed a passion for helping children and volunteers as a Court Appointed Special Advocate on behalf of foster youth.\",\"url\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/author\\\/cfalzone\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Mirena alternatives: What can I take instead of Mirena? | SingleCare","description":"Annovera, Depo-SubQ Provera 104, Nexplanon, Twirla, and Xulane are some Mirena alternatives. Get the full list here, including natural contraceptions.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.singlecare.com\/blog\/mirena-alternatives\/","og_locale":"en_US","og_type":"article","og_title":"Mirena alternatives: What can I take instead of Mirena?","og_description":"Annovera, Depo-SubQ Provera 104, Nexplanon, Twirla, and Xulane are some Mirena alternatives. Get the full list here, including natural contraceptions.","og_url":"https:\/\/www.singlecare.com\/blog\/mirena-alternatives\/","og_site_name":"The Checkup","article_publisher":"https:\/\/www.facebook.com\/singlecare","article_published_time":"2022-09-20T12:59:30+00:00","article_modified_time":"2023-08-04T20:06:56+00:00","og_image":[{"width":1920,"height":1080,"url":"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2022\/09\/mirena-alternatives.png","type":"image\/png"}],"author":"Marissa Walsh, Pharm.D., BCPS-AQ ID","twitter_card":"summary_large_image","twitter_creator":"@SingleCare","twitter_site":"@SingleCare","twitter_misc":{"Written by":"Marissa Walsh, Pharm.D., BCPS-AQ ID","Est. reading time":"8 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.singlecare.com\/blog\/mirena-alternatives\/#article","isPartOf":{"@id":"https:\/\/www.singlecare.com\/blog\/mirena-alternatives\/"},"author":{"name":"Christie Falzone","@id":"https:\/\/www.singlecare.com\/blog\/#\/schema\/person\/5ff7c7bb5ce0c66a6962ecf7c8d7941e"},"headline":"Mirena alternatives: What can I take instead of Mirena?","datePublished":"2022-09-20T12:59:30+00:00","dateModified":"2023-08-04T20:06:56+00:00","mainEntityOfPage":{"@id":"https:\/\/www.singlecare.com\/blog\/mirena-alternatives\/"},"wordCount":1635,"publisher":{"@id":"https:\/\/www.singlecare.com\/blog\/#organization"},"image":{"@id":"https:\/\/www.singlecare.com\/blog\/mirena-alternatives\/#primaryimage"},"thumbnailUrl":"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2022\/09\/mirena-alternatives.png","keywords":["Birth control","Prescription savings","Women's health"],"articleSection":["Drug Info"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/www.singlecare.com\/blog\/mirena-alternatives\/","url":"https:\/\/www.singlecare.com\/blog\/mirena-alternatives\/","name":"Mirena alternatives: What can I take instead of Mirena? | SingleCare","isPartOf":{"@id":"https:\/\/www.singlecare.com\/blog\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.singlecare.com\/blog\/mirena-alternatives\/#primaryimage"},"image":{"@id":"https:\/\/www.singlecare.com\/blog\/mirena-alternatives\/#primaryimage"},"thumbnailUrl":"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2022\/09\/mirena-alternatives.png","datePublished":"2022-09-20T12:59:30+00:00","dateModified":"2023-08-04T20:06:56+00:00","description":"Annovera, Depo-SubQ Provera 104, Nexplanon, Twirla, and Xulane are some Mirena alternatives. Get the full list here, including natural contraceptions.","breadcrumb":{"@id":"https:\/\/www.singlecare.com\/blog\/mirena-alternatives\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.singlecare.com\/blog\/mirena-alternatives\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.singlecare.com\/blog\/mirena-alternatives\/#primaryimage","url":"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2022\/09\/mirena-alternatives.png","contentUrl":"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2022\/09\/mirena-alternatives.png","width":1920,"height":1080,"caption":"Rx IUD: What can I take instead of Mirena?"},{"@type":"BreadcrumbList","@id":"https:\/\/www.singlecare.com\/blog\/mirena-alternatives\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.singlecare.com\/blog\/"},{"@type":"ListItem","position":2,"name":"Mirena alternatives: What can I take instead of Mirena?"}]},{"@type":"WebSite","@id":"https:\/\/www.singlecare.com\/blog\/#website","url":"https:\/\/www.singlecare.com\/blog\/","name":"The Checkup, a health blog by SingleCare","description":"Read the latest in prescription, wellness, and healthcare news","publisher":{"@id":"https:\/\/www.singlecare.com\/blog\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.singlecare.com\/blog\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.singlecare.com\/blog\/#organization","name":"SingleCare","url":"https:\/\/www.singlecare.com\/blog\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.singlecare.com\/blog\/#\/schema\/logo\/image\/","url":"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2020\/01\/placeholderimage-1.jpg","contentUrl":"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2020\/01\/placeholderimage-1.jpg","width":1200,"height":630,"caption":"SingleCare"},"image":{"@id":"https:\/\/www.singlecare.com\/blog\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/singlecare","https:\/\/x.com\/SingleCare","https:\/\/www.instagram.com\/singlecare\/?hl=en","https:\/\/www.linkedin.com\/company\/singlecare\/","https:\/\/www.youtube.com\/channel\/UCd9kiPIjCQw95-2BHCYePKA"]},{"@type":"Person","@id":"https:\/\/www.singlecare.com\/blog\/#\/schema\/person\/5ff7c7bb5ce0c66a6962ecf7c8d7941e","name":"Christie Falzone","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/2e99585820d49affcf442acba86e464b68d836bf071db26829d667da12209555?s=96&d=mm&r=gf47683752158743086d9c95bc1ebdaa7","url":"https:\/\/secure.gravatar.com\/avatar\/2e99585820d49affcf442acba86e464b68d836bf071db26829d667da12209555?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/2e99585820d49affcf442acba86e464b68d836bf071db26829d667da12209555?s=96&d=mm&r=g","caption":"Christie Falzone"},"description":"Christie Falzone recently graduated summa cum laude from Old Dominion University in Norfolk, Virginia, with a bachelor\u2019s degree in professional writing. During her time in college, she developed a passion for helping children and volunteers as a Court Appointed Special Advocate on behalf of foster youth.","url":"https:\/\/www.singlecare.com\/blog\/author\/cfalzone\/"}]}},"_links":{"self":[{"href":"https:\/\/www.singlecare.com\/blog\/wp-json\/wp\/v2\/posts\/53922","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.singlecare.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.singlecare.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.singlecare.com\/blog\/wp-json\/wp\/v2\/users\/133"}],"replies":[{"embeddable":true,"href":"https:\/\/www.singlecare.com\/blog\/wp-json\/wp\/v2\/comments?post=53922"}],"version-history":[{"count":0,"href":"https:\/\/www.singlecare.com\/blog\/wp-json\/wp\/v2\/posts\/53922\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.singlecare.com\/blog\/wp-json\/wp\/v2\/media\/54016"}],"wp:attachment":[{"href":"https:\/\/www.singlecare.com\/blog\/wp-json\/wp\/v2\/media?parent=53922"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.singlecare.com\/blog\/wp-json\/wp\/v2\/categories?post=53922"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.singlecare.com\/blog\/wp-json\/wp\/v2\/tags?post=53922"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/www.singlecare.com\/blog\/wp-json\/wp\/v2\/coauthors?post=53922"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}