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Being overweight reduces the biochemically work mechanism of the mirena, therefore it will become less effective. The mechanical work mechanism will remain. On the other hand, being overweight in itself reduces the chance of pregnancy a little. With a Mirena IUCD, you have about 1% chance of getting pregnant anyway. If you are overweight, i figure the chances will be a bit higher, but it is impossible to give you an exact number. It will not be helpfull either; will you use more or less protection if your chances are 2% or 5%? Statistics are interesting, but in this case, have little effect on daily life.

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Q: How likely is it to get pregnant being 100lbs overweight with a Mirena?
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