Soma Flex sits in the vaginal canal, while the Mirena coil sits in the uterus, so they do not interact when used correctly.

Using Soma Flex does not increase expulsion risk; issues usually arise from string entanglement during removal, especially if strings are cut too long. Check string length before use. Clinicians may trim strings to 2–3 cm if needed.

How to use:

Wash hands, locate your cervix, and feel the Mirena strings—they should be soft and unobtrusive. Insert Soma Flex slowly, keeping it below the cervix. You should not feel string friction during wear.

Removal:

Soma Flex should glide out easily with no cervical pulling. Mild string awareness is normal. If strings wrap or catch, remove gently.

After removal:

Check that strings feel unchanged, with no new cramping or spotting. If strings feel different, pause use and seek assessment. Stop use if you suspect coil movement.

• Soma Flex sits in the vaginal canal, not the cervix or uterus.
• The Mirena Coil sits in the uterus.
• Wearing Soma Flex does not increase expulsion risk when used correctly
• Expulsions may occur due to string entanglement on removal if the strings are cut too long, check the string length before use.
• If strings are long, consider trimming to 2–3 cm (clinician only).

Step-by-step guide

• Wash hands and prepare Soma Flex as usual.
• Locate your cervix with a gentle touch.
• Identify the Mirena strings — they should feel soft and unobtrusive.
• Insert Soma Flex slowly, keeping it below the cervix.
• During wear, you should not feel the strings rubbing against the device.

Ease of removal:

• Mild string awareness is normal.
• Soma Flex should glide out without resistance.
• No sensation of pulling near the cervix.
• If strings wrap or catch on the device: Remove Soma Flex extra gently

After removal, check:

• Strings feel unchanged
• No new cramping
• No spotting beyond your normal pattern
• Reassess string position
• If strings feel significantly different? pause use and seek assessment
• Any sudden change in string length warrants clinical review.
• When in doubt check with a medical professional

Daily/Per-Use Safety Checklist

• String length unchanged
• No new pain during insertion or wear
• No upward pressure on the cervix
• Device sits comfortably in the vaginal canal
• No friction between strings and Soma Flex
• No spotting outside your normal pattern
• No sensation of “tugging” on the strings when removing Soma Flex
• Stop Using Soma Flex Temporarily if you suspect coil movement or partial expulsion