The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.
Common Side Effects
- Heavy period bleeding
- Period cramps
- Bleeding between periods
- Pelvic discomfort or pain
- Pain during the procedure
- Vaginal bleeding after the procedure
- Pain during sex
Note: These side effects were reported in 5% or more of people during clinical studies.
Less Common Side Effects
- Stomach pain
- Bleeding during or after sex
- Shorter periods
- IUD falling out of place
Miudella serious side effects
Contact your healthcare provider immediately if you experience any of the following.
- Sepsis: feeling confused, trouble speaking, fever, dizziness, chills, clammy skin, fast heart rate, not making much urine
- Serious infection: severe pain, fever, body aches, chills, feeling weak, flu-like symptoms
- Tear in the uterus: excessive pain, vaginal bleeding, can't feel IUD threads
Source: FDA
The following Miudella side effects have also been reported
Side effects that you should report to your care team as soon as possible:
- Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
- Heavy vaginal bleeding
- Low red blood cell level—unusual weakness or fatigue, dizziness, headache, trouble breathing
- Pelvic inflammatory disease (PID)—fever, abdominal pain, pelvic pain, pain or trouble passing urine, spotting, bleeding during or after sex
- Seizures
- Slow heartbeat—dizziness, feeling faint or lightheaded, confusion, trouble breathing, unusual weakness or fatigue
- Stomach pain, unusual weakness or fatigue, nausea, vomiting, diarrhea, or fever that lasts longer than expected
- Unusual vaginal discharge, itching, or odor
- Vaginal pain, irritation, or sores
Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):
- Back pain
- Irregular menstrual cycles or spotting
- Menstrual cramps
- Vaginal discharge


