What Causes Heavy Vaginal Bleeding While On Mirena?

Posted on Mon, 17 Oct 2016

Question: 38 year old XXXXXXX XXXXXXX female in perfectly good health and currently not on any regular medications.Vusited Gynecologist 3 months presented with super heavy menstrual cycle.Upon examination Doctor recommended a Hysterectomy or Birth Control Mierna.Patient chose Mierna and all was well the first two months . Patients Cycle has been on for almost a month ,starting off light but has become duper Heavy and patient complains of stomach pain.Stomach pain just started today.Patients states that it's like She's passing blood clots.Thanks in advance

Answered by Dr. Vjollce Mbiarra (59 minutes later)

Brief Answer:
She needs to do minimally a transvaginal ultrasound

Detailed Answer:
Hi and hanks for your query.

Heavy vaginal bleeding may be a side effect of Mirena.

Bleeding due to Mirena is the most common side effect among those implanted with the Mirena device.

Manufacturers of Mirena note that bleeding and spotting may increase during the first three to six months following insertion.

Patients may continue to experience the irregular periods and Mirena-bleeding after the first three to six months.

Mirena-bleeding can sometimes be so severe that women must undergo surgeries to remove the device.

Hence in my opinion she should do minimally a transvaginal scan to see uterus and Mirena position and and a blood test to see if she is anemic due to heavy bleeding.

If you have any further question I'll be here.

Best Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Vjollce Mbiarra (2 hours later)

Thanks,you are Wonderful!

Answered by Dr. Vjollce Mbiarra (27 hours later)

Brief Answer:
You are welcome

Detailed Answer:
Hi again.
You are welcome to HCM for any other health issue you may have or you need to ask.

Thank you

Above answer was peer-reviewed by : Dr. Nagamani Ng