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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Mirena IUD Inserted, Have Bleeding Everyday, Spotting, Painful. What Is Wrong With It?

I had a Mirena IUD inserted a month ago. I have bled everday since insertion, from light spotting to heavy bleeding. The more physically active I am the more heavily I bleed and the more pain I have pain every I can only associate with the IUD because it was not present until the IUD was inserted. I have pain while active and while at rest. Should I have it removed or is there potentially something wrong with it?
Mon, 27 May 2013
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General & Family Physician,  's  Response
Hi.
Thanks for asking in Healthcare Magic.

Mirena contains Levonorgestrel, a progesterone that is released slowly, daily for a period of five years. One of the main problems of IUCD like Mirena is inter menstrual bleeding in the initial 3 to 6 months.

Progesterone results in spotting, vaginal discharge, abdominal pain. mood changes and bloating sensation. But these symptoms wane off after few months as the body gets adopted to the effects of progesterone and the hormonal imbalance due to Mirena.

IUCDs can result in vaginal infection or pelvic inflammatory disease (PID) which will also present with similar symptoms of pain, discharge and spotting. If the spotting and abdominal pain persists or if it worsens, then you should consult your treating Dr. to rule out PID.

I hope this is useful to you.
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Had Mirena IUD Inserted, Have Bleeding Everyday, Spotting, Painful. What Is Wrong With It?

Hi. Thanks for asking in Healthcare Magic. Mirena contains Levonorgestrel, a progesterone that is released slowly, daily for a period of five years. One of the main problems of IUCD like Mirena is inter menstrual bleeding in the initial 3 to 6 months. Progesterone results in spotting, vaginal discharge, abdominal pain. mood changes and bloating sensation. But these symptoms wane off after few months as the body gets adopted to the effects of progesterone and the hormonal imbalance due to Mirena. IUCDs can result in vaginal infection or pelvic inflammatory disease (PID) which will also present with similar symptoms of pain, discharge and spotting. If the spotting and abdominal pain persists or if it worsens, then you should consult your treating Dr. to rule out PID. I hope this is useful to you.