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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Irregular And Prolonged Periods Upon Withdrawal From Mirena IUD?

Hi, I had the mirena put in , back in December and it came out in April. I got my period in May for 9 days off for 4 days, and afterwards I start spotting and the brown spotting, along with some clots each time I wipe, then I a started having a full period at times it have and several clots. I went to the NP and let her know what been going on, she started me on birth control to my cycle back on schedule, I have been on my period going on over a month and two weeks .
Wed, 29 Jan 2020
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General & Family Physician,  's  Response
Hello,

Bleeding for so long needs investigations. First, you will need a CBC to make sure you have not developed anemia due to prolonged bleeding.

Then you will need tests to rule out structural causes for the bleeding. A gynecological exam is needed and then possibly a pap smear, cervical secretions for chlamydia and gonorrhea and transvaginal ultrasound.

Only after the results of these tests and examinations, the doctor will be able to understand the cause of your bleeding and further management.

I hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Antoneta Zotaj,
General & Family Physician

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What Causes Irregular And Prolonged Periods Upon Withdrawal From Mirena IUD?

Hello, Bleeding for so long needs investigations. First, you will need a CBC to make sure you have not developed anemia due to prolonged bleeding. Then you will need tests to rule out structural causes for the bleeding. A gynecological exam is needed and then possibly a pap smear, cervical secretions for chlamydia and gonorrhea and transvaginal ultrasound. Only after the results of these tests and examinations, the doctor will be able to understand the cause of your bleeding and further management. I hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Antoneta Zotaj, General & Family Physician