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What Causes Heavy Vaginal Bleeding After Mirena Coil Removal?

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Posted on Tue, 9 Feb 2016
Question: Im am supposedly postmenopausal according to my bloodwork. He removed my mirena in october. I have had a period two weeks ago and am bleeding again.
doctor
Answered by Dr. Richa Agarwal (1 hour later)
Brief Answer:
Needs evaluation.

Detailed Answer:
Hello ma'am,
Thanks for trusting hcm about your health care.
I have gone through your history and understand your concerns.
Before giving my opinion about your problem I would like to ask for how many years you are not bleeding?
At what age did you attain menopause?
Why on minera?
Hope to hear from you soon.
Good luck.
Regards
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Richa Agarwal (47 hours later)
I am 45. I hadvthe mirena placed a little under 3 years ago due to constant everyday bleeding for over a year. Severly anemic. Have tubal so not for pregnancy prevention. My fah was 130. He said i was postmenopausal and didnt need tonreplace it. It was not placed properly and was causing problems with scratxhing partner. I had been spotting for a few months prior so i felt i wasnot post menopausal. But went with his advice.
doctor
Answered by Dr. Richa Agarwal (9 hours later)
Brief Answer:
Needs evaluation.

Detailed Answer:
Hello ma'am,
Sorry for such a long delay in my response.
I have gone through your history and in my opinion at 45 yrs.of age and high fsh level there is a chances of postmenopausal or perimenopausal stage.
But you have continuous bleeding and spotted so in my opinion you should consult a Gynecologist and get yourself examined and ultrasound pelvic done to rule out fibroid, polyp and endometrial hyperplasia.
Hope found useful.
Good luck.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Richa Agarwal (2 hours later)
I have already done all of that. Pap and cancer screening all ok. Vaginal ultrasound showed no problems. I am not having continous bleeding. Mirina out end of october. Bleeding like a period for the second time in two weeks.
doctor
Answered by Dr. Richa Agarwal (9 hours later)
Brief Answer:
Could be due to hormonal changes.

Detailed Answer:
Hello ma'am,
Sorry for the delay in my response.
If everything is fine and you are bleeding like proper menses it could be due to hormonal changes occur near menopause.(considered normal).
So no need to worry but once you will stop menses for one year and then if you get spotting and bleeding that needs evaluation.
Hopefully found useful.
Good luck.
Regards
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Richa Agarwal

OB & GYN Specialist

Practicing since :1999

Answered : 4031 Questions

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What Causes Heavy Vaginal Bleeding After Mirena Coil Removal?

Brief Answer: Needs evaluation. Detailed Answer: Hello ma'am, Thanks for trusting hcm about your health care. I have gone through your history and understand your concerns. Before giving my opinion about your problem I would like to ask for how many years you are not bleeding? At what age did you attain menopause? Why on minera? Hope to hear from you soon. Good luck. Regards