What could be the reason for bleeding with mirena?
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I have had my mirena for 4.5 years and for the last month I have been bleeding sometimes lightly, sometimes heavier like a period and was wondering what this could be??
Posted Sat, 30 Nov 2013 in Women's Health
Answered by Dr. Aarti Abraham 22 minutes later
Brief Answer: DETAILED BELOW Detailed Answer: Hello Thanks for your query. Normally, the commonest side effect that women using Mirena face is - irregular menstrual bleeding, which is most often scanty . Heavy periods do not happen with Mirena as a rule. Mirena lasts for 5 years, so the hormonal effect might be wearing off. ANother reason is that you could be experiencing peri menopausal transitional period, during which time the hormonal levels start going awry , leading to erratic bleeding. You could also be developing conditions like endometrial hyperplasia ( thickening of the lining of the uterus ) or adenomyosis ( thickening of the muscular wall of the uterus ) or fibroid ( benign tumour in the uterus ) . These can lead to heavy bleeding at times. Stress, recent illness or surgery, anxiety, weight gain, hypothyroidism - all these could be culprits. I would ask you to have a gynecological consultation. Have an internal check up ( per vaginum and per speculum ) and a baseline transvaginal ultrasound scan. Have hormonal measurement - FSH, LH, TSH. This workup should reveal a pathology if one exists, or even reveal if you are nearing menopause. All the best. Take care, and please feel free to discuss further.
Follow-up: What could be the reason for bleeding with mirena? 1 hour later
Answered by Dr. Aarti Abraham 11 hours later