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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Mirena Removed. Trying To Concieve. Pregnancy Test Negative. Heavy Bleeding During Periods. Having Lower Backpain. Reason?

hi, i had a marina in for three years and just had it removed on Feb 1st. i had a normale period that lasted for about five to seven days which started on the 12th of Feb. i Did not start the same time this month. i had a blood test done to find out if i was pregnante due to my husband and i trying, it was negative. i also was having back and left side pain so i went to get it checked and they said it was a uti and that i could be starting my period soon. I started my period yesterday and i have gone through a pack of 14 pads in less then 24hrs. my pain has not been bad since i started my antibiotics for the uti but i started having lower back pain just a few mins ago after passing a big clot and also pain on the right lower back side. i no longer have a right tube or overies. what could this be?
Thu, 18 Jul 2013
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OBGYN,  's  Response
Hi,
Thanks for your question.
Mirena tend to decrease menstrual flow & in many women it may cause amenorrhea. Naturally, when you remove it periods may become heavier. This is one possible reason. Other could be an undiagnosed pregnancy ( specially ectopic in your case) or any other pelvic pathology.
I suggest you should have one trans-vaginal ultrasound & a repeat blood pregnancy test to clarify the picture.
Passing clots is certainly not normal & you should also see a Gynecologist to investigate this issue. There is no substitute to a good physical examination.
Best regards.
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General & Family Physician,  Dr. Vidya KR's  Response
Hi, Thanks for using HCM.

For UTI as you have started on antibiotics, continue them. Take lot of fluid.
As you have mentioned passing clot, was it a blood clot or had some tissue with in it. Get blood HCG done to rule out pregnancy. as you have mentioned heavy bleeding it could be a missed abortion.
With one side tube and ovary, still you can conceive, not a problem.
After removal of IUD it takes 6 months for fertility and periods to become regular.
Consult your doctor for examination and management.
Hope I answered your question. Feel free to ask me if you have any further queries.
Wish you good health. Take
care.

Regards
Dr. Vidya
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Had Mirena Removed. Trying To Concieve. Pregnancy Test Negative. Heavy Bleeding During Periods. Having Lower Backpain. Reason?

Hi, Thanks for your question. Mirena tend to decrease menstrual flow & in many women it may cause amenorrhea. Naturally, when you remove it periods may become heavier. This is one possible reason. Other could be an undiagnosed pregnancy ( specially ectopic in your case) or any other pelvic pathology. I suggest you should have one trans-vaginal ultrasound & a repeat blood pregnancy test to clarify the picture. Passing clots is certainly not normal & you should also see a Gynecologist to investigate this issue. There is no substitute to a good physical examination. Best regards.