your problems are
a) absence of cycles and breast tenderness --> it is a side effect of Mirena, if the breast tenderness is 'bad' then use any analgesic like paracetamol
500 mgm 8 hourly. if it is severe then add a diuretic like hydrochlorthiazide 12.5 mgm once a day in the morning on the day of the breast tenderness. For absence cycles nothing much to be done, as it is accepted assosciation of Mirena.
b) Pain abdomen and clear vaginal discharge
--> with a history of Herpes, it could be a pelvic infection
, which will require a check-up and vaginal smear examination,followed by an appropriate antibiotic. It is known as Pelvic Inflammatory disease
Also, u may need a ultrsound examination to rule out an ovarian cyst
, which is very common side effect with Mirena. This cyst can produce pain if it is infected or turning.
A hot water bottle and paracetamol would be helpful.
So, to be sure, do plan a visit to the Gynae, as without a check the treatment.
would be incomplete.
do get back to me with the results.