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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pelvic Pain And Brown Vaginal Discharge While On Mirena?

Good afternoon doctor , I have been experiencing pelvic pain for the last 2 weeks. also I spotted brown for a week with out getting my period. I did take a pregnancy test was negative. Im also on the mirena Iud. Its got to the point that I have to take pills for the pain. whats wrong with me ??
Mon, 2 May 2016
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General & Family Physician,  's  Response
Hello dear
Understand your concern.

Mirena is a progesterone contain intrauterine device, long term contraceptive and reversible in action.
It make the cervical mucus thick and make uterus unfavorable for implantation.

Following are the side effect:
1. Irregular menstruation/Bleeding in between period/spotting
2. Cramp pain
3. Dizziness and headache
4. Infection: most common gonorrhoea and chlymadia which lead to Pelvic inflammatory disease (PID).
It generally occur 1 to 2 months after insertion.

So I think It may be a infection.
If it is associated with fever, cramp and not resolved after 5-6 days you should consult doctor.
Following are the advice for you-

For diagnosis you have to consult doctor and do testing for STDs:
1. Gram stain and culture
2. PCR and nucleic acid amplification test:swab should be taken from urethra
Following are the advice of Gonorrhea/Chlymadia:
3. Drugs: Cetriaxone 500 mg Intra mascular stat and Azithromycin 1 gram stat, because to treat gonorrhea and chlamydia.
It also overcome ceftriaxone resistance
4. If fever: Tablet Paracetamol 500 mg BD
5.Tablet cetrizine 5 mg BD orally
6. Maintain hygiene
7. Wash vagina 4-5 times in a day with warm salted watre
8. Wear pure cotton loose innerwear


Hope this may help you
Wish you good health
Best regards
Dr. Sagar
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What Causes Pelvic Pain And Brown Vaginal Discharge While On Mirena?

Hello dear Understand your concern. Mirena is a progesterone contain intrauterine device, long term contraceptive and reversible in action. It make the cervical mucus thick and make uterus unfavorable for implantation. Following are the side effect: 1. Irregular menstruation/Bleeding in between period/spotting 2. Cramp pain 3. Dizziness and headache 4. Infection: most common gonorrhoea and chlymadia which lead to Pelvic inflammatory disease (PID). It generally occur 1 to 2 months after insertion. So I think It may be a infection. If it is associated with fever, cramp and not resolved after 5-6 days you should consult doctor. Following are the advice for you- For diagnosis you have to consult doctor and do testing for STDs: 1. Gram stain and culture 2. PCR and nucleic acid amplification test:swab should be taken from urethra Following are the advice of Gonorrhea/Chlymadia: 3. Drugs: Cetriaxone 500 mg Intra mascular stat and Azithromycin 1 gram stat, because to treat gonorrhea and chlamydia. It also overcome ceftriaxone resistance 4. If fever: Tablet Paracetamol 500 mg BD 5.Tablet cetrizine 5 mg BD orally 6. Maintain hygiene 7. Wash vagina 4-5 times in a day with warm salted watre 8. Wear pure cotton loose innerwear Hope this may help you Wish you good health Best regards Dr. Sagar