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Spotting and bleeding after fitting mirena - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   Hi. I had the Mirena fitted just over a year ago because I was spotting every month for 7-10 days before my period. For the first few months after Mirena was fitted, I was still getting the same problem. Then it settled for a couple of months and I had normal light periods without any spotting beforehand. Then, all of a sudden for the last 2 months I'm back to the spotting again. This means that I'm spotting or bleeding for 2 weeks out of every 4. Whilst it's not heavy (more of a brown discharge), it is a nuisance. Otherwise, I have no other side effects from Mirena. Do you think this will settle and become 'normal' again?
Doctor :   hi
Doctor :   this is dr xxx
Doctor :   Yes it does take some time when u r on mirena
User :   I was told 3-6 months. I had it fitted in June 09! Is this common?
Doctor :   yes
Doctor :   but some times, it varies in diffrent women
User :   OK. I was worried because I have read so many horror stories online that the uterus lining can become so thin that it has the reverse effect and ends up bleeding constantly. At what point should I review whether this is going to work properly for me?
Doctor :   Acne; back pain; breast pain or tenderness; changes in menstrual bleeding (eg, spotting); changes in sex drive; dizziness, lightheadedness, bleeding, or cramping during placement; headache; nausea; vomiting; weight gain.
Doctor :   these are some of the main side effects of Mirena
User :   None of that is a problem apart from the abnormal 'discharge'
Doctor :   Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); breast lumps; changes in vision; chills; fever; genital sores; mental or mood changes (eg, depression); missed menstrual period; numbness of an arm or leg; painful sexual intercourse; prolonged heavy menstrual bleeding; severe pain or tenderness in the abdomen or pelvis; sharp or crushing chest pain; sudden leg pain; sudden, severe headache, vomiting, dizziness, or fainting; sudden shortness of breath; unusual or odorous vaginal discharge; unusual vaginal swelling or bleeding; yellowing of the skin or eyes.
Doctor :   AND you will be fine soon
Doctor :   have u followed my advice ?
Doctor :   are u there ?
User :   If you think it will settle down, then I will carry on for a few more months and review it perhaps at the start of next year.
Doctor :   yes
User :   OK - thank you
Doctor :   thats the right approach as of now
Doctor :   you are welcome
Doctor :   please make a note of teh symptoms that suggest that u need to seek medical attention
User :   OK.
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