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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Cramping, Nausea, Mirena Iud Fallen, Had Periods From Light Discharge To Heavy Bleeding With Clots. Normal?

I have the mirena iud (for almost 3 years now). I have not had a regular menstrual cycle in almost 2 years. 2 weeks ago I had an extremely light discharge for 4-5 days. Then 2 days ago I started having a dark red discharge yesterday it got heavier and it had several large blood clots in it. Then about an hour ago I discovered that my mirena has fallen out. Now I am cramping and feel nauseous and appear to be lightly bleeding fresh blood. Is that normal when an IUD falls out? And I plan to call my OBGYN on Monday, should I seek medical attention sooner? Thanks in advance.
Wed, 19 Jun 2013
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OBGYN,  's  Response
Hi dear user, thanks for your query.

Expulsion of your IUD might have occurred due to heavy bleeding and uterine contractions. This is not normal but you need not to panic. You should use barrier contraceptive now to avoid pregnancy. If bleeding is too heavy, then you can take tablets of tranexemic acid 500 mg thrice daily for 3 days and get an ultrasound done in the mean time.

Hope this helps.
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Have Cramping, Nausea, Mirena Iud Fallen, Had Periods From Light Discharge To Heavy Bleeding With Clots. Normal?

Hi dear user, thanks for your query. Expulsion of your IUD might have occurred due to heavy bleeding and uterine contractions. This is not normal but you need not to panic. You should use barrier contraceptive now to avoid pregnancy. If bleeding is too heavy, then you can take tablets of tranexemic acid 500 mg thrice daily for 3 days and get an ultrasound done in the mean time. Hope this helps.