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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe lower abdominal pain after having Mirena

I am a 21 year old female and have had the mirena in for about 6 months. I have had a child before so the initial insertion wasn t anything but a cramp . Everything was fine up until about 2 weeks ago when I started getting severe sharp lower abdominal pains. They feel a little bit like contractions. I am no stranger to pain in the lower abdomen (ovarian cysts , torn cervix ) but am really worried. In addition to the pain, I haven t had a period for 3 months (which is to be expected) then all the sudden 3 or 4 days ago I started bleeding very heavily. The blood is dark brown/red. I tried to get in to see my doctor, but she can t take me in for two weeks. Not sure what to do..
Tue, 3 May 2011
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Pediatrician 's  Response
hello,
Bleeding and spotting may increase in the first few months and continue to be irregular.During the first three to six months of Mirena use, the number of bleeding and spotting days may be increased and bleeding patterns may be irregular. Enlarged ovarian follicles have been diagnosed in some subjects using Mirena. Most of these follicles are asymptomatic, although some may be accompanied by pelvic pain.you should consult a gynecologist about it.if intractable pelvic pain is there then mirena should be removed by dr.also some chances of ectopic pregnancy is there with its use.consult your dr. and clarify these doubts without nany negelect. take care
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