Do You Have A Period With Mirena

How Long Will I Bleed After Mirena Insertion

My Mirena IUD was removed 3 weeks ago. Is it normal to have no period?

2. Irregular bleeding and spotting is normal for the first few months after the IUD is placed. In some cases, women may experience irregular bleeding or spotting for up to six months after the IUD is placed. This bleeding can be annoying at first but usually will become lighter with the Mirena IUD quickly.

What Are The Advantages Of Having Mirena

The IUS is often used as a treatment for heavy periods, even in women who do not actually need contraception. It is also used as a treatment for endometriosis and fibroids. You do not require an operation or a general anaesthetic to have it inserted.

Once it is inserted you can forget about it and it can be used for contraception for five years. It does not interfere with sexual intercourse. Periods usually get lighter, less painful and often stop. After 12 months most users only have a light bleed for one day per month and about 1 in 5 users have no bleeding at all. Fertility returns as soon as it is removed.

How Long Do You Cramp After Mirena Is Inserted

If you have a hormonal IUD such as Mirena, your bleeding and cramping may become heavier and irregular for the first three to six months. About 30 percent of women in the study reported increased cramping three months after insertion, but 25 percent said their cramps were actually better than before.

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For Someone Who Wants To Be Spontaneous When It Comes To Sex This Is A Good Option

I got a Kyleena in September 2018 and had two days of cramping when I got it in and about 60 days of spotting afterwards, otherwise I havenât had any issues. Make sure you read about the possible side effects, and consider if it will work for you, but for someone who wants to be spontaneous when it comes to sex and to worry about birth control every day, this is a good option. âAnnemette, female, 27, Denmark

When You Must Not Use It

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Do not use Mirena if you have an allergy to:

  • levonorgestrel, the active ingredient in Mirena
  • any of the inactive ingredients listed at the end of this leaflet.

Some of the symptoms of an allergic reaction may include:

  • shortness of breath
  • wheezing or difficulty in breathing
  • swelling of the face, lips, tongue or other parts of the body
  • rash, itching or hives on the skin.

Do not use this medicine if you are pregnant or suspect you may be pregnant.

Do not give it to a child.

Do not use Mirena if you have, or have had any of the following medical conditions:

  • undiagnosed vaginal bleeding from the womb
  • abnormal cervix or womb, or fibroids which distort the cavity of the womb
  • progestogen dependent tumours
  • tumours in the cervix or womb
  • liver disease or liver tumour
  • if you have pelvic inflammatory disease or have had recurrent pelvic inflammatory disease in the past
  • if you have conditions associated with increased risk of developing pelvic infections
  • lower genital tract infections
  • infections of the womb after childbirth or after an abortion in the last three months
  • infection or cell abnormalities in the cervix

Do not use this medicine after the expiry date printed on the pack. If it has expired or is damaged, return it to your pharmacist for disposal. The expiry date is printed on the carton and on the sachet after âTo be inserted beforeâ . The expiry date refers to the last day of that month by which it should be inserted.

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What Are The Hormonal Intrauterine Devices

The hormonal IUDs are small T- shaped plastic devices that are inserted into the uterus . The hormonal IUDs contain progestogen. This is a synthetic version of the hormone progesterone made naturally by the ovaries. The hormonal IUDs have a coating that controls the slow release of progestogen into the uterus. There are two different hormonal IUDs available in Australia. They are sold as Mirena and Kyleena.

It May Make Your Symptoms More Manageable

Mirena can improve at least one menopause symptom heavy bleeding.

In the years leading up to menopause , your estrogen and progesterone levels bounce up and down. These shifting hormone levels can make your periods lighter or heavier than usual.

At least 25 percent of women who are perimenopausal get heavy periods. Your monthly flow may get so heavy that you soak through a pad or tampon every couple of hours. Mirena should lighten your periods and put you into a more normal flow pattern.

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When To Call The Hotline For Mirena Iud Removal

If youre having thoughts of self-harm or suicide, you can call the National Suicide Prevention Hotline. Day or night, 365 days a year, someone will answer who can help: 800-273-TALK Removing a Mirena IUD may cause brief cramping or discomfort. Some women also experience other symptoms, although this is not common.

What To Expect From Insertion To 6 Months

Why did I start getting periods after having the Mirena IUD for 1 year and 8 months?

For the first three to six months after your IUD is placed, expect the unexpected when it comes to your periods. They may not come as regularly as they once did. You could have some spotting in between periods or heavier-than-usual periods.

The length of your periods may also increase temporarily. About 20 percent of people bleed for more than eight days in their first few months after insertion.

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How Do I Use The Hormonal Iud

The hormonal IUD is inserted inside the uterus by a trained doctor or nurse. You can choose to have a local anaesthetic or sedation while it is inserted. The IUD insertion takes around 15 minutes but you will be in the clinic for an hour or more. See below for a video about IUDs and how to help prepare for and manage pain from an IUD insertion.

The IUD has a fine nylon string attached to it which comes out through the cervix . The string cannot be seen and it does not hang out of the vagina. If you feel high up inside your vagina, you can check that the string is there and know the IUD is still in place. It is good to do this every month. If the string feels like it is shorter or longer than normal or you cannot feel the string at all, the IUD may have shifted and you should see a doctor or nurse.

Do You Have To See A Doctor For Mirena Removal

To avoid possible complications, Bayer doesnt recommend women remove their own Mirena. A doctor or health care provider performs Mirena intrauterine device removal in a medical office. Most insurance plans cover Mirena IUD removal. The procedure should only take a few minutes. There are several reasons why a doctor will remove Mirena.

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What Are The Options For Heavy Periods

Heavy periods can be treated medically or surgically. Commonly used medical options include combined contraceptive pills, tranexamic acid tablets, non-steroidal anti-inflammatory drugs such as Ponstan, and the Mirena IUS.

Surgical options, which are usually performed if medical treatment fails to control the periods adequately, include endometrial ablation and hysterectomy. In endometrial ablation, a variety of techniques are used to destroy the lining of the womb. Compared to hysterectomy, it is a much smaller procedure that is usually carried out as a day case. It will take you 1 to 2 weeks before returning to work.

Hysterectomy is the removal of the womb. It is a major operation requiring a general anaesthetic. A hysterectomy may require up to five days stay in the hospital and it may be 4 6 months before full recovery.

I Wanted A More Reliable Form Of Birth Control

My Experience With Mirena Contraception

I had my Kyleena IUD placed about 10 months ago. because my birth control pills were really messing with my mood, and I wanted a more reliable form of birth control. The placement was relatively easy for me, but I did feel some pain and discomfort for about 20-24 hours after the placement. I have been very pleased with how easy it has been having an IUD. My only complaint is that I have not had regular periods since the placement. âAnonymous, female, 25 Belgium

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Can The Hormonal Iud Cause Any Serious Health Problems

  • In about 1 in 500 users, the doctor or nurse makes a small hole in the wall of the uterus while inserting the IUD. The IUD can move through the hole and sit in the wrong place. You would then need keyhole surgery to have it removed.
  • Around 1 in 300 users get an infection when the IUD is first inserted. This is usually successfully treated with antibiotics.
  • It is very unlikely you will get pregnant when using the hormonal IUD. If you do get pregnant with a hormonal IUD, there is a higher chance of ectopic pregnancy. This means that the pregnancy may settle in the fallopian tubes .

What Are The Disadvantages

  • Some people feel pain, cramps or dizziness when the IUD is put in or taken out.

There are some risks from having an IUD put in:

  • There is a small risk of infection when an IUD is put in
  • There is a very small risk of damage to the uterus
  • A copper IUD might give you more bleeding and cramping during your period, but this usually gets better over time
  • The copper IUD can cause an allergic reaction, but this is very rare
  • The hormonal IUD might give you irregular or light bleeding
  • The IUD can sometimes come out by itself . You can check the threads are still in the right place at any time.

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Advantages And Disadvantages Of The Ius



  • Your periods may become irregular or stop completely, which may not be suitable for some people.
  • Some people experience headaches, acne and breast tenderness after having the IUS fitted, but these usually settle with time.
  • Some people experience changes in mood.
  • An uncommon side effect of the IUS is that some people can develop small fluid-filled cysts on the ovaries these usually disappear without treatment.
  • An IUS does not protect you against STIs, so you may need to use condoms as well.
  • If you get an infection when you have an IUS fitted, it could lead to a pelvic infection if it’s not treated.
  • Most people who stop using an IUS do so because of vaginal bleeding and pain, although this is less common.

What About Side Effects

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The main side effect that occurs in all women is spotting or light bleeding in addition to their periods for the first 3 6 months after the system is fitted. This may happen every day during the first 4 6 weeks after fitting.

Overall, you are likely to have a gradual reduction in the number of bleeding days and the amount of blood lost each month. For most of the time panty liners might be all that is required for protection, tampons may be used if needed.

The level of hormones in the womans blood stream is much lower than with the contraceptive pill, so the side effects such as tender breasts, headaches, acne, abdominal bloating or mood changes are less likely. If they occur, they tend to go away after a few months.

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Can It Get Dislodged Or Fall Out

This could happen in 6% of all women who use the IUS. If this happens, you will lose your protection against pregnancy if you are using it as a contraceptive. Our experience showed that the majority of women who lost the IUS in this way might not feel or see it coming out and the only indication that this might have happened would be the sudden return of your heavy periods.

Please contact your doctor, or if necessary your Consultant Gynaecologist at the hospital, if this happens to you.

What To Avoid After Getting An Iud

Please abstain from vaginal intercourse, baths, swimming, tampon use, and menstrual cup use for at least 24 hours after IUD insertion. Mirena/Liletta, Kyleena, and Skyla IUD users will need back-up contraception to prevent pregnancy in the first 7 days after placement.

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My Crash Experience After Mirena Removal

I was off on vacation soaking up the sun, sand, and having lots of fun telling some jokes and then WHAMO. it hit me.

Not knowing about the crash, I had the Mirena IUD removed a couple of weeks prior to leaving for our vacation.

I had trouble with my Mirena from the beginning of getting it inserted. After five years, I had it removed. I could have removed it sooner, but I wanted to keep it in for the full 5 years.

The Mirena crash came out of nowhere.

I went to bed feeling relaxed and happy to be on vacation, and then woke up with a crushing, heavy, almost suffocating feeling of blah. Not just any blah, but an I need to go home now because I cannot stand this feeling anymore blah.

That was just day one.

For four days, I felt a crushing anxiety. Then I realized I was experiencing the dreaded Mirena crash.

I wont lie: it sucked. But after four days, I felt pretty much back to normal. Thank you very much, Mirena.

Contraception Without The Stress Of A Daily Pill


Iâve had a Mirena for nearly a year. Getting it inserted was very smooth but I took a lot of ibuprofen ahead of time. For the next couple days I had a bit of cramping and pain but not too bad. Having it in has been fine I don’t feel it and it doesn’t impact intercourse. I do think I’m reacting to the hormones, even though it’s a much lower dose, but I’m learning how to manage my emotions. It’s nice to have the peace of mind of contraception without the stress of a daily pill or a weekly patch that regularly fell off. âLiz, cisgender female, 43, Seattle, WA

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