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Mirena IUD- bleeding for 2-3 weeks out of every four

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I had the Mirena IUD inserted about 3-4 months ago and am still having quite a lot of spotting. I know this is normal, but bleeding (sometimes as heavily as a real period, sometimes lightly) for 2-3 weeks out of every four is becoming tiring and inconvenient. My doctor told me I could take a pack of low-dose birth control pills to regulate the bleeding a little bit, but I am a little confused as to what happens after that pack. Do I go back to spotting? Have I messed up my hormones? Is it really a solution, or just a delay?

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replied December 12th, 2011
Birth Control Answer A29366
Welcome to ehealthforum,
Some women can experience bleeding after IUD insertion. It is important to check the IUD position along with having a look at hormonal analysis to rule out any underlying hormonal derangements. Blood work-up done would help to look for any bleeding/clotting abnormality, anemia etc. Visit your doctor/gynecologist for repeat/follow-up evaluation. If the cause for the abnormal bleeding is hormonal derangements or bleeding disorder, then getting started on the BC pills might not help (it can also make bleeding heavier). You can also consider taking a second opinion for your condition by another gynecologist and proceed with further management as recommended after thorough evaluation. Be in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately. Drink plenty of water. Take adequate rest. Maintain healthy diet and lifestyle.
Take care.

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