Suggest Remedy For Bleeding After Mirena Removal

Posted on Thu, 4 Sep 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 4 Sep 2014 Answered on

Fri, 26 Sep 2014 Last reviewed on

Question : Hi i have had mirena removed on monday 1/9/2014 due to bleeing for three weeks had in for 3 months and very heavy bleeding during this time. On removal no bleeding however heavy bleeding yesterday again and today with like a plug of red mucus that has come away is this normal? please note i also have 2 small fibroids which previously before mirena gave longer period 7 8 days however not flooding like this

Answered by Dr. Vjollce Mbiarra (28 minutes later)

Brief Answer:
Dysfunctional bleeding from hormonal imbalance

Detailed Answer:
Hi dear and thanks for your query.

As you describe bleeding is from hormonal imbalance .
Hence hormonal imbalance can cause dysfunctional uterine bleeding.

Other pathologies that can cause vaginal bleeding are excluded because you have removed Mirena on Monday ,hence your doctor has made per vaginal exam(he/she has excluded cervical causes).

Fibroids do not cause bleeding if they are intramural or serosal.
They can cause bleeding only if they are submucosal.
I exclude that fibroids are submucosal because you have had Mirena .

If bleeding continues for another days with the same flux or it increases you should consult with your doctor .
You may need for a therapy to stop bleeding because having too much can cause anemia .

Take much liquids and iron rich foods .

All the best

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Vjollce Mbiarra (1 hour later)

thankyou. i have one submucosal fibtoid 2cm.i am concerned with clots how long should it settle down as alot of thivk mucus like liver thanks

Answered by Dr. Vjollce Mbiarra (24 minutes later)

Brief Answer:
cannot be predicted

Detailed Answer:
Hi dear again.

Do not concern that you have bleeding with clots because is that you have abundant bleeding.
We cannot predict when the bleeding will stop.
You can take primolut nor three times a day for 9 to 10 days ,but only after you are consulted with your doctor.

All the best and fast recovery

Above answer was peer-reviewed by : Dr. Shanthi.E