What Causes Abnormal Vaginal Bleeding While On Mirena IUD?

Posted on Mon, 6 Apr 2015

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

Mon, 6 Apr 2015 Answered on

Mon, 27 Apr 2015 Last reviewed on

Question : I've had Mirena IUD for 4.5 years. I never get a period just minor spotting. A few days ago i started bleeding and it shows no sign of slowing. Is this normal?

Answered by Dr. Dr.N.Senduran (2 minutes later)

hi dear. kindly get a gynac opinion. may be you need some medical help. if its only bleeding you can take tab pauae after consulting your docter. thank you. vote of thanks please

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.N.Senduran (7 hours later)

This isn't helpful. What could be the cause of the bleeding?

Answered by Dr. Dr.N.Senduran (33 minutes later)

Brief Answer:
When was the IUD removed ?

Detailed Answer:
Hello XXXX

Welcome to healthcaremagic..

I have gone through your question carefully and also understood your concern.

Removal of Mirena IUD can cause severe bleeding(also called withdrawal bleed) for few days which is a normal phenomenon.

Also menstrual irregularities are common and your menstrual cycle gradually gets regular over few weeks...

Please answer the below questions to enhance my answer...

1)For what indication,the Mirena IUD was inserted ?
2)When was the IUD removed ?

I would also advise you to monitor your vitals if bleeding is severe and seek medical attention if needed..

Hope this answers your query..Further follow up queries are welcome..

Regards

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Dr.N.Senduran (29 minutes later)

It hasn't been removed. I had it inserted to reduce or stop menstrual bleeding. It wasn't ever very severe but i do have pcos and at times it was uncomfortable. The iud effectively stopped any periods except for maybe a half day of light spotting. Other than the bleeding i have felt fine except for cramping .

Answered by Dr. Dr.N.Senduran (27 minutes later)

Brief Answer:
Gynecologist opinion.

Detailed Answer:
Hello again..

Thank you for following up..

I feel sorry that couldn't solve your concern early ..

Unusual increased menstrual bleeding may indicate possible chances for displacement( partial or complete expulsion of IUD) or infection at IUD site..

Your abdominal cramps could be a possible sign for any of that..

When did you check your IUD position lastly ?

I would advise you to visit a gynecologist to check the position of the inserted IUD,by ultrasound.

Also you can check for the blood concentration of the hormone to check whether the IUD works...

So in conclusion,IUD failure has to be ruled out first.

Hope i have answered your query.Please feel free to ask further questions if any..

Wish you a good health

Regards

Above answer was peer-reviewed by : Dr. Pradeep Vitta