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What Causes Hot Flashes While Having A Mirena IUD Insert?

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Posted on Mon, 7 Jul 2014
Question: I have a Mirena IUD for several years without any problems. I have hot flashes at night now for 1 week.
Do I need to remove the IUD? If not now, when and why ?
doctor
Answered by Dr. Chobufo Ditah (3 hours later)
Brief Answer:
Are your menses still regular?

Detailed Answer:
HI and thank you so much for this query.

I am so sorry to hear about these hot flashes that you have reported. At 52years, hot flashes may be early warning signs of the onset of menopause. For this, I will like to know if your menses are still regular or not. Also, this Mirena IUD can stay in place for up to 5years. How long have yours been in place?

I will not want to think your symptoms are related to the Mirena IUD. Removing the IUD will not be a quick fix as this seems not to be the cause. I will want to evaluate your menstrual history to tell whether it is suggestive of menopause or not. Should it be, then that is the reason and not the IUD.

Mirena is generally removed after 5years unless otherwise complicated by pains, infections, or a voluntary decision to take it out at any time by the user.

In all, probably not related to Mirena. This is more suggestive of menopause onset. I will recommend that you tel me more about your cycles and any recent changes. Removal is often after 5years or if complications or should the user decide to.

I hope this helps. I wish you well. Thank you so much for using our services and please feel free to ask for more information and clarifications if need be.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (8 hours later)
Dr. Ditah,
I am sure this is menopause. My period has always been regular but with the IUD I have no spotting. This is my second Mirena IUD; the first I had for the full 5 years and then one has been in about 3 years. I would prefer to leave it as it stooped painful cramping. Should I leave it in? The hot flashes are bothersome but the waking up and not getting back to sleep is horrible! What are your thoughts on leaving in the IUD? If I take MACA to help with the hot flashes will I sleep better?
Should I get tested for hormone levels and get a prescription for hormones to help with sleep?
doctor
Answered by Dr. Chobufo Ditah (1 hour later)
Brief Answer:
Leave it in place...what is MACA?

Detailed Answer:
HI and thank you so much for this follow up precision.

IUD is not responsible for these symptoms and pulling it out or not will not change the symptoms. Generally, we discourage use of hormones to relief menopause symptoms except for a very short while seen the numerous longterm complications of these drugs. For this, I will suggest that you get evaluated by your OBGYN on the exact severity of your symptoms and whether the benefits on getting on hormone supplements surpasses the risk.

I don't know what MACA is. Can you please give me the meaning of that in full as this seems to be an abbreviation am not familiar with? Thanks. This will permit me to be able to relate to it and comment on!

I hope this helps. Let me hear from you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (27 minutes later)
Dr. Ditah,
I will go see my GYN =- from what i head these symptoms are very light. I know the IUD is not responsible for the symptoms. I am trying to sleep all night.

Maca Royal is an herb. I was told to try it a few years ago to help with a variety of things and overall health. I found this on line:

How to Use Maca for Menopause
Use maca instead of doctor-prescribed hormone replacements. An article written by Viana Muller, Ph.D., Dr. XXXXXXX Malaspina, a former neurologist who now practices complementary herb-based medicine, explained that the body needs a certain amount of estrogen and progesterone. If these aren't present, the body's equilibrium is off. When a woman goes through menopause, she no longer produces estrogen and hormonal replacement therapy is often suggested (although it is considered controversial because of its link to breast cancer.) Dr. Malaspina has observed that maca stimulates the ovaries, which provides the minimal amount of hormones that a post-menopausal woman needs and doesn't have on her own because her body is no longer producing them. Read Dr. Muller's complete interview with Dr. Malaspina to gain insight into the value of maca, which can be found on Wholeworldbotanicals.com.

Read more: http://www.ehow.com/how_0000_use-maca-menopause.html#ixzz349JxYA6u
doctor
Answered by Dr. Chobufo Ditah (18 hours later)
Brief Answer:
Thank you so much!!

Detailed Answer:
Hi and thank you so much for this follow up information.

I have learned so much about MACA already. I am glad you thought it wise to send this script to me. Thank you so much for this.

Unfortunately, I cannot recommend this product at this time. I need more evidence based randomized controlled research. I hope they are in the process of doing this so that the drug can soon be approved for prescription by medical personnel. For now, the decision to use or not is totally yours. All drugs prescribed by physicians must be approved by the FDA(food and drug administration) and MACA has not be approved.

I wish you well. Thanks for using our services and do feel free to keep the discussion going should need be.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Chobufo Ditah

General & Family Physician

Practicing since :2009

Answered : 6323 Questions

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What Causes Hot Flashes While Having A Mirena IUD Insert?

Brief Answer: Are your menses still regular? Detailed Answer: HI and thank you so much for this query. I am so sorry to hear about these hot flashes that you have reported. At 52years, hot flashes may be early warning signs of the onset of menopause. For this, I will like to know if your menses are still regular or not. Also, this Mirena IUD can stay in place for up to 5years. How long have yours been in place? I will not want to think your symptoms are related to the Mirena IUD. Removing the IUD will not be a quick fix as this seems not to be the cause. I will want to evaluate your menstrual history to tell whether it is suggestive of menopause or not. Should it be, then that is the reason and not the IUD. Mirena is generally removed after 5years unless otherwise complicated by pains, infections, or a voluntary decision to take it out at any time by the user. In all, probably not related to Mirena. This is more suggestive of menopause onset. I will recommend that you tel me more about your cycles and any recent changes. Removal is often after 5years or if complications or should the user decide to. I hope this helps. I wish you well. Thank you so much for using our services and please feel free to ask for more information and clarifications if need be.