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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Cramps While On Mirena?

Good afternoon, I am on birth control the mirena and have been experiencing, kid fist size clots, with terrible cramps that will not go away even with the best OTC drugs. for the past 4 days and haven t been able to keep any food down in the past 48 hrs. i drink plenty of water and I smoke about 10 cigarettes a day and drink about 16-32 oz of alcohol daily. I have an appt at a clinic near my job on Fri. I am on my feet most of the day and sleep about 4-6 hrs. Should I be extremly worried? Thanks for the advice in advanced!
Mon, 10 Jul 2017
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Infertility Specialist,  's  Response
Hi I think it can be a side effect of mirena. But you should rule out other causes like ingections or any uterine or ovarian pathology. Get a pelvic examination done by a gynecologist. Also get a ultrasound done to see uterus and ovaries to find out. You can take some medicines like tranexamic acid to stop the bleeding. If it doesn't work, you may need high dose of progesterone to stop the bleeding. Hope it helps.
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What Causes Abdominal Cramps While On Mirena?

Hi I think it can be a side effect of mirena. But you should rule out other causes like ingections or any uterine or ovarian pathology. Get a pelvic examination done by a gynecologist. Also get a ultrasound done to see uterus and ovaries to find out. You can take some medicines like tranexamic acid to stop the bleeding. If it doesn t work, you may need high dose of progesterone to stop the bleeding. Hope it helps.