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Contraception, hormones, menstrual cycle

Bleeding after a Mirena IUD insertion, what to expect

img_small-t-shaped-deviceThe levonorgestrel intrauterine system (Mirena IUS) is a popular IUD. It contains the hormone levonorgestrel and over time many women gets lighter periods or even lose their periods altogether. This is a desirable side effect. The only problem is the promise of very light or no periods and combined with long acting reversible contraception comes with a price – many women have an initial bout of irregular spotting and/or bleeding. Unfortunately, many women are not adequately counseled about this possibility and as a result most women who get their Mirena removed for reasons other than wanting to get pregnant do so in the first 6 months and the most common reason cited is irregular bleeding.

Preventing early removal of the Mirena is important for the following reasons:

  • Contain costs. IUDs themselves are expensive and there is often a co-payment for insertion as well.
  • Prevent unplanned pregnancies. Long acting reversible contraception (LARC) is the most effective form of contraception because there is no user error, and so with the IUD out the next method chosen is likely to be less effective when considering real world experience. Not everyone has a plan for their post IUD contraception and that time of considering what to use next is very high risk for an unplanned pregnancy.
  • Reduce the burden of complications. While significant complications with IUD insertion are very low (less than 1%), they are all associated with the insertion. If you have an IUD inserted and pulled out 3 months later you have assumed that risk for nothing.

The best way to prevent dissatisfaction related to a known side effect (irregular bleeding) is to be adequately counseled about that side effect. So how common is irregular bleeding after a Mirena IUS?

There are a couple of high quality studies to consider. These studies followed women after the insertion and they completed daily diaries to record bleeding, so the data is prospective (these were typically studies looking at ways to reduce post Mirena insertion irregular bleeding).

The average number of days with any bleeding in the first 90 days after Mirena insertion was 35 in one study (May 2013), but it ranged from 18-55. In another study (Sept 2011) the average number of bleeding days that required a pad or tampon in the first 84 days after insertion was 22-32 days, but 25% of women bled for 33-55 days (the longest was 64 days).

While the studies aren’t perfect (they varied slightly in how they quantified the bleeding) and the diaries were not collected by investigators daily, but rather batched and collected later, they do confirm that in the first 3 months after a Mirena is inserted there is a fair bit of spotting or bleeding. If you add the days together it totals about a month, but 50% of women will bleed more than that.

Bleeding for the equivalent or at least (and possibly more) than 1 month out of the first 3 in a random way is a nuisance. Studies tell us that overall its much less blood that a period, it’s just smaller amounts with an unpredictable pattern. However, this nuisance bleeding decreases significantly over time and is important to put in the big picture. If you look at all methods of reversible contraception (Mirena, copper IUD, pill, patch, depo-provera shot. ring, and implant) women with the Mirena IUS have the highest satisfaction scores at 1 year. Also, looking at all methods of birth control, women who chose a Mirena are more likely to be using that method at a year compared to women who chose a different method.

While you should be prepared for a fair bit of irregular bleeding in the first 3 months after your Mirena IUS is inserted (and if you are in the 50% who bleed for fewer than 30 days, then great!) you should also know that if you stick with it by 1 year you are more likely to be highly satisfied with your Mirena (and less likely to be pregnant) than if you had chosen a different method.

Screen shot 2013-05-25 at 11.03.10 AM

Adapted from Peipert et al. Data from Contraceptive CHOICE Project published in Obstetrics and Gynecology May 2011


164 thoughts on “Bleeding after a Mirena IUD insertion, what to expect

  1. I’m 17 and just got my IUD inserted a month ago and so far this whole month has just been horrible. Before I got it inserted I had really irrigular periods. (It was amazing and I loved it) But now sadly this whole month I have had my period. It’s not heavy but it is constent. Luckly I only had cramping during and only a few hours after the proceedure happened but now after reading everyones complaints about the IUD and realizing I could keep having my period, I’m considering just taking it out. My health care provider never spoke of having bleeding for as long as I have so far and I don’t want to find out that I am going to have it for another 11 months!! I wanted something easy, not more of a pain to take care of..

    Posted by Amanda | September 16, 2014, 11:20 pm
    • Amanda – Your provider should have warned you that the device has a 4-6 week settling in period, during which time bleeding often occurs. This info is available all over the internet too.

      Hang in there though, it’s very unusual to have symptoms that last longer than the initial settling in period. The problem with any form of contraceptive is that people only post if they have a bad experience, if their choice of pill/device/barrier works well for them, they get on with their lives. You hear about the ‘condom baby’ or the ‘pill baby’, and never the millions of satisfied, happy users.

      Are you american by any chance? The US has a horrible track record WRT IUDs, people are therefore uninformed and uneducated about them (through no fault of their own) and who distrust the device and panic because their health providers are poorly informed, and do not tell their patients what to expect.

      Here in the rest I’d the world we’ve been using devices like Mirena since the early 70s. They’re common, trusted, and regarded as the safest and most effective choice for pregnancy prevention.

      You’re young, and probably haven’t given birth yet, so you will bleed for a while, but it should taper off soon, and give you 5+ years of stress-free sex I’m on my third now, having had the first fitted in 2009. I had seven weeks of bleeding, then a bit of spitting once a month, and by the six month mark – nothing. I believe 70% of users have no bleeding at all by the twelve month mark.

      Each successive Mirena has had one day of bleeding, that’s it. If you look at IUD_divas or vaginapagina (both on livejournal) or Scarleteen you’ll find many happy, satisfied users.

      The ultimate message for everyone is – do your own research before fitting so that you know what to expect

      TL;DR – Your symptoms are normal, stick with it, and hopefully you’ll have several happy years if IUD use.

      Posted by Big Pink Box | September 17, 2014, 9:53 am
  2. I had my iud inserted almost 3 weeks ago I’m still bleeding no pain and I’m wearing panty liners (not heavy) using bc pills I would go through the same bleeding actually a little heavier so I’m a little concerned. Just because I’ve been reading scary stuff on the net. Lol

    Posted by Kelly Harrell | September 21, 2014, 4:12 pm
  3. I have mirena since 9/5 of this year and I started bleeding on the 16th, which shows no signs of stopping. I thought mirena was supposed to make you not havevperiods? How can I make the bleeding stop so I can start getting laid again? I got the stupid thing because I’m not old enough for a hysterectomy and I hate kids. If I was gonna ruin my life and get pregnant I would’ve done so a couple years ago when it was the cool thing to do.

    Posted by sarah | September 28, 2014, 9:25 am
  4. Got Mirena 20 June 2014. Inserting time Merina went well, just felt a little bit uncomfortable but overall ok. Then the bleeding started and still going on till today 7 October 2014. Had 16 of no bleeding. Had quit hectic cramps the first month, now no cramps. No back pain. Was wondering why so emotional especially crying – but now know its the Marina. Went back to gyni 11 August 2014 put me on Microval, Cyklokapron (S4) 18 + Nafasol EC500 (S3) 15 to stop bleeding, didnt help. Then went to gyni again got Provera 10 mg (S4) 21 and YES still bleeding. 112 Days and 16 days no bleeding & many mood swing. Mmmmm, I’m really getting idea this was not my best choice!!!

    Posted by TUW07 | October 7, 2014, 1:44 pm
  5. Been less than a week since I got mine.. A little bleeding, but that is expected. I have no cramping though. A little positive intention that it will the perfect solution for me.

    Posted by ginnym2013 | October 10, 2014, 10:00 am
  6. Thank you for this! I was starting to worry something was wrong with me. 🙂

    Posted by Beverly | October 19, 2014, 11:53 am
  7. I am desperate for help. I had Mirena inserted 32 days ago and have been bleeding every day. The flow is like a regular menstrual period and requires frequent changing of tampons. Help! I am ready to scream, cry, and generally fall apart. Any advice would be appreciated.

    Posted by Danielle | October 20, 2014, 4:06 am
    • Read the article. It’s normal. “Falling apart” seems like an overreaction. Maybe you should speak to a professional about your reaction? It’s only been four weeks into a five year commitment.

      Also, to ANYONE having a procedure that has the potential to affect your body for five+ years, research it. Nobody gets Mirena sprung on them, so ask your care provider for a copy of the patient information leaflet, ask them what the side effects are likely to be. 5+ years of virtually foolproof contraception is always going to come with side effects, but you know what has far greater side effects? Pregnancy.

      Until science can come up with some magical device or drug that can protect against pregnancy for so long, and with nothing needed from the user (no daily/weekly/monthly schedule) then Mirena is pretty much the best bet for avoiding pregnancy, short of sterilisation or abstaining altogether from sexual activity that involves having a penis in the vagina, and sticking to all of the other types of sex.

      Posted by boostick | October 20, 2014, 7:14 pm
    • It took my body 5+ months to finally stop bleeding all the way. I had normal period for over 3 months, then it slowed. Then to only when I went to the bathroom I’d spot. Now I have had it for over a year and only spot every other month for a few days. I love it now. It sometimes takes time for your body to accept the change. Hang in there. 🙂

      Posted by kirkbri2 | October 20, 2014, 10:07 pm
  8. I just got Mirena inserted about 9 days ago today, and I can say the initial insertion made me cry out in pain! (I’ve never been pregnant before, so I was told it could be a bit more painful for me). It felt like an extreme pinch. I was very “sore” afterward and took the pain medication my doctor provided for me. I was feeling crampy but nothing too extreme for the first week, and very light bleeding. But last night, I started having the WORST almost contraction-like pain and it seemed to come in waves. The pain was so bad it was paralyzing! No joke! I called my doctor this morning and was told that this pain is typical, and that I should check back in in 2 days. Does anyone have any tips or words of wisdom? I want to push through, but man… this is really painful! Had I known the pain was going to be this bad, I may have stuck with my Nuva Ring.

    Posted by Melody | November 12, 2014, 8:45 am
  9. I have been constantly bleeding since Mirena was placed 6 months ago. It’s not heavy but it is a slight constant flow. I haven’t stopped for a single day and I most certainly don’t want to have sex like this. It’s rather frustrating for both my boyfriend and I. How much longer should I wait before getting it removed?

    Posted by Amanda S. | November 16, 2014, 6:26 pm
  10. I got my i.u.d and everytime i have sec u bleed i dont know why is that normal i bleed alot

    Posted by bibi ganase | December 5, 2014, 9:36 pm
  11. I have just had my second Merina inserted…..I do not remember bleeding like this with the first. I loved my last Merina, a little spotting then nothing for the rest of the time until I had it replaced on Friday, I have now been bleeding for 5 days and it is showing no signs of easing……I really do not remember this. Is this normal? Have I been spoilt and forgotten what it is like to have a period? I can’t wear tampons as my Gyno suggested it is not a good idea, it may remove the merina……I have no cramping, but alot of bleeding and I am not liking that one little bit. Any suggestions on how long this bleeding will last???

    Posted by Julie | December 8, 2014, 5:58 pm
    • I had my second Miranda put in in January, 3 weeks ago I had spotting and today started heavy bleeding, did you stop bleeding or was there a problem?

      Posted by Rebecca | May 7, 2015, 12:15 am
  12. I had mine inserted in May – It is now the end of February and I am still spotting 20/30 days a month! It really does make the sex life non existent – I did research before agreeing however one does not find all the forms about constant spotting util one has a problem and searches that directly. Spotting is better than hemorrhaging however I was expecting 6 weeks of adjustment then very light regular or non extant periods from that point on. Disappointed 😦

    Posted by krystyne | February 26, 2015, 6:35 am
    • I’m disappointed as well. After putting up with the irregular spotting for over a year, I thought I was ok. Now I’m bleeding more frequently in between periods and its interfering with my relationship. I had an ultrasound to check for fibroids and have an appointment next month to remove the IUD.

      Posted by Nikol L | March 1, 2015, 5:08 pm
  13. Hello i been with iud since nov and i spot everytime i pee i wipe blood also when i have intercourse i also bleed after my spottind is everyday since nov one weekend i did feel a lot of presure for a couple days after sex is thos a concern . o had the iud before never had any problems like this is kind of un comfortable

    Posted by cynthia Figueroa | March 16, 2015, 6:20 pm
  14. Just wanted to say, my first one was a blessing. This second one, lots of wipe bleeding, off time for periods….. all the same complaints…… if your bleeding is “off beat”, please keep up on your paps. Iud not controlling bleeding is a sign of problems. Not necessarily. But for me it ends up HPV / cervical cancer. So if you don’t feel right, please get checked.

    Posted by Dawn | March 17, 2015, 4:48 am
  15. I got Mirena March 9, No kids and 24 years old. I have a high pain tolerance got two breast augmentations and didn’t feel as much pain as the Mirena, tho the IUD insertion was only 30 minutes long for me because instead of having 3 sharp pinches/pain i had 6, they had to measure me 3 times because of my difficult uterus and that is when my body shut down. The insertion was the most painful thing i have ever encountered, i literally went into body shock got so sweaty and blacked out in the chair. However i was fine 20 minutes later with light cramps and was able to drive myself home. The cramps were so bad i had sex one time 3 days after the insertion and the aftermath cramps were horrible, the following week i got my menstrual cycle as i was due for it. Now March 24 and i still have light bleeding, no cramps and definitely not noticeable enough not to have sex. No pain after sex either, but it is still uncomfortable to deal with this spotting i hope it stops

    Posted by Dee | March 24, 2015, 3:22 pm
  16. I’m about to turn 40 April 26th mother of 2 Beautiful daughters . My question is after a year and half being on the IUD Merina I still have my period but I start to bleed before my period and a few days afterwards is this normal .

    Posted by Alicia J | March 27, 2015, 9:12 pm
  17. My doctor inserted the mirena on March 31, 2015 for the main purpose of relieving the painful endometriosis.
    I was off the pill for 1 year and only had my period three times within that time. I never had children.
    Can anyone tell me if mirena worked to shrink the endo. I am now having light spotting. Is this normal.

    Posted by Leslie Love | April 10, 2015, 7:07 am
    • Read the main post for all the info on spotting/irregular bleeding.

      My mirena is purely for endo control and it saved my life. I’m on my second and I’ll continue to get them for as long as I can. The pain associated with my endo had lessened dramatically, and the pain and other symptoms were entirely gone within six months

      Posted by Bananaduck | April 10, 2015, 9:29 am
  18. I had the mirena inserted May 28th. Today is June 8th. I started my period the night of insertion and have been on it since then. I am a little worried because my mother tried this a few years ago and she kept bleeding for a year. She is now anemic and has to have blood infusions every month or so. Would it be possible thay the same thing could happen to me?

    Posted by Ashley Addison | June 8, 2015, 12:35 pm
  19. I have had my Mirena for a little over a week. I’m still spotting but not very much. How long does this last?

    Posted by Jordyn hove | July 2, 2015, 9:12 pm
  20. I realize this blog post is two years old but thanks so much Dr Gunter – this is exactly what I’ve been looking for. An objective, scientifically-focussed report with statistics. I’ve been looking around the Internet and haven’t found anything like this so far. I didn’t really want to look up any original studies as it’s not my field – I wanted a personal account with explanations that would suit anyone. Besides, the majority of women won’t have access to those studies. This blog post is perfect for information – THANK YOU!

    Posted by NQ | August 9, 2015, 10:47 am
  21. I had the Mirena Coil fitted on 11/8/15 under GA I had a D & C and a smear test. I’ve an under active thyroid and epilepsy which was the main reason I opted for the coil to reduce heavy periods. I started my first period on 18/8/15 and have bled every day, bloated, pelvic cramps and some headaches and tired with sore breasts. I’ve read every forum known to man on the coil and I’m hoping that the bleeding will stop. I don’t use tampons and have had to wear sanitary towels since 11/8/15. I can understand how good the mirena is for contraception as you honestly couldn’t consider sex with the constant bleeding. I’m early days into it and I know that it can take up to 6 months for your body to adjust. I’d be happier with lighter periods and if I were lucky enough for my period to stop then great the spotting does make it necessary to wear a sanitary towel. I wonder have I made the right decision?

    Posted by Suzanne Scott | September 6, 2015, 8:27 am
  22. It has been 6months since I had inserted my IUD. For the first 2/3 months I was just having some cramping and an usual spotting but now after 6months of insertion I’m having abdominal pain and some bleeding and I’m worried that the IUD is moved. Does anyone experience this and so this means the IUD is moved and also do i have to see a Dr. ? Please if anyone have any idea before I see a Dr and face all that bill.

    Posted by Meski | October 21, 2015, 9:38 am
    • I am NOT a medic, but these are the signs that it has moved. You should see a doctor. It’s terrible that you will have to pay for it. I’m really sorry about that 😦

      Posted by NQ | October 22, 2015, 12:14 pm
  23. I got my iud placed on 08/07/15 and I had heavy bleeding for like a month straight and every period after has been heavy as well. Idk weather it was inserted wrong or what but I was informed that my next period after receiving the iud would be light but that’s not the case they’ve got heavier and lasts so much longer. Think I’m just going to talk to my doctor about other options.

    Posted by Brittany | October 22, 2015, 5:55 am
  24. I want to know how long will I bleed and when will it stop. I have been bleeding for 10 days and it looks like period blood and then stops at night sometimes. An how long should I expect my self to bleed and when will it stop all together?

    Posted by Rachel | October 28, 2015, 5:47 pm
  25. I got my IUD inserted 60 days ago exactly, and I’ve had a steady period since the day of insertion. I was warned there would be some bleeding, but I have yet to read online about anyone who has had the same reaction… Is this normal? Or should I see my Doctor?

    Posted by lauravargas23 | November 18, 2015, 12:34 am
  26. I had my IUD inserted exactly 60 days ago. I was warned I would experience some bleeding but I’ve had a steady period since the day of insertion.
    I have yet to read of anyone having similar side effects online, is this normal? Or should I see my doctor?

    Posted by lauravargas23 | November 18, 2015, 12:36 am
  27. Hello I need help n suggestions please.. I got my IUD in on Thursday I been bleeding since then.I stopped kinda all day then all of asudden bleeding again I’m not cramping but I am on blood thinners n I have fibroids anyone out there with similar symtoms

    Posted by Stephanei | November 22, 2015, 1:06 am
  28. I’ve had the mirena ous inserted Oct. 15 is it normal to still bleed some days are just light n other days is heavy..

    Posted by Camacho | November 24, 2015, 3:49 pm
  29. I have bled almost nonstop since I’ve had Mirena, and I’m about 3 months in… I’ll have a period, and for all the days in between, I’ll spot. I’ll get maybe one, two, possibly three days if I’m lucky that I don’t bleed. and then by the time it’s bedtime, I’m spotting again. Its accompanied by regular cramps, and if I’m on my feet for long periods of time, a feeling akin to an ache, almost like gravity is trying to have everything fall out. I’ve been considering having it taken out. I don’t want to have to deal with it anymore. Do these symptoms really go away? I feel horribly, I’m spending way to much money on pads and tampons, and my love life with my husband is struggling.

    Posted by Kaiti | December 6, 2015, 6:02 pm
  30. I’m still Beeding(every month) after having my IUD Inserted about two years this normal?Anyone?

    Posted by worriedgirl | December 9, 2015, 2:19 pm
  31. I’m glad to see I’m not the only one that has these problems. Had my mirena put in about 3 months ago. Pretty much have constant bleeding. Mostly just spotting (brownish blood and quite a bit of clots) but enough that I have to always wear a pad. Also frequent cramping. Sometimes just minor annoying ones and other times very painful. Before getting my IUD I never got cramps even with my period. It’s frustrating but I’m determined to stick it out for at least 6 months to see if things get better!

    Posted by Laura | December 29, 2015, 5:28 pm
    • I had a Mirena put in early December 2015 & had failry constant spotting & then 6 days of what resembled a very light/mdm period about 3 weeks after insertion. This was followed by more spotting for around 2 weeks & then nothing at all for 2 weeks. I now have had 9 days of light flow but mdm bright red to dark coloured bleeding with some minimal lower abdominal pain above the pubic area so will continue to watch this as I’m not sure if this is normal or not. If it worsens will consult my doctor. Apart from this latest bleeding I have been fairly happy with it so far. Only other changes I can note was REALLY severe breast pain that coincided with the bleeding at 3 weeks (lasted about 5 days) & small white milk pimples appearing on my face (not usually one who is prone to pimples of any kind). Will update my progress again in a few months. PS: I was recommended the Mirena for heavy dysfunctional uterine bleeding due to polyps in the uterus, not for contraception purposes specifically.

      Posted by Anony the mouse | January 12, 2016, 8:14 pm
    • Just wondering did it ever get better?

      Posted by Crystal | August 5, 2016, 3:33 pm
  32. I feel much better reading about everyone’s posts and reading the article. I didn’t know about the potential to bleed consistency for up to 3 months after the insertion. I knew that I would have to wait up to 6 months before knowing how much body would respond. Now I know that constant bleeding is normal after insertion for up to 90 days at least. I only go mine inserted yesterday. I am so sorry for everyone else who has had it so bad. At least it is fairly normal.

    Posted by Kandi Bishop | January 12, 2016, 8:30 pm
  33. I used to have insanely heavy periods. For 24 hours usually at least i would go through a super plus tampon and leave a crime scene in 15 min or less. And on top of that i would bleed for almost two weeks. So i thought I would try Mirena. Now over 5 months in and i have had only 2 days of no bleeding!!!! I cant win. I just want to be able to have a normally sexually active life for once. Its hardly a period on most days but still blood and then 3 times ive gotten what you could call a normal type flow for a few days. I give up! Ill never feel normal.

    Posted by Briana maxwell | January 26, 2016, 4:25 am
  34. Hi There
    OK so I had my IUD inserted yesterday and right when I went to use it I was already spotting but it was gooye with little blood lines in it is this normal. (GOOYE BlOOD).

    Posted by Angie | January 26, 2016, 5:09 am
    • Went to use what?

      Also, READ THE POST. Your answer lies therein.

      Dr Jen deserves a frigging medal.

      Posted by I Hate IUDiots | January 27, 2016, 10:40 am
      • Hi my name is Alicia and I’m 20 years old and I’ve had my period for 3 months now and that 3 months was going good just very tiny spotting on and off. But now that 3 months are in, 2 days ago my period started to get heavy and I was wondering if it’s gonna be a regular 7 days because my birthday is already coming up and I don’t wanna end up having heavy periods every single day it’s too depressing for me. But if it is gonna be like everyday, how long will it go away?

        Posted by Alicia Reyes | January 29, 2016, 5:28 pm
  35. I am 30 days after insertion and I am still bleeding just like a regular period. I’m a little scared that will not stop. My dr told me that I will not have a period over time which would be great but no one ever mentioned that until it’s gone completely I will still be bleeding the way I do. I’m a little concerned. It doesn’t look like it’s slowing down either. Is it ever going to get better?

    Posted by Maggie Simpson | March 12, 2016, 1:32 pm
    • Im just at 6 months and and almost 3 weeks ago i finally stopped bleeding. Literally before that i had 2 days of no bleeding and that 2 days was only after the doctor gave a 10 day round of progesterone pills, then i started bleeding again. That was maybe 1 month or so ago. So i thought when it finally stopped a few weeks back that i finally was done with this craziness for at least a month. Well about a week ago, bam! I started bleeding again. Still going too. Its light but its enough for a regular tampon. So hang on tight, your potentially in for a few more months of insanity. But im going to stick it out at least another mo th to give my body over six months to adjust. Ive researched alot and the satisfaction rate among women after 1 year is like 99% or so.ething close. Btw my regular periods were so bad that i would go through a super plus tampon and a pad in less than 15 min for over 24 hours. Not sure how bad your were but im thinki g its just my luck to bleed this long.

      Posted by Krysten Maxwell | April 6, 2016, 5:07 am
  36. I have had my mirena for 16 months and it’s been great no bleeding after the initial 60 days but now I have started spotting is this normal or should I have an ultrasound to see if the mirena had moved

    Posted by Jeanette | April 1, 2016, 11:37 pm
  37. I have had marina for over 42 days and i still have horrible cramps and never stopped bleeding since the day of insertion. Sex is painful and makes me bleed even worse followed by more painful cramps. What should i do. I have three children and its hard to keep up with all this pain. I don’t wanna remove it but i think my body is rejecting it in its own way.

    Posted by Cierra romanidi | April 10, 2016, 8:32 am
    • Read. The. Article.

      You’ve commented, having clearly not even read the article, then asked questions that are answered in the article. Dr Gunter doesn’t write this stuff for fun, she does it to help people. You’re here, you clearly want that help, yet you’re doing the equivalent of sticking your fingers in your ears and saying “LALALA CAN’T HEAR YOU!”./

      It’s not just you, the last two dozen commented have done the same thing.

      Read Dr Gunter’s post. Then Google ” Mirena patient information leaflet” and read that. Call your doctor, tell them you’ve forgotten what they told you about possible side effects.

      This is all normal, very average Mirena activity. One uterus is much like another, so you’re just as likely to get these very normal side effects as anyone else.

      Posted by boostick | April 10, 2016, 8:53 am
  38. I need some advice. I got my Mirena over a year ago. I still bleed almost everyday, not a lot but enough to have to wear a pad. When I have intercourse, I bleed even more. Sometimes I wait for a five day period of no bleeding and I think it’s safe to have intercourse, I still end up bleeding. I have had tests, and physically I am ok as far as cysts or fibroids. What should I do?

    Posted by Ps | April 11, 2016, 12:13 pm
  39. I recently had my IUD inserted on 3/25/16. I’ve never had any children so the pain was horrible. I also never got cramps during my period so the cramps that occurred during insertion was enough to make me never want children. While the process didn’t take too long I did work pretty quickly for me. ( I haven’t gotten a period in years & I got my first period 1 week after insertion) on the negative side I’ve been bleeding for 13 days straight making me a little bit cranky from lack of Sex.

    Posted by Kim | April 14, 2016, 5:05 am
  40. My name is Nikki
    The birth control I am on right now is the (IUD).
    I decided to get this in January 2016. I know it hasn’t been long, but I’m scared it may have been put in wrong. My reason for thinking so is this,
    When it was first put in I was told I’d have irregular bleeding that didn’t happen at all instead I literally bleed for a month now break. After about 4 weeks of constant bleeding I then started seeing the spotting every 2 weeks.for 4 weeks. Now I spot everyday and in between spotting I will have a heavy flow where I will soak up a few tampons a day, and when I say soak in mean I will bleed through that tampon into my pants as if I peed myself. I’m now starting to freak out. I did schedule a a doctor’s appointment in May. However in the mean time i want to know is this normal and is there anything that I could possibly do to regulate my spotting get and periods?

    Posted by Nikki | April 26, 2016, 11:39 am
    • You are having irregular bleeding.

      ‘Irregular’ means “not regular”. Regular bleeding, for a post-pubescent with a uterus, is roughly every 28 days. Your bleeding isn’t regularly happening on a 28 day cycle, therefore it is irregular.

      Do you understand?

      Posted by boostick | April 26, 2016, 7:47 pm
    • I say call first and tell them what your experienceing. My experience is almost exactly like yours but my intitial bleeing/spotting lasted 5 months ! Thats every day! And mixed with the spotting was a week here and there if what was like a normal flow (much less than before but still a flow). I went to see her after the 5 month mark and she gave me 10 days of progesterone pills. She said it should stop all bleeing in 24 hours and hopefully reset my system. Well it worked but only for 8 days maybe. At least i finally had sex!!! Then the spotting started again and now its a little over 7 months and things are starting to look up! On my birthday March 18th it completely stopped. But about 1.5 weeks later while on vacation it started a very light flow followed by light spotting everyday up until two days ago. Now it has stopped again. Just dont give up on it, i feel like all the misery i dealt with 7 months may actually be worth it if it continues this pattern of getting lighter and farther in between.

      Posted by Krysten Maxwell | May 10, 2016, 10:08 am
  41. Is there anyway the irregular bleeding can be stopped? Can taking Ibuprofen (Motrin) stop the bleeding. I’ve had my first iud inserted mid April n got my period April 28th n today it’s May 8 n still have light period. It is annoying n keeping me from doing a lot of things with my children. Anyone advise would be greatly appreciated.

    Posted by Mbezah Jeambo | May 8, 2016, 9:12 pm
    • Ask your doc for progesterone. I was given them for 10 days after going in about the constant bleeding. But i went to her at the 5 month mark. Dont know how early is too early. But ya i went through over 7onths of constant bleeing everyday minus the days she gave me the pills

      Posted by Krysten Maxwell | May 10, 2016, 10:10 am
  42. Im 40 yrs old – tubes tied- Mirena was put in 4 weeks ago due to heavy bleeding from a fibroid in the wall of uterus. As soon as it was inserted I had immediate sharp stabbing pain in one spot on the right side of groin. 1 week later still had sharp pains. They had me come back in for an ultrasound to check the placement. Found out that the fibroid caused it to turn sideways. Dr told me it was still ok to keep it in like that for 5 years. I’m still in pain and have bled everyday and passing blood clots. It also caused me to get cysts on both ovaries, one is septated. They said I have to come back in 6 weeks for another ultrasound to check and see if they are bigger or have gone away. My iron level is really low now, I’m more tired than ever and not been able to have sex yet because of bleeding. I was aware of the side effects but did not expect it to turn sideways and cause cysts. I’m trying to hang in there.One more bothersome thing is my bladder. I have to urinate very frequently now, the pressure is so intense, I have to empty it about every 30 min or so. I go back May 31 for my follow up appt since having it put in.
    Other side effects I am experiencing which is normal….hair falling out, bloating, irritable, severe muscle aches and pains in both arms with tingling and numbness at times, lower back pain, nausea. I know I shouldn’t complain but dang I didn’t have any of this before I got Mirena. I did want to at least try it (cause it doesn’t affect everyone the same) before having to result in a hysterectomy.

    Posted by April | May 17, 2016, 9:03 pm
  43. Is it normal to start to have spotting again after periods have stopped? I’ve been on Mirena for a year.

    Posted by melody gordon | May 20, 2016, 10:07 pm
  44. I’m on day 70 and still bleeding.

    Posted by Jill Urbaniak | May 26, 2016, 7:33 pm
  45. I’m really glad you did the studies, so I can see that there’s nothing wrong with bleeding.
    I got mine 18 days ago, and I had some bleeding/spotting for 4 days right after the insertion, then 2,5 days almost nothing, and then my period started early and never ends. So I now realize it can last for a while.. I do have cramps but they’re bearable. Was thinking of going back to the doctor, but thanks to you, I am more prepared.

    Posted by Anna | May 30, 2016, 7:37 am
  46. I just had my second Mirena IUD inserted on April 26.

    The first Mirena I had for the full 5 years and by the end of it, I absolutely loved it. I do remember the first go around, I bled off and on for the first 6 months or so, sometimes for a couple weeks straight. When I say bleed, it was very light, at times, didnt need a tampon or anything, just spotting after I went to the bathroom. I did almost ALWAYS bleed after sex for the first year, but after that it was smooth sailings and my period went away all together in years 3, 4 & 5! Another side effect for me the first time was hair loss, and a lot of it! That freaked me out way more than the blood did but after the first 3 months, I no longer loss hair and all was good. No weight gain, no babies…I love it.
    This second Mirena was an absolute nightmare compared to the first time. Taking out the first one was pretty painful! So painful, the doctor chose to not reinsert the second one for a month. When I finally did it on April 26th, I was more prepared and I drug the hell out of myself with a muscle relaxer and 2 600mg IB Profen…even then it was extremely painful (I am a wuss about pain) but I breathed through it and the whole process is less than 5 minutes, I spotted for a few days…very light, had some cramping but nothing crazy. Then after 2 weeks, I have been bleeding straight every day. It is a freaking pain in my ass but I do know, I just have to ride this out and it will be well worth it!! I also did not have any hair loss this time around thank god. It sucks not being able to have sex right now, unless I choose to do so while bleeding but Im praying that it will pass soon and I can get back to enjoying life without worrying about babies.

    Here are my tips for anyone considering an IUD:
    1. Have it inserted while you are on your period. I had mine inserted on my period the first time and it was EASY and pretty painless. The second time, I was not on my period during insertion and it SUCKED!
    2. Med up at least an hour and 15 minutes prior to your appointment. IB profen…something like that. Not 200mgs, but like a 600 or 800 mg come to mama pill. trust me, you will be happy you did.
    3. roll with the crappy side effects. Like this article states, if you can get past the first year (I say 6 months), you will be so happy with the results.
    4. if you partner can feel your strings, you can go back in and have them trimmed. My bf felt them at times, and sometimes he felt nothing at all. This is something some doctors dont tell you, but they can easily do it for you. Also, the strings do soften up after time…so keep that in mind too.
    5. Follow steps 1 & 2 for taking it out too. Trust me.

    As someone who can no longer take the pill because it causes migraines, this has been a great option for me and overall I love it! I just have to get past this bleeding crap and I will be good to go!

    Posted by Rising Leo | June 8, 2016, 12:42 pm


  1. Pingback: Fertility After Mirena Iud | Secret Pregnancy Blog - January 8, 2015

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