Mirena menstrual bleeding does not stop

Excessive shrinkage of the endometrium will cause amenorrhea, and the symptoms of menstrual pain and endometriosis will be aggravated. Normal women have ovulation, and after ovulation, the uterine wall changes from the reproductive period to the metabolic period, so the uterine wall will peel off and bleed. If menstruation does not come for a long time, the uterine wall will thicken under the action of estrogen, it is easy to cause uterine wall disease. There is a difference between a normal woman not having her period and a woman not having her period while wearing the Mirena ring.

The reason why menstruation does not occur when wearing the Mirena IUD is that it contains highly effective estrogen, which causes the uterine wall to contract excessively, but is not prone to uterine wall diseases. If a normal woman does not have menstruation, the uterine wall will thicken and uterine wall diseases will occur. What should I do if I experience bleeding or non-menstrual bleeding after the Mirena IUD is placed?

Abnormal bleeding after the placement of the Mirena IUD is a problem related to pure estrogen drugs. This is because levonorgestrel acts on the uterine wall, causing the glandular ducts to shrink and the interstitial decidualization to occur. The ratio of estrogen to progesterone is poor, and estrogen cannot maintain the consistency of the uterine wall, causing estrogen breakthrough bleeding. Therefore, vaginal spotting may occur in the first half of the year.

Solution

1. Little bleeding, follow up and observe.

Before performing the Mirena placement surgery, the doctor should fully inform the patient of possible conditions, follow up with the patient, pay attention to hygiene, and wash sanitary pads frequently.

Before inserting the Mirena IUD, the doctor and patient should have sufficient communication; the patient should understand possible situations, coping methods, follow-up time, and how to know the total bleeding output.

2. For patients who meet the treatment standards, give them blood circulation treatment, such as common gynecological hemostatic drugs such as Yunnan Baiyao, Gongxuening, Duanxueliupian, etc.