Is it normal to not have menstruation after having Mirena IUD?

Because my country had a large population in the past and had implemented the family planning policy since the 1990s, many women chose to get an IUD after giving birth to their first child. We need to understand that the female body is unique, and suddenly putting an IUD on a woman's body will undoubtedly cause certain harm to her. The more obvious thing for women is menstruation. So what is the reason why women do not have menstruation after wearing Mirena?

No menstruation after Mirena IUD

How long does it take for menstruation to come after the contraceptive ring is inserted? The contraceptive ring is a foreign body and contains medicine, which requires a period of stabilization for the body. Generally speaking, menstruation will come normally one month after the contraceptive ring is inserted. In fact, side effects such as changes in menstruation are common after the insertion of an IUD, including heavy menstrual flow, prolonged menstruation, or spotting in the middle and late stages of the menstrual period. Those who have a copper-containing IUD placed may experience an increase in menstrual flow, which will gradually decrease after one year. After the placement of an IUD containing levonorgestrel, some women experience shrinkage of the endometrium and a significant decrease in menstrual volume. Spotting often occurs within 3 months of the IUD being inserted, and the condition usually improves after 3-6 months. Some people may experience amenorrhea, but there is no significant effect on overall physical and mental health and endocrine system.

Please note that a follow-up visit is required one month after the IUD is inserted to check whether the position of the IUD is normal through X-ray or B-ultrasound, and whether there is any sinking, deviation or even falling off. In addition, follow-up visits should be carried out in time 3 months, 6 months, and 1 year after the insertion of the contraceptive ring, and regular maintenance should be maintained once a year thereafter. If any abnormalities such as increased menstrual flow, irregular menstruation, or abdominal pain occur, the contraceptive ring must be removed in time. In addition, when placing an IUD, women must fully understand the type and service life of the IUD they use so that they can replace it in time.

Frequently asked questions about Mirena

1. Take adequate rest. After the ring is put in place, the cervix is ​​relatively loose and the ring is easy to fall off, so you should rest for two days after the ring is put in. It is not suitable for physical labor or high-intensity activities within a week. When going to the toilet, try to avoid holding your breath too hard to prevent the ring from coming off due to a sudden increase in abdominal pressure.

2. Maintain hygiene. IUD placement is a surgical procedure. In order to prevent infection, you should keep your vulva clean after the operation, wash your lower body with warm water and change your underwear every night. Within half a month, it is strictly forbidden to have sexual intercourse (this requires the close cooperation of the man) and take a bath in a tub (but you can take a shower or a sponge bath) to maintain the hygiene of the vagina and avoid cross infection.

3. Pay attention and observe. Within a few days after the placement of the ring (mainly the first three days), there may be a small amount of vaginal bleeding, mild lower abdominal discomfort (such as back pain and a feeling of heaviness), and excessive vaginal discharge (this is caused by surgical trauma or reflex compression of the contraceptive ring or rupture of small blood vessels in the uterine wall). These symptoms usually disappear on their own and do not require treatment. If the bleeding is heavy or lasts for more than a week, especially if you have abdominal pain or fever, go to the hospital immediately.

4. Avoid falling. Within 3 months after the ring is inserted, especially in some women with loose cervix and heavy menstrual flow, the contraceptive ring may fall out with the menstrual discharge during the menstrual period. Therefore, when these women go to the toilet during their menstrual period, they should pay special attention to whether the ring falls out with their menstruation. Once it happens, go to the hospital for a replacement in time, and pay attention to replacing it with a model of appropriate size to prevent it from falling off again.