A member asked:

On mirena (levonorgestrel) noticed areolas getting slightly darker and larger, pregnancy test negative, what could be the cause of the changes?

4 doctors weighed in across 2 answers
Dr. Marsha Davis answered

Specializes in Internal Medicine

You still have : Some estrogen to which you are responding. It is ok.

Answered 7/22/2014

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Unclear: Mirena (levonorgestrel) can cause acne and breast tenderness, but typical side effects do not include darkening or enlargement of the areola. I suggest you see your GYN for further evaluation.

Answered 7/6/2015

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