No cause for alarm: Since your Mirena IUD is one of the most effective contraceptive methods and its hormones can decrease or eliminate your "vaginal bleeding" for months, the absence of "menstrual periods" is usually no cause for alarm. Your risks of pregnancy are very small and the possibility of a medical problem is remote; your "neg pregnancy test" is and may remain the only reassurance you need.
Answered 10/31/2016
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