A member asked:

I'm having cramps which i never get before hardly. i'm close to 5 yrs mark on mirena (levonorgestrel) with no period 2 plus yrs. what could be happening?

A doctor has provided 1 answer

Decreased progestin: The resumption if menstrual cramps can occur as the five year duration of contraceptive efficacy of the Mirena (levonorgestrel) intrauterine device approaches. This can be explained by the lower levels of the hormone Levonorgestrel (a progestin), which are released from the Mirena (levonorgestrel) iud into the endometrial lining of the uterus.

Answered 4/3/2016

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