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Doctor insights on: Progestin Mirena Menstrual Bleeding

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Is progestin for 10 days a month or the mirena (levonorgestrel) IUD better for heavy menstrual bleeding? 

Is progestin for 10 days a month or the mirena (levonorgestrel) IUD better for heavy menstrual bleeding? 

Mirena (levonorgestrel): While there aren't any good head to head studies comparing each method, my patients have much better results with Mirena (levonorgestrel) iud. The Progesterone in it is slowly released the whole month and is more targeted to the uterus than taking 10 days of progestin pills. Also, there is a new amazing medicine called Lysteda (tranexamic acid) that is not a hormone and is very effective. Ask your doc about it! ...Read more

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Menstrual (Definition)

Menstrual refers to the monthly cycle in women which prepares the female for ovulation, generally once per month, which is that time of month that the egg can be fertilized by the male sperm, for the purpose of reproduction. Menstrual cycles start at the first day of menstruation. (it's always been curious to me that 'menstrual' and ...Read more


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If spironolactone (for acne) is androgen blocker - how does this not have any interaction with androgenic progestin such as levonorgestrel/Mirena?

If spironolactone (for acne) is androgen blocker - how does this not have any interaction with androgenic progestin such as levonorgestrel/Mirena?

It could: The circulating levels of Progesterone secreted by Mirena (levonorgestrel) are very low making androgen side effects possible but uncommon. Spironolactone would decrease the androgenic effects if they were to be present although a doctor would not typically treat Mirena (levonorgestrel) side effects this way. If I were the physician treating someone with androgenic side effects of Mirena (levonorgestrel) I would just change birth control methods ...Read more

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Stopped mirena (levonorgestrel) IUD and started progestin bc pills. Is it ok to have sex without condom in the transition? Did not miss any days and took pills on time

Stopped mirena (levonorgestrel) IUD and started progestin bc pills. Is it ok to have sex without condom in the transition? Did not miss any days and took pills on time

7 days: Typically, i tell patients to wait 7 days after starting a new pack of birth control pills before having unprotected sex. In your case, you had the Mirena (levonorgestrel) and you didn't skip a day, and you're 46 years old, so chances are super slim of pregnancy. However, if you want to be extra cautious, take the progestin pill for 7 days and then have unprotected intercourse. If you had sex... Don't worry! ...Read more

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I am taking a progestin-only pill. How long will it take for the bleeding to stop. I've been on since Tuesday? I'm getting frustrated.

I am taking a  progestin-only pill. How long will it take for the bleeding to stop. I've been on since Tuesday? I'm getting frustrated.

Varies: The progestin in birth control pills is what provides contraception.The estrogen is added 4 cycle control. Since ur pill doesn't contain estrogen u don't get the cycle control.Some women continue 2 have regular periods in spite of this,some bleed irregularly the whole time they r on progestin only pills, & some become more regular with time.There is no way to predict what any 1 woman will do. ...Read more

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Im on a progestin only mini pill and i have never had my period or bleeding since being on it, is this normal? should i have a weeks break sometime?

Im on a progestin only mini pill and i have never had my period or bleeding since being on it, is this normal? should i have a weeks break sometime?

Decision is yours: The continuous uninterrupted use of oral contraceptive hormones will frequently lead to a significant thinning of your endometrial lining and cause you "not to have a period". Since there is no evidence that this may be harmful to you, the decision to "have a period" once or twice a year or not to have one at all is really yours. ...Read more

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How long does irregular bleeding last while taking progestin only birth control pills?

How long does irregular bleeding last while taking progestin only birth control pills?

Should, or does?: It should only last for a month or so - but if it lasts longer, it may be difficult to stop. Some people will have to discontinue certain birth control pills due to irregular or unpredictable bleeding. A sonogram is helpful to look for other structural causes of abnormal bleeding, but progestin only pills do not do as good a job at regulating cycles as do estrogen/progestin birth control pills. ...Read more

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Had some spotting after sex, can it be normal for bleeding after sex when just had mirena (levonorgestrel) coil fitted?

Had some spotting after sex, can it be normal for bleeding after sex when just had mirena (levonorgestrel) coil fitted?

It's probably OK: It would be important to know how long after the Mirena (levonorgestrel) was inserted to say for sure, but this is most likely OK. In the absence of continued bleeding and/or pain, there is little cause for concern. Inserting the Mirena (levonorgestrel) causes some dilation at the cervix and disruption in the uterus, making mild bleeding likely, particularly after intercourse. Should it persist, see your doctor. ...Read more

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I just got my first dose of lupron now the pain is extreme and I am bleeding is this normal? I also had my mirena removed

I just got my first dose of lupron now the pain is extreme and I am bleeding is this normal? I also had my mirena removed

Lupron: Lupron is not known for causing pain or bleeding. Since you are young and using Lupron I am guessing that you are possibly using it for endometriosis. Lupron can be helpful. The Mirena IUD that you were using before often is helpful for the prevention of endometriosis pain as well. Discuss with an Obgyn if you are a candidate to have it removed ...Read more

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I have had a mirena (levonorgestrel) iud for about 3 yrs nosw and today i started bleeding more then then the spotting i normally get?

I have had a mirena (levonorgestrel) iud for about 3 yrs nosw and today i started bleeding more then then the spotting i normally get?

Mirena (levonorgestrel): This type of IUD has progesterone in it. Most women do not have periods or get irregular bleeding. What you are describing is a normal effect. If this continues or becomes too bothersome see the doctor who places your Mirena (levonorgestrel). ...Read more

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I am looking to get mirena (levonorgestrel) coil but it says that i may have irregular bleeding for the first 3-6 months. So what is it?

I am looking to get mirena (levonorgestrel) coil but it says that i may have irregular bleeding for the first 3-6 months. So what is it?

Side effect: One of the most common side effects is irregular bleeding or spotting during the first 3-6 months. It doesnt' affect everyeon. This can be treated by taking a pack of regular birth control pills. Talk to your doc. ...Read more

Dr. Brad Goldenberg
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Mirena (Definition)

Levonorgestrel is a women's ...Read more


Dr. Alan Patterson
2,219 doctors shared insights

Bleeding (Definition)

Bleeding = ...Read more