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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

Dr. Alan Patterson
2,219 doctors shared insights

Bleeding (Definition)

Bleeding is a term describing the loss of blood. It can occur inside the body due to damage to blood vessels or organs or outside the body during menstruation or when there is a ...Read more


Dr. Oscar Novick
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Mirena (Definition)

Levonorgestrel is a women's ...Read more