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This happens to me from time to time. I have had a mirena for 3 years and have not had a period for at least 2 1/2 years. I pass nickel size tissue but it is almost clear/off white. It's just the lining of my uterus shedding. Since there's really not much blood accumulating in my uterus I assume that is why it's not bloody like a period clot which is pretty much the same thing with period blood. About once a month this happens for a few days. I figure it is my body's form of a monthly period. If that makes sense???? I'm 40 years old and got the mirena to help very heavy periods. I received an endometrial biopsy to eliminate any non hormone related problems and everything was just fine. Keep getting your annual exams and pay attention to your body :)
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