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I haven't had a period since the IUD Mirena was placed and now got back pain, cramps and discharge

By required moonscape | 1 post, last post
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required moonscape

so I have had an IUD mirena for about 4 years to 4 1/2 years and here in the last week I have had a lot of lower back pain with some abdominal cramping and some light pinkish discharge. I haven't had a period since the IUD Mirena was placed. At this point I have no idea as to what it could be. I sent a message to my Gynecologist as he suggested I take and at home pregnancy test which came back Negative, so now what?

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Guest

Hi, 

Experiencing lower back pain, abdominal cramping, and light pinkish discharge after having an IUD (like Mirena) in place for several years can be concerning, especially if these symptoms are new for you. It's good that you have already reached out to your gynecologist and taken a home pregnancy test. Here are some steps and considerations moving forward:

  1. Follow-Up with Your Gynecologist: Since the pregnancy test was negative, it's important to follow up with your gynecologist for further evaluation. They might want to examine you or perform additional tests to determine the cause of your symptoms.

  2. Possible Examination and Tests: Your gynecologist may perform a pelvic exam to check the position of the IUD and look for any signs of infection or other issues. They might also suggest an ultrasound to get a clearer view of your reproductive organs and the placement of the IUD.

  3. Consider Possible Causes: Various factors can cause your symptoms. These might include hormonal changes, ovarian cysts, infections, or even the IUD's position shifting. It's also possible for women to experience occasional spotting and cramping even years after IUD insertion, although any new or unusual symptoms should always be checked.

  4. Monitor Your Symptoms: Keep track of your symptoms, noting any changes or new symptoms. If you experience increased pain, fever, unusual vaginal discharge, or other concerning symptoms, seek medical attention promptly.

  5. Discuss IUD Removal or Replacement: If your IUD has been in place for 4 to 4 1/2 years, it’s also a good time to discuss with your gynecologist about the timeline for replacing it, as Mirena is typically effective for up to 5-7 years.

  6. Lifestyle Factors: In the meantime, consider lifestyle factors that can alleviate some symptoms. For instance, heat therapy (like a warm bath or a heating pad) can sometimes help with back pain and cramping.

Remember, while IUDs like Mirena are highly effective and generally safe, it’s crucial to monitor for any changes or symptoms that could indicate a problem.

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