I had the Mirena inserted in October 2009, six weeks after the birth of my son. Following insertion, I never had a normal period, only spotting several times a month. I have also experienced light cramping for the past three years as well as moderate to severe lower back pain for the past five months. Four days ago I had a tubal ligation and the Mirena was removed at the same time. The first three days following removal I had only slight bleeding but today the bleeding has increased significantly with very large clots. Is this normal after the removal of the Mirena? My follow-up appointment isn't for two more weeks.