Mirena IUD Can Fix Heavy Periods

Women who think that their periods are too heavy, need to get in and talk to their gyno because there are a number of excellent solutions to the problem. There are now several medical and surgical choices, and in fact there is a way to stop heavy menstrual bleeding with a contraceptive choice.  Indeed you can fix your heavy periods and get great long term contraceptive protection, that rivals the success rate of pregnancy protection that tubal ligations offer.  In 2009 the FDA approved the Mirena IUD for treatment of heavy periods, also called menorrhagia. The Mirena was said to show a , "showed a statistically significant reduction in menstrual blood loss," by  Scott Monroe, MD, director of the Division of Reproductive and Urologic Products in the FDA's Center for Drug Evaluation and Research, in a prepared statement. It is important to remember, in this trial women did not have large uterine fibroids or medical conditions, such as bleeding disorders, that could cause heavy bleeding. So the first step when you do have heavy bleeding is not to jump to the solution, but to work with your gyno to get a diagnosis.  It you have not been properly tested for these conditions it is not possible to say if you would have the same success with this method, but it is a very convenient, safe and effective method of contraception. Women using the Mirena typically are very happy with their treatment, and after the initially adjustment to the hormone in the IUD, women most often with Mirena do not have any side effects. The possible side effects of a Mirena IUD include: spotting, irregular bleeding, ovarian cysts or pelvic pain. Headaches have also been reported.  Side effects can also include possible expelling the IUD. Compared to the copper IUDs the medicated IUD with the levonorgestrel is more likely to include skipping periods and a bit more likely to be expelled. The Mirena IUD controls heavy periods because of the hormone levonorgestrel contained in it. This hormone leaks slowly out of the IUD and by the 5th year there is about 50% of the hormone leaking out. So occasionally women who had no bleeding or clotting with their periods in the first years may experience worsening over time. The FDA points out that although rare, the following serious side effects are possible from this method:
  • Ectopic pregnancy
  • Intrauterine pregnancy
  • Group A streptococcal sepsis
  • Pelvic inflammatory disease
  • Embedding in the uterine wall
  • Perforation of the uterine wall or cervix
So when women experience side effects from their Mirena, whether it is bleeding, pain, or discharge, at Women's Health Practice we feel important to make sure none of these serious side effects have occurred before moving on to check out other diagnoses. As of 2013 Skyla is now also available, it also contains the same hormones, it is not approved for heavy menstrual bleeding, and it needs to be replaced in 3 years. also note that new health care legislation may have now made your IUD covered under your insurance. And for women who have completed their childbearing, consider a same day office NovaSure, call 217-356-3736 to schedule an appointment. 


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