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Will the continued bleeding after my Mirena IUD insertion improve soon? #1108/9
I had my Mirena IUD inserted on October 13th.  Since Friday, I have been bleeding more than 7 days.Is this my period and is this normal?

Bleeding days exceed days with no blood for the first month using Mirena (not for everyone, but this is on average).  So, you may have still more days of spotting or bleeding in the days or weeks ahead.  I hope the bleeding is becoming less over time. 

In time women using Mirena have 90% less blood loss than women of the same age using no hormonal method of contraception. 


This difference between the first month or so and later on, has led to the advice given by a wise person:


Terri Wynn-Hipps is a nurse midwife in Ft. Bragg, North Carolina. She has inserted close to 200 IUDs in the past year.

85% of her last 100 insertions have been Mirena IUDs

So you can see that whatever she is telling women in advance of inserting an IUD clearly is NOT discouraging her patients from choosing Mirena.

So, how does Terri Wynn-Hipps from Ft. Bragg, North Carolina deal with the spotting, bleeding and cramping in the first after Mirena insertion?


“You may dislike it for a month but then you’re going to love it for 5 years!!!” 

Contraceptive Technology Conference   October 29, 2009


Please let me know in a week how you are doing. I am most interested



Key Words:  Mirena IUD, inserted, bleeding, period, blood loss, hormonal method, contraception, Terri Wynn-Hipps, spotting, cramping

Robert A. Hatcher MD, MPH
Emeritus Professor of Gynecology and Obstetrics
Emory University School of Medicine
Atlanta, GA

The directors and owners of this website and any publications and information concerning health matters offered here advise a person with a particular problem to consult a primary-care clinician or a specialist in obstetrics, gynecology, or urology (depending on the problem or the contraceptive) as well as the product package insert and other references before diagnosing, managing, or treating the problem.
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