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Bleeding

Hi. I have Mirana. It was placed October 2013. I spotted the month after then nothing till this month. I have had light bleeding twice this month. Both times last 2-4 days, very light only noticeable when wiping, light/bright red blood, no cramps, no clots. This past time I kept a migraine/ headache as well as having sore breasts. Is this normal or should I look into getting checked out.
Poster
  • 26 years old
  • Complaint duration: 4 days
  • Ethnicity: Caucasian / White
  • Height: 68
  • Weight: 274lbs
  • Medications: Mirena

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It looks like an IUD migration which is a rare occurrence.

Mirena contains 52 mg of levonorgestrel in its reservoir, and it releases 20 mcg of levonorgestrel each day. It thins the endometrium (the lining of the uterus) and accordingly, spotting or blooding are not anticipated unless there is an STD or PID involved. You need to get an exam to rule out three things:

(1) pregnancy (most likely),

(2) migration (more likely), and

(3) the the risk of the uterine wall perforation (the least likely).

Good luck.
This needs to be checked.
This can be normal. I would watch it awhile longer and call your doctor if symptoms persist.