Does Mirena IUD need to be worn during menstruation?

The Mirena IUD needs to be inserted when the menstrual flow is light, mainly because the Mirena IUD contains a certain amount of progesterone, which affects the amount of menstrual blood. Therefore, it is best to insert the IUD when the menstrual flow is light, which can alleviate vaginal discomfort. There are many things that women need to pay attention to when having the Mirena IUD inserted. They cannot have sexual intercourse for half a month after the insertion and must pay attention to vaginal hygiene. Women need to follow the doctor's advice on postoperative care.

It is not recommended to insert the Mirena IUD during menstruation. It is generally recommended to insert it within 3-7 days after the menstruation ends and when there is no sexual intercourse, because the tissues in the uterine cavity are more fully exposed at this time and the chance of developing genital tract inflammation is relatively small. After the placement of the Mirena IUD, you may experience increased menstrual flow, prolonged menstrual periods, or a small amount of spotting within half a year. Generally speaking, no special treatment is required, and the patient's condition will gradually recover over time.

What are the side effects of Mirena?

One is gaining weight.

Women are very afraid of being fat and are terrified when they are fat. Some women no longer feel pain after wearing the Mirena IUD, but they may give up this method because they become unbearable due to weight gain.

The second is spotting.

No woman wants to have spots on her face. The characteristic of the spots that appear after wearing the Mirena IUD is that they will always be there and will not disappear just because you remove the IUD. They may become lighter after removal, but they will not disappear. Why do spots appear? Because the ring contains progesterone.

The third is continuous vaginal bleeding.

After the IUD was inserted, I no longer have a fixed menstrual period. I bleed a little bit every day. Sometimes it lasts for 20, 30, or even 40 days. It has never been clean. This is very annoying for women. It is really unbearable to wear sanitary pads every day.

What should I do then? Should I still wear the ring?

I can only say there is no good way

Because this ring is not designed for patients with adenomyosis, it is designed for normal women, so it is impossible to be perfect. So what to do depends on your focus:

1. If you feel that as long as it doesn’t hurt, nothing else matters, then you don’t need to worry about other side effects. As long as it doesn’t hurt after the IUD is inserted or the pain is significantly reduced, you can wear it without worrying about it.

2. If you feel that you cannot tolerate side effects such as weight gain, facial spots, constant vaginal bleeding, vaginal dryness affecting your sexual life, etc., it is recommended that you do not wear this ring. Although these side effects will not all occur, one or two will always appear.