After wearing the Mirena IUD for one year and the bleeding does not stop, it is considered abnormal uterine bleeding. Under normal circumstances, after wearing the Mirena ring for 3-6 months, there will be continuous bleeding in the vagina. This is because the high-efficiency estrogen in the Mirena ring will cause poor contraction of the uterine wall, causing irregular shedding of the uterine wall, and resulting in continuous bleeding. After wearing the Mirena IUD for more than half a year, the bleeding will stop. Because the uterine wall has already shrunk, the shedding of the endometrium is synchronous, and generally there will be no symptoms of continuous bleeding. If you have been wearing the Mirena IUD for one year and still have persistent vaginal bleeding, it is recommended to perform an ultrasound examination to understand the condition of the uterine wall, whether there is endometrial thickening, uneven echo, or whether there is movement of the Mirena IUD, which may cause persistent bleeding. According to the test results, symptomatic treatment is given. The Mirena IUD causes irregular vaginal bleeding or heavy bleeding because the IUD contains slow-setting emergency contraceptive, which causes irregular shedding of the uterine wall. While the Mirena IUD serves as a contraceptive measure, it can also cause certain irritation to the uterine wall due to the effects of the drugs and the effects of the IUD itself. It may also affect the thickness of the uterine wall, causing excessive proliferation and shedding of the uterine wall, and irregular vaginal bleeding. It may cause menstrual disorders, prolonged menstruation, irregular vaginal bleeding, and is very likely to cause anemia in women or cause infections of the reproductive system. The IUD also contains certain metal components, which may irritate the uterine wall and cause inflammation, bleeding or irregular shedding of the uterine wall. Therefore, the Mirena IUD is generally suitable for women with menstrual disorders or anemia caused by heavy menstruation. |
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