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Having no periods with Mirena

Hi again!

I got Mirena in mid-October and for about a month and a half I spotted almost the whole time. In December my uterus started to chill out, then during the week of my period, I had about 3-4 days of light spotting and that was it. No more spotting throughout my cycle after that.

Anyway, last week would’ve been my normal period week, but I didn’t really spot at all. For maybe two days, discharge would be a very light brown when I wiped but I didn’t even consider it spotting as I could pretty much go without a panty liner. Considering how light my period was in December, I really don’t think I’m pregnant, and my guess is that I’ll have little or no periods with Mirena. I wanted to ask those who don’t get periods (or only get them every few months) with their hormonal iud, how do you handle it or track your cycle to provide peace of mind that you’re not pregnant and have to take tests every time your period doesn’t show up? I have the Flo app for my phone to track when my period will come, but I don’t think it’s much help outside of that. Sometimes during ovulation I will get slight pains in my sides but don’t always get that each month, and don’t want to rely solely on that. So What are some symptoms that you experience during the month which remind you everything is a-okay without your period and that the iud didn’t fail? Any advice would be appreciated! Thanks!


Ends of untrimmed Mirena strings

What do they feel like? I haven’t checked my strings for a few months and decided to do so today. I felt something pointy, which is very different from mucus covered strings I usually felt. And then I felt one mucus covered string.
Just wondering if the pointy thing is the base of the mirena coming out or if one string was somehow pulled up into my cervix, even though my doctor didn’t trim them to be short enough to do so.
I haven’t had any pain or blood. Just yellow-ish discharge (which I’ve always had, and it’s not an STD/STI) and occasional cramps, but I think those are just digestion cramps.
What do y’all think?
And what causes the strings to be pulled up (or what causes IUD migration in general)?


Odd cramping mid cycle with Skyla

I have had my IUD since March 2017 so almost 1 year. I've had some small issues with it such as a few yeast infections right before my period that kept coming back for 4 straight cycles. My period is also almost non existent or very very light.

However, these last cycle I have experienced some period like cramping mid cycle that lasted for 3 days on and off. It feels like something is squeezing my uterus for a few seconds and then it stops. It comes and goas for a few hours in the morning and is gone by lunch time. I dont know if this is from ovulation because I've had minor cramps in the past but these feel different. I am also home from Grad school at the moment for break so maybe my cycle is messed up.

New to the Mirena Team

Okay!!! Hi ladies! I wanted to wait a while to have more to say than just "I did it." So I made the leap and had Mirena put in this december. So far, apart from insertion being a struggle, it's been smooth sailing. The insertion was not as much painful as it was annoying. It took 2 days to do it though.

Day one: took 800 mg of ibuprofen at 8:15. Was taken back around 8:50. Doctor got everything all lined up and ready to go but my cervix wasn't open enough so she couldn't yet the IUD to sit right. So my doctor sent me home and had me insert pills up through the vagina and to the cervix.  I can't remember the name of the pill exactly but it dialated my cervix to make insertion easier. I was also instructed to drink 2 bottles of water on my way in for the ultra sound. So home I went, not exactly sure how it would go.

Day 2: not sure I did the pill thing right but I head to the office. Slam 2 bottles of water and a couple ibuprofen on the way in. I have never had to pee so bad in my life. They made me wait an hour before starting anything. (Props to you mommas out there who had to do that while a baby was in there kicking on your bladder.) Anyways, they get me back, they get me all set up with the speculum in, and after a little while of maneuvering, she gets it placed.   Insertion was honestly just like a really annoying period cramp and "cramp" is a lose term. Just felt uncomfortable with very, very little pain. I think the speculum was honestly the worse part of the entire thing both days. Apparently, theres a ridge where my uterus meets my cervix that made placing it difficult. She goes to cut the strings, and accidentally pulls it back out! (UGH)  The scissors apparently weren't sharp enough. So she reloads it, and we do it ALL OVER AGAIN. Third times the charm, though I suppose. I walked out with a new object in my uterus (which they actually showed me on the ultrasound machine. Pretty badass of you ask me. Even without a tiny human in there.) I go back the 18th to check placement.

Post insertion: the day of I felt fine as long as I was standing. Sitting down sucked. I worked after and have a desk job so that was awesome.  But I made it through, kept a bottle of extra strength Tylenol with me. I bled a lot this day. Day two, I woke up from a dead sleep feeling like I was dying. Popped 1000 mg of Tylenol and was good for the day. Day two was honestly fine other than that. Spotting and crampy but not ungodly painful. Day 3, I didn't even need any pain medication. I got it in 12/21 so right before christmas and I had no issues the entire holiday. Still spotted but I could tell it was clearing up.

Overall, I'm very pleased. Hassle free, no stress. I don't feel any different which is awesome because the pill this last round made me a crybaby. So glad I didn't chicken out of getting it. Provided all stays well, I have a feeling this will be the birth control I recommend to all my friends. I'm so glad I found this blog when I did otherwise I might still be questioning myself about what to do.

Thanks to everyone who posted & helped me decide!

Hi all,

I've had a Mirena IUD for 3.5 years now. For the past couple of years I've had very few periods. However, I have started to notice a strange pattern--I don't have sex often, but when I do, I think it might actually trigger a menstrual cycle for me! I thought I was crazy, but the pattern keeps happening: no sex for 3-6 months, and no period, no PMS symptoms, no nothing. Then I have sex, and 2-3 weeks later, I start PMSing and get a period (full on menstruation). This happens whether it's been 3 months since I last had sex, 6 months, or a different amount of time. No period when celibate, period without fail 2-3 weeks after having sex for the first time after said celibate timeframe.

Does this happen to anyone else? I'm wondering if having sex causes a surge in hormones that just triggers my hormonal cycle? IDK I just find it very interesting and am wondering if anyone else has had this experience since I can't find info about it anywhere.


I think I've dislodged my IUD

Fourteen years ago, I accidentally pulled out my IUD with my Mooncup. I was dating a woman at the time, so not a big deal, and I figured out what I'd done wrong and avoided doing that. The strings had been left long and hanging down and I'd caught them in the rim, so now I am always very careful to break the seal without pushing the sides fully together, plus I have a smaller, softer cup, a Meluna. They're copper IUDs, can't remember the model but I think it's the UK equivalent of Paragard.

Earlier today, I was changing my menstrual cup in the shower, which is not the best angle for the job, and it was suddenly painful. IUD strings still present, at least I could feel them on my cervix, no idea how long they should be as they curled up years ago. I thought I'd clipped my cervix or something, that's happened once before and I was a bit crampy afterwards. (I very occasionally get cramps so mild that I am affronted that I am actually noticing them now and again. Not a heavy or crampy bleeder, me, I go for the menstrual migraine and anxiety attacks option instead.) Anyway, that was seven hours ago, I switched to pads shortly afterwards and am barely bleeding anyway. It still hurts a surprising amount, even running down my leg a bit. I've finally given in and taken painkillers (I have chronic pain, so my pain meds are heavy duty enough that I don't use them unless I really need to, and when I had a check, I can feel a bump on my cervix. I'm worried I've got it embedded in my cervix.

My guess so far is that I ring the local sexual health clinic first thing in the morning and hope they can sort out something. I'm in Scotland. This isn't the easiest, I'm disabled with severe ME/CFS, mostly bedbound, and it looks like it'll need to be the walk-in clinic, several hours before I'd usually get up. I can't even sit up for long at the moment, even in the wheelchair. So that'll be fun. Grumbling aside, does this sound like the right course of action? Is it likely to do more than be painful overnight? I'm calling NHS 111 to check, though it may well be beyond the sort of thing they know about. Does anyone know more about IUD dislodging situations?

Tired upon waking

I had my old Mirena removed and a new one replaced two days ago. My doctor prescribed valium and ocycoden as my first Mirena was extremely painful. I only took the one valium and two ocycoden on friday. Yesterday and today when I wake up I'm extremely fuzzy headed and tired for a good hour or more. I felt fine pretty much all day yesterday (Saturday). Except some mild cramping which I expect. Has anyone else experienced this? Since it's been 5 years since I got my first one I don't remember the details of how I felt afterwards. I'm not overly concerned as it's only for awhile in the morning. But it's weird.


Hello all, I've posted once before, back when I first got my Kyleena in January. I'm 28, NP, and so far have been very happy with the Kyleena.

I at first had pretty regular "periods" where I'd have about four days of a very light period, on a pretty regular 28-31 day cycle. I also had spotting most of the time in between that, but it would only be a little bit once during the day, a couple of days a week. It was rare for me to go a week without any spotting. I would have some cramping, more severe than I had on BC pills but not debilitating, around the time of my actual period, and occasionally in between. I'd also get sore nipples very occasionally. Basically I was always super irregular since getting onto the iud.

Since December started, I haven't had any bleeding, not even spotting. My nipples have been super sore, like very painful to the slightest touch, for a little over a week. This has lessened in the last couple of days, but they are still more tender than normal which is concerning me. In the last couple of days, especially today, I've also had awful cramping that feels like I should be having at least some kind of bleeding.

My partner and I do have "unprotected" sex, the last time being about a week ago, but my symptoms had started before that. I am planning to take a test soon, but don't feel like I'm pregnant. I'm just paranoid and know that it will give me peace of mind. I checked my strings at the first of the month and they were in place as usual.

Does this sound normal to anyone else's experience with Kyleena/a low-dose hormonal iud? I know that my period disappearing is a possibility, it just seems odd that it would stop so seemingly suddenly (even though I've mostly just had spotting for the last month or two) and that I would still have such strong PMS type symptoms.
[Edited to add more information!]

I’ve had my Mirena for five months now (wow time flies) and I’m overall very happy. My periods are nearly gone, or last less than a day. But the other night I had some unusual cramping. Since my insertion I’ve occasionally had (what I’m assuming) is ovulation pain? Prior, I was on Yaz and didn’t ovulate for ten years. The pain is sharp, located near my hipbones/pelvis, on one side, although it alternates. It usually goes away after a few hours.

Last night I had this pain on my lower left side, so I stretched and moved around, and wasn’t too concerned because it’s happened before. But then I had a bloaty-fullness/crampy feeling in my lower stomach. There was some pelvic pressure and discomfort. There wasn't too much pain, but a definite discomfort. But it also (TMI) kind of felt like I needed to have a bowel movement. I took two Aleve and curled up with my heating pad. When I woke up the next morning, I felt fine. A day or two before all this I had some brown-ish discharge, not much but enough that it was noticeable, but I haven't had any heavy bleeding since insertion.

Should I be concerned? Could it be a partial expulsion or the IUD shifting out of place? I did a string check and my cervix has moved high up and the strings were no longer wrapped around it. After moving the strings back, I felt the os and didn’t feel anything other than the strings curving out and around the cervix. The possible ovulation pain doesn’t concern me but the odd pain/discomfort I had afterward does. Or is this normal?

I have no idea if it was ovulation pains, an ovarian cyst, or the IUD moving out of place. Or my stomach having issues, as I have IBS, but it's usually not so low in my stomach. I don't feel the IUD exiting the cervix, and it's hard to figure out the length of my strings because they don't hang straight out, they wrap around, but I know they're supposed to be ~3cm.

Any thoughts or advice are greatly appreciated! Thanks so much in advance.
I am NP got a Kyleena inserted about a month ago. I have had a paraguard before so I knew what to expect as far as what happens after but things are a little different this time, probably because this one has hormones whereas the paraguard did not. Since insertion, I haved been cramping pretty much nonstop and have spotted every day but 4-5 days. I've also noticed that the discharge is much  more than normal and thicker in texture. No smell or any other changes. Had sex once and he is on the larger side  - again noticed the cx sensitivity like I did with the paraguard. I hurt for a good two days after we had sex. When did things go back to normal for you guys? How many of you lost your period all together and how long did it take? I don't remember the thick mucous-y discharge with the paraguard but the cramping and cx sensitivity are about the same. Really want this one to work for me! It is in the right place and I have checked the strings.