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For Those Whose Periods Stopped With Mirena

Hello all,

I had my Mirena IUD inserted about 5 months ago and have been getting a consistent period (about every 25-30 days) ever since. I had hoped that my periods would fade into oblivion but that hasn't happened.

I want to invest in a menstrual cup, but I am slightly worried that I'll buy a cup and then BAM!, my period will stop.

So I pose a question to the community. For those who have Mirena and stopped getting their periods, how long after the IUD was inserted did your periods fade away? It will likely be about 6 months post insertion before I buy and start using a menstrual cup, would it be safe to assume that if my periods aren't gone by then, they will never go away with Mirena?

Comments

( 25 comments — Leave a comment )
mahasin
Aug. 28th, 2011 05:25 am (UTC)
I got my Mirena inserted on March 11th, 2011 - I haven't had a period since June and that was moderate to light.

It varies from person to person, my periods had the time between them increase. I had a period at the end of April, none in May and one at the end of June. I've had some slight pinkish discharge and some heavy bloody spotting immediately after heavy exercise, but nothing even remotely period like.

Not all who use Mirena stop having a menstrual cycle so investing in a menstrual cup isn't a bad idea, but if you get one don't use a disposable cup as those have an increase chance of the suction causing the IUD to displace.
wife_and_mom
Aug. 28th, 2011 05:51 am (UTC)
I know this was intended for people who lost their periods but I wanted to comment anyway. I've had my Mirena for 3 years now and still get a "period" from time to time. Mine were way lighter than normal about 3 months after insertion, now it's basically just spotting. I don't even consider it a period anymore it's so light and lasts for maybe an hour at the most.

You may be like me and still get bleeding every few months (mine is like every 3 months now unless I do exercise or something strenuous) and need nothing more than a panty liner if even that or you may have heavier periods than mine or none at all. It's different for everyone.

If it were me, I'd probably give it a few months before investing in a cup to see how heavy my periods were by then. I have no way of knowing how heavy your periods are or if cups are expensive or anything though so that decision is totally up to you of course.
knittinggoddess
Aug. 28th, 2011 07:13 pm (UTC)
I agree with this: there will be a lot of changes in the first six months to a year. Plus, expulsion is most likely within the first month or so. Even if cups don't contribute to expulsion in a statistically significant way, you might want the security of not doing anything that could increase your expulsion risk even a bit.
adamantplatypus
Aug. 28th, 2011 06:12 am (UTC)
Are we supposed to use a menstrual cup with an IUD? I've heard that it can cause them to expel because it sits up closer to the cervix than a tampon.
enismirdal
Aug. 28th, 2011 06:27 am (UTC)
Seems to be under debate at the moment! Anecdotally, you get a lot of stories which seem to connect menstrual cup use to expulsions, but you also get a lot of stories along the lines of, "I've had a menstrual cup for 15 years and an IUD for 4 years and never had any trouble with either."

Someone recently posted a link here to a study (a conference poster rather than a paper in a journal, mind) in which it was claimed that IUDs do not increase expulsion significantly. It had the figures, although I personally felt it didn't sample enough cup users to get a good picture.

I'd say the jury's still kind of out on that one!
zhukora1
Aug. 28th, 2011 07:45 am (UTC)
It seems like a lot of the controversy surrounds a misunderstanding about the mechanism by which reusable cups would cause an IUD to displace, assuming they do so at any statistically significant higher rate than other menstrual products.

A lot of people seem to assume the cups can cause IUD expulsion simply through the "suction" of a cup sitting in a fully inserted position inside the vagina, which is not the case, since properly inserted cups will not have different pressure inside the cup vs. outside, and therefore don't exert any "suction" at all once in place.

There is some anecdotal evidence that the IUD strings getting pinched inside the cup during removal may cause an IUD to expel, but simply on an anatomical basis, this is not a concern for everyone (or even most cup/IUD users), and having one's IUD strings shortened may help prevent this issue even in people who are at risk.
enismirdal
Aug. 29th, 2011 07:11 am (UTC)
Yeah, that's true - although I'm still not sure what happened when I expelled mine. I do tend to get a very tight, hard-to-break seal around my cervix when using a cup (and sometimes removing it has felt a bit like removing one of those window suction pads you get to stick up sun-shades and window thermometers!). I assume pulling the cup downwards when the seal isn't broken could create the kind of suction necessary to displace the IUD, or at least make the cervix unhappy enough that it "hiccups" or something? (I don't know, it just didn't feel like tugging on the strings to me, it felt like my entire cervix being sucked downwards.)

I'd have thought that if there was no chance of the suction during removal displacing the IUD, there'd be no point taking care to break the seal before removing it, as you'd be less likely to snag the strings by just pulling the cup out by its stem/pinching the very bottom than by pinching halfway up hard enough to break the seal...?

I definitely intend to try with shorter strings this time around!
knittinggoddess
Aug. 28th, 2011 07:11 pm (UTC)
Somewhere in the archives, there's a poll about expulsion. Highly unscientific of course, but still interesting.
scarlette18
Aug. 28th, 2011 07:39 pm (UTC)
I have also heard of strings getting sucked in tampons and pulled out that way. I think either way the trick is to be super careful and to understand that it's a risk you take. Personally I feel like it's easier to "check" a cup for string than it is a tampon.
zhukora1
Aug. 28th, 2011 07:36 am (UTC)
When I had my Mirena, my period disappeared almost immediately. I had some ongoing spotting for most of the first month post-insertion, followed by one period, and then no more periods at all until after I had it removed.
_panache
Aug. 28th, 2011 03:14 pm (UTC)
I had one period a few days after insertion but after that, nothing but very faint spotting, more of a pink wisp than anything else. This has been since March.
krepander
Aug. 28th, 2011 03:33 pm (UTC)
I don't think you can plan. I lost my period after having the mirena for 6 months. Then 6 months later it came back and has been around for 2 years now. It wasn't heavy so I didn't bother using a cup but I got cloth liners to use. Now it's so light that I don't even bother with those. During my last spotting-period I went to the bathroom in the dark (was camping) so I don't know if I actually did spot or if they are gone again.
sarahmitroff
Aug. 28th, 2011 04:48 pm (UTC)
Thanks everyone for your replies. My period has been very regular and consistent-- always comes at the same time and lasts for almost exactly a week. In fact more regular than it's ever been, and I've been on 4 types of oral contraceptives. I get the feeling now that because it is so regular that its probably not going anywhere.

Thanks again, you've all given me some perspective.
garneyloom
Aug. 29th, 2011 04:44 am (UTC)
My periods are just like yours now...much more regular, about a week. It's been almost a year so I'm pretty sure I'll stay like this too.
knittinggoddess
Aug. 28th, 2011 07:09 pm (UTC)
In the first year, I had increasingly light, short periods with increasingly more time in between. The first six months averaged out to 4 day periods with 40-50 days in between, and the second six months were more like 1-2 day periods with 50-60 days in between. Further, these periods were barely enough to warrant any product at all: I'd wear a tampon or cloth pad when I first noticed bleeding, just in case it got heavier, and then just wear dark underwear the rest of the time. More recently, I've just worn dark underwear or treated my underwear with hydrogen peroxide, because it wasn't even worth doing an extra load of laundry to use my black briefs.

I haven't had a period since May 2011, right around my 11 month mark. I have had occasional spotting, like on the tp but not on my underwear. Before getting the Mirena, I loved my Diva Cup, and was sad to not be able to use it any more. But I was paranoid about expulsion, and anyway, it turned out that I barely needed any protection.
knittinggoddess
Aug. 28th, 2011 07:10 pm (UTC)
I also want to point out that a friend of mine spotted continuously for a year, then her period stopped entirely, and now she's back to regular periods. Also, apparently the period suppression wears off after the first three or so: people using their Mirena as endometriosis treatment are advised to get a new one after three years.
sirenphotos
Aug. 28th, 2011 11:28 pm (UTC)
I've had mine for 14 mo now and I think I've only had 2 or 3 "real" periods. I'm also got mine post partum so maybe that had something to do with it?
dianaroyale
Aug. 29th, 2011 12:39 am (UTC)
Mine seemed to stop right away too, as someone else above said. Inserted during my period in May 2011, and then I had a "period" in June (more like 2 days of light spotting). Nothing since then.
divineoubliette
Aug. 29th, 2011 08:05 pm (UTC)
Try some disposable Instead SoftCups, they are really cheap $4 for a 6 pack. I was really surprised when I found them at my local WalMart on the bottom shelf :)
sarahmitroff
Aug. 29th, 2011 08:23 pm (UTC)
From what I've read, Insteads are explicitly not supposed to be used with IUDs.
knittinggoddess
Aug. 30th, 2011 12:31 am (UTC)
Neither are diaphragms, which gives me further pause about Insteads.
divineoubliette
Aug. 29th, 2011 10:06 pm (UTC)
We recommend that women using an intrauterine device or IUD talk to their doctor before using Softcup as there is a risk of dislodging or removing the IUD by *pulling on the IUD string while removing the Softcup*.
Your doctor may be able to help you determine whether there are steps you may take to safely use the Softcup and your IUD simultaneously, such as trimming the IUD string.
http://www.softcup.com/faqs/can-i-use-softcup-iud

The big worry seems to be women *unknowingly* grabbing her IUD strings by accident during removal, this to me is dictating policy to avoid litigation - just in case a women does accidentally pull her own IUD out whilst using an SoftCup, they do not want to be sued for an expulsion. So they put a disclaimer on the website saying, go ask your doctor (as if most ob/gyns have any experience with menstrual cups!)

You would think that the wider diameter of a SoftCup would have a lesser likelihood of 'catching' the strings or suctioning on to the cervix. Many women have their strings cut shorter after their IUD has settled in to be able to use a menstrual cup (disposable or reusable).

Some women's bodies work great with a menstrual cup and other women just anatomically cannot 'get the hang of it'. I could never comfortably wear a NuvaRing (kept popping out of place) or a menstrual cup (they are all too wide and long for me) but the SoftCups work pretty well. This is also a questions of how well you know your own anatomy and are you willing to get even more intimate with your cervix? It's trial and error to find what works best for you and your IUD.


On another note - have you tried any Yarrow, Shapard's Purse or an Ibuprofen regimen to stop or lessen the bleeding? When my sister has notorious heavy days, she resorts to herbal remedies to help staunch the flow. This is what my sis says works best for her - http://www.dherbs.com/store/styptic-p-372.html


Good luck!
peony8
Sep. 1st, 2011 05:48 am (UTC)
People whose periods stopped, did you have light periods before?

If they did not stop did you have heavy periods before?

Wondering if this changes Mirena's effects
frictiontrain
Sep. 1st, 2011 05:58 am (UTC)
My period has basically stopped and I had heavy periods before.
Chasity Carter
Jun. 7th, 2012 12:10 am (UTC)
i have had mrena in for four years, i dont have insurance but have been seen by the local hospital a few times to make sure everything is in its place, my way of cheating the system. :P i have had no periods whatsoever after getting it put in place and two days ago after four long years i started a period, is this normal or as i have heard has the mirena lost its dosage of birth conrol? is it now ineffective?
( 25 comments — Leave a comment )

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