Heavy Beeding Started Again on Mirena
- Reference Number: HEY-862/2017
- Departments: Gynaecology
- Last Updated: 22 March 2017
Introduction
This leaflet has been produced to requite you general information about your treatment. Most of your questions should be answered by this leaflet. It is not intended to replace the discussion betwixt you and your doctor, but may human action as a starting point for discussion. If after reading it you lot have any concerns or require farther explanation, please discuss this with a member of the healthcare squad caring for you.
How common are heavy periods?
It is a common status; each year virtually 1 in 5 women aged between 35 and 49 years one-time consult their GP with heavy bleeding. Of all patients referred to a Gynaecologist, a third will have heavy periods. If present, the problem can disrupt women'due south social, professional and intimate activities. It may lead to iron deficiency (anaemia) due to excessive blood loss.
What causes heavy periods?
A period occurs when the lining of the womb is shed every month. This lining, called the endometrium, ever leaves behind a layer of cells from which a new lining will grow subsequently each period. In roughly half of the cases at that place is no obvious caption for periods becoming heavier. In other cases there may be an aberration of the womb or in that location may be a hormone or blood clotting problem.
How do I know my periods are heavier than normal?
The symptom of heavy periods is hard to assess. There is strong evidence which shows that half of the women who believe that their periods are heavy do in fact have normal periods. Your periods are likely to exist heavy if you tend to use double protection with a germ-free pad and a tampon or modify your sanitary protection ofttimes (between ½ and two hours), feel accidents with soiling your underwear, wearable, or soiling bed sheets.
What are the options for heavy periods?
Heavy periods can be treated medically or surgically. Commonly used medical options include combined contraceptive pills, tranexamic acid tablets, non-steroidal anti-inflammatory drugs such every bit Ponstan, and the Mirena IUS.
Surgical options, which are unremarkably performed if medical treatment fails to control the periods adequately, include endometrial ablation and hysterectomy. In endometrial ablation, a diversity of techniques are used to destroy the lining of the womb. Compared to hysterectomy, it is a much smaller procedure that is usually carried out as a 'twenty-four hour period case'. It will take yous 1 to 2 weeks earlier returning to work.
Hysterectomy is the removal of the womb. It is a major functioning requiring a full general anaesthetic. A hysterectomy may require up to five days stay in the hospital and it may exist four – six months before full recovery.
What is Mirena Intrauterine Organisation (Mirena IUS)?
This is the about effective medical treatment for heavy and painful periods. It consists of a pocket-sized, plastic T-shaped frame, which is inserted into the womb. This carries the hormone in a sleeve effectually its stem. The hormone is released gradually into the womb. The rate of release is controlled by a special covering on the hormone sleeve.
What are the advantages of having Mirena?
The IUS is often used as a handling for heavy periods, even in women who practice non actually demand contraception. It is also used every bit a treatment for endometriosis and fibroids. Y'all do non require an performance or a full general anaesthetic to have it inserted.
Once it is inserted you lot can forget virtually information technology and it can be used for contraception for five years. It does not interfere with sexual intercourse. Periods usually get lighter, less painful and often cease. Later 12 months most users only take a low-cal bleed for one day per calendar month and about i in five users accept no bleeding at all. Fertility returns as soon every bit information technology is removed.
Am I suitable for Mirena IUS?
Your Gynaecologist has to rule out other possible causes of heavy periods. Fibroids or polyps may be the cause of, or add to, your heavy bleeding. Some of these may require surgical treatment before yous could be fitted with the Mirena. Mirena is a very reliable contraceptive and is therefore also suitable for women who need contraception.
How does a Mirena piece of work?
The hormone in the Mirena IUS reduces the blood loss by thinning the lining of the womb.
How effective is it?
Mirena is an show-based treatment for heavy periods and is licensed for this purpose in the Britain. At that place is strong scientific evidence that information technology greatly reduces the monthly blood loss in 9 out of 10 women users. The reduction of blood loss is gradual with more than benefit as fourth dimension goes on (85% reduction at three months and 97% reduction at 12 months after fitting). Many health specialists believe that the Mirena provides an important alternative to hysterectomy and other surgical treatments.
Would it bear upon the pain with my periods?
More than than half of the women who suffer with heavy bleeding will take painful periods. Experience shows that Mirena will cure period pains in the majority (80%) of users, in addition to reducing the blood loss.
How long does it last?
Mirena is a long-term handling and can stay in for 5 years earlier it requires changing. Women who are in their forties will require one or 2 Mirenas before the menopause brings well-nigh a natural cure for their menses trouble. In many cases this means preventing the woman having to accept a hysterectomy.
What well-nigh side effects?
The main side outcome that occurs in all women is spotting (a small amount of blood loss) or light bleeding in addition to their periods for the first 3 – half dozen months after the system is fitted. This may happen every twenty-four hour period during the first 4 – 6 weeks after fitting.
Overall, you are likely to have a gradual reduction in the number of bleeding days and the amount of blood lost each calendar month. For virtually of the time panty liners might be all that is required for protection, tampons may be used if needed.
The level of hormones in the adult female's blood stream is much lower than with the contraceptive pill, and so the side effects such equally tender breasts, headaches, acne, abdominal bloating or mood changes are less probable. If they occur, they tend to go away later a few months.
Will I put on weight?
Studies have shown that women using the Mirena IUS have non changed their weight whatsoever more than women not using it accept.
Complications?
- Perforation of the womb at the time of fitting: very rare – 1 in 1000
- Low risk of either pelvic infection or ectopic pregnancies (pregnancy outside the womb)
- Gamble of pregnancy (if you are using it as a contraceptive) is very low (under ane% – as effective as the implant). Y'all need to contact your doctor if you lot remember you are meaning or if you take aberrant abdominal pain.
Can I change my mind?
Y'all tin can ask the hospital team or your doctor to remove the system at any time. The removal is easy. If you are using the organisation as a contraceptive, it is important to use some other reliable method of contraception in the week leading upwards to the removal and after the removal. Sexual intercourse during this week could lead to pregnancy afterward the system is removed.
Can it get dislodged or fall out?
This could happen in half dozen% (six out of each 100) of all women who use the IUS. If this happens, you will lose your protection confronting pregnancy if you are using it as a contraceptive. Our experience showed that the bulk of women who lost the IUS in this way might not feel or come across information technology coming out and the only indication that this might have happened would be the sudden return of your heavy periods.
Please contact your doc, or if necessary your Consultant Gynaecologist at the infirmary, if this happens to you lot.
How can I check to run across if it is in place?
Afterwards each menstruation or almost once a month, y'all can feel for the two fine threads of the organization. It will be explained to you how to do this at the time of fitting. If yous cannot feel the threads, contact your md or the hospital and in the meantime, use another reliable course of contraception. You lot may need an ultrasound scan to ostend the position of the IUS inside your womb.
You lot should too contact your doctor or the infirmary if you can feel the lower end of the organization itself or you lot or your partner feels discomfort during sexual intercourse.
Should yous crave further advice on the problems contained in this leaflet, please practise non hesitate to contact the following departments based at the Women and Children'southward Infirmary:
Gynaecology Outpatients (01482) 607829
Ward thirty (01482) 604387
NHS Choiceshttp://www.nhs.uk/conditions/Periods-heavy
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Source: https://www.hey.nhs.uk/patient-leaflet/intra-uterine-system-mirena-heavy-periods/
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