Moderate monthly bleeding on Mirena

Patient : I am 25 and have been on Mirena for just over a year. I still continue to get a moderate "period" every month. Why is this? What, in my own body, may be causing this? Could I have a natural increase of a certain hormone? In addition, my sex drive has seemed to decrease considerably over the last year since beginning Mirena.
Symptoms:  Moderate bleeding, cramps, irritability
Doctor :   Hello, thanks for contacting generally it is seen that after mirena application menses tend to sto p by 4-5 months but if the menses are still continuing then there could be possible intrauterine polyps which can be ruled out by an ultrasound pelvis . Secondly progesterone may sometimes cause a decrease in libido is some cases. I would suggest you to meet your physician for a per speculum exam for any local cause and ultrasound for uterine polyps. wishing you good health, regards

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