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.
thanks for contacting askthedoctor.com
generally it is seen that after mirena application menses tend to stop 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,
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