Mirena IUD and Bleeding: Questions To Ask Yourself First

The most common side effect from the Mirena on your periods is for bleeding to stop. For many the bleeding can be unscheduled spotting. About 25% of women will have this side effect to begin with and after a year only about 1/10 women will have the spotting, and for most it's so light as to not be bothersome. The first question we ask when a woman has irregular bleeding on a Mirena is the IUD in place? Feeling your strings can give you a good hint as to whether it's both there and in place. Only an ultrasound with your physician can really tell you if the IUD is in place, but feeling the strings is a start. Then make sure you are not pregnant, home pregnancy tests are very accurate. If you are pregnant you need to see your gyno right away. The next question is to find out what medications that you are taking that could be increasing bleeding or prolonging periods that you may still be having: aspirin is the most common offender, but other medications and herbals can cause this as well. It is important to know if you have evidence of uterine or cervical infection: fevers are a worrisome sign and should be checked out right away, but discharge or odor or a change in the vaginal pH (if you have the ability to measure it) can also be a sign that there is an infection. If you think you have yeast, it's not so likely to produce bleeding, but other infections like bacterial infections could cause some spotting. Women who have been on the pill may not realize that on the Mirena IUD ovulation will probably return, s checking home ovulation tests and seeing if the bleeding is at the time you ovulate can give another clue as to what is going on. After these checks, you should see your gyno.

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Passing Your Uterine Lining, Menstrual Period Norms

Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you...

Post-Endometrial Ablation Syndrome

If you have had an endometrial ablation and have developed symptoms of pelvic pain you might have post endometrial ablation syndrome. What is post-endometrial ablation syndrome? It is a constellation of symptoms due to entrapped blood or tissue within a uterus that has previously undergone an endometrial ablation. We are able to diagnose this at Women's Health Practic e but occasionally other conditions are causing similar symptoms. Other complications of endometrial ablation include pregnancy, risks from pre-existing conditions such as a polyp or fibroid, an infection of the uterus, or a pregnancy. If you have had a tubal ligation then it is possible that the condition could be post-ablation tubal sterilization syndrome. The ablation procedure is designed to destroy all lining tissue, but in fact there is no way to confirm the completeness of the ablation. It is thought that either residual or regrowth of the tissue is producing the symptoms of post-endometrial ablation syndrom...

You Have an IUD: But a Positive Pregnancy Test

Fortunately IUD pregnancy failures are rare. But if you have an IUD for contraception, and you get a positive pregnancy test, you probably ask yourself, what next? Well, make your gyno appointment promptly, this is a condition that is not typically an emergency, but it can be and it’s not handled over the phone or on a blog, or through self diagnosis! That being said, some researchers from University of Texas Southwestern Medical Center in Dallas decided to look back at over 4100 women who had IUDs and of those 42 cases who became pregnant in their institution, over about a year period of time, to help understand what these women could expect when they got to their gyno and what actually happened to their pregnancies. Accurate pregnancy diagnosis, pelvic examination, and pelvic ultrasound were the cornerstones of the evaluations. They had very specific ways they looked at their ultrasound to prove there was no pregnancy in the fallopian tube, or partially in the fallopian tube...

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