How long after removing the Mirena IUD will menstruation resume?

May 14, 2023 Source: Cainiu Health

Dr. Lv Aiming

Introduction

Mirena, also known as levonorgestrel-releasing intrauterine system, is a contraceptive method that locally establishes hormonal levels in the cervical area within the uterine cavity. After removal of the Mirena IUD, menstruation may resume in approximately 2–3 weeks or around one month. It is recommended to monitor vaginal bleeding after the procedure; if bleeding is light and stops on its own, special treatment is usually not necessary. However, if abdominal pain or fever occurs, prompt medical evaluation and treatment are advised.

The Mirena intrauterine device (IUD), also known as the levonorgestrel-releasing intrauterine system, is a contraceptive method that locally establishes hormonal levels in the uterine cavity. After removal of the Mirena IUD, menstruation may resume approximately 2–3 weeks or about one month later. The details are as follows:

After insertion of the Mirena IUD, ovulation is suppressed and cervical mucus thickens, which also affects follicular growth, development, rupture, and corpus luteum function, thereby achieving contraception. The Mirena IUD has a typical lifespan of five years, after which it should be removed and replaced. It is recommended to remove the device near the end of menstruation. For women with regular menstrual cycles averaging 28–30 days, menstruation may return approximately 2–3 weeks after removal, or around one month later.

Removal of the IUD is a minor procedure. It is advised to rest for 1–3 days afterward and avoid heavy physical labor. Sexual intercourse must be strictly avoided for two weeks post-procedure, and bathing in a tub or using saunas is not permitted. Monitor vaginal bleeding; if bleeding is light and stops on its own, special treatment is usually unnecessary. However, if symptoms such as abdominal pain or fever occur, prompt medical evaluation is recommended to identify the cause and receive appropriate treatment.

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