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Ruth asked...

Third Mirena IUS removed

I recently had my 3rd Mirena IUS removed (3rd fitting was traumatic and very painful) and talk through options going forward as I suffer from heavy painful periods and I'm not sure which direction to go next.

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The answer

Different medication can be used when Mirena coil failed and no other underlying cause for the heavy menstrual periods is suspected. Tranesamic Acid, Non steroidal anti inflammatory drugs such as Mefenamic Acid as well the combined contraceptive pills are often prescribed by the doctors. Another line of treatment could be the oral or injected hormonal treatment. However, if your specialist believes that the medication will not help or you failed this treatment before, surgery could be the option to be considered. Endometrial ablation is used to destroy most of the womb (uterus) lining; it can be effective but it is not suitable for everyone. Also, hysterectomy is another surgical treatment proposed in certain situations.

As you mentioned, you discussed the options with the doctor but still not clear on what should you do next. I would suggest to speak with them again about what would be the best treatment option for you, based on your own personal circumstances.

Answered by the Health at Hand nurses  

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