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[Smokey1234]

Hi all, can anyone give me advice as to why after 2 years I've started bleeding, definitely red and looks like a start of a period only enough to warrant use of a panty liner.

Any advice greatly received

Ann x

[Dancinggirl]

Only 60% of women are bleed free with the Mirena. I assume you are using oestogen alongside as gel or patch?
The Mirena may have dropped out - can you feel the strings?

It will hopefully stop but it could be worth having things checked if it doesn't. DG x

[Smokey1234]

Hi Dancing girl

Yes I'm taking oestrogel.  I don't think it's dropped out I'm sure I would have noticed.

I never have felt any strings, but at my last smear i did ask the nurse and she did say she could see them.

The bleeding had stopped by 9pm so that's good.

My friend said I should see the Doctor, but  do you think that would be necessary especially at the difficulty in getting a appointment now days.

Ann x

[Dancinggirl]

I would wait and see if it happens more regularly and then see the doctor.  I had a Mirena for 4 years and occasionally had some spotting and I never worried about it. If you were to get continued and heavy bleeding then this be of concern.

Here is the info on the Mirena from this site:
Mirena is a levonorgestrel (type of progestogen) releasing system which sits inside the womb, gradually releasing the progestogen into the womb. It is licensed in the UK and Ireland as a contraceptive agent, for treatment of heavy periods and, from August 2004, also for the progestogen component of HRT. It can be used in both the perimenopause and postmenopause and it is particularly useful for:

Persistent progestogenic side effects from systemic HRT despite changes in type and route of progestogen.
When contraception is required along with HRT in the perimenopause.
When withdrawal bleeds on sequential HRT are heavy, after investigation if indicated. (see WHEN TO BE REFERRED )
With Mirena in place, systemic estrogen alone can be taken as the Mirena provides adequate protection of the womb lining and the estrogen dose and route can be tailored to meet the individual's needs.

Progestogenic absorption throughout the body is minimal so reducing progestogenic side effects. The effect of Mirena on the womb lining can significantly reduce bleeding and when used as part of an HRT regimen, in time, 30 to 60% of women have no bleeding at all. Although Mirena used for contraception is licensed for 5 years, the license for use for the progestogen part of HRT is currently 4 years.

Hope that helps.  DG x

[Smokey1234]

Thanks Dancinggirl

That does put my mind at rest.

Ann x