How to stop Mirena spotting

Mirena releases a progestogen inside the womb, which can make the lining thin and cause light, irregular bleeding, especially after insertion or a change in bleeding pattern. Spotting can also reflect pregnancy, an infection such as chlamydia, cervical dysplasia, polyps, fibroids, or another problem affecting the cervix or womb. The device can occasionally move, so a changed thread length or new pelvic discomfort matters.

Keep a calendar of spotting, heavier bleeding, pain, discharge, fever, and any change in the threads. Use products that allow you to see the amount of blood and avoid inserting anything into the vagina if it causes pain. Do not remove the device yourself or take hormones, anti-inflammatory medicines, or herbal products without checking suitability. A clinician can examine you, check pregnancy or infection when needed, and discuss options if the bleeding remains unacceptable.

Seek urgent help for severe or worsening pelvic pain, heavy bleeding, fever, faintness, a positive pregnancy test, or concern that the device has moved. Arrange a review for bleeding after sex, bleeding that begins after a settled pattern, unusual discharge, or spotting that continues and affects daily life. These symptoms do not by themselves identify cancer, but they should not be ignored.

Ask whether the device position should be checked, whether pregnancy or infection testing is needed, and which treatments are safe with your medical history. Ask when removal or a different contraceptive would be reasonable if spotting continues.