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Female | 40

Is it Safe to Insert a Mirena Coil without Removing the Previous One?

The situation is that the patient came to the doctor to change the Mirena spiral. The IUD Mirena was recommended by the attending gynecologist after surgery to remove an ovarian cyst and polyp. Diagnosis: adenomyosis (before surgery, the patient complained of heavy, non-painful menstrual bleeding). The first spiral lasted 5 years without problems. The gynecologist introduced a new IUD without first removing the old one. In connection with this situation, I have some questions. I would be grateful for your professional opinion. 1. Is it possible to correctly install the Mirena coil into the uterine cavity if the previous coil was not removed? 2. What side effects can be caused by the simultaneous presence of hormonal IUDs (two sterile foreign bodies) in the uterus. Could this cause health problems and harm to the patient? 3. How can one explain the symptoms that arose after the installation of the second Mirena, such as pain in the lower abdomen, lower back and excessive menstrual bleeding?

1 Answer
Dr. Mohit Saraogi

Gynecologist/Obstetrician

Answered on 23rd May '24

I would recommend that the new coil should not be inserted until the old one removed. This can result in problems such as perforation or infection. The presence of two hormonal IUDs in the uterus may cause hormonal imbalance and the risks of side effects. To treat the symptoms of lower abdominal pain, lower back pain, and heavy menstrual bleeding, consultation with a gynecologist who is an adenomyosis specialist is recommended.
 

47 people found this helpful

Questions & Answers on "Gynecologyy" (3891)

Hello , I am pregnant of 7 months and I am feeling pain from 1 week and I have also taken medicine but it is not reducing.

Female | 29

kindly visit your gynecologist on urgent basis,ul need to get yourself examined,rule out preterm labour pains

Answered on 23rd May '24

Dr. Ankita Mago

Dr. Ankita Mago

My question is ke mujhe mere period pta krne h

Female | 22

PERIODS usually come every 21- 35 days.. Stress affects it. PAINFUL periods are common. Heavy bleeding may be abnormal.. Irregular periods are NORMAL during puberty . HORMONAL BIRTH CONTROL helps regulate periods . Consult a doctor if concerned.

Answered on 23rd May '24

Dr. Himali Patel

Dr. Himali Patel

Hi. I had 8 months back resulted in ectopic pregnancy. My periods was normal after that. However, since January my cycle is not right. I usually had 28-30 days of cycle. In January I got periods on 35th day. Feb was 30th day and now I am due on 5th March. Didn't got my period yet. One strange thing is also happening that when I wipe after poop I see a lil blood spot. This only happens around my period since 2-3 times. Currently I am having leg pain since 5 days. Feeling nauseous also. The reason for ivf was low amh. Got only 4 eggs in ivf process. Please help what should I do next

Female | 29

Your gynecologist should be consulted on this, as you experience irregularities in your menstrual cycles after ectopic pregnancy. It might be post-wiping blood because of hormonal changes or as a result of infection. Leg pain and nausea could be caused by almost anything, therefore a thorough investigation must be done. It is vital for you to not neglect seeing your doctor without delay.

Answered on 23rd May '24

Dr. Mohit Saraogi

Dr. Mohit Saraogi

Hello , im a 19 year old girl , with Polycystic ovary syndrome, i didnt have the period since 4 months, 6 days ago i had unprotected sex and 24 hours later (5days ago) i took Navela levonorgestrel 1.5mg, after taking it by a day (4days ago) i had unprotected sex again and i took a second dose after the second sex (3 days ago) , and i had side effects like bloating , i want to vomit, mood swings and my utteres or lower stomach is a bit over size today i had unprotected sex again and therr was precum present , i already took two doses within this week and i dont know what i should do i am worried that is there a possibility that ill get pregnant? Given all the details and i have pcos and no period since 4 months ? What’s the probability of pregnancy What are all the solutions do i have to avoid pregnancy with all matters ? Because im worried taking levonorgestrel 3rd time will be dangerous and will it help anyways ? Can you please help me Thank you

Female | 19

Answered on 26th Aug '24

Dr. Nisarg Patel

Dr. Nisarg Patel

In my previous periods date is April 25th .I have doing unprotected sex in May 19th .some issue? Any chance for pregnancy?

Female | 25

I understand that you are concerned that you could be pregnant after unprotected sex on May 19 following your period on April 25. Let me tell you this: yes, you can get pregnant as the sperm can stay alive in a woman’s body for several days. Take a pregnancy test if you miss your period, have nausea, or feel tenderness in your breasts. 

Answered on 29th May '24

Dr. Himali Patel

Dr. Himali Patel

hi,my mom, who is 55, experienced menopause a decade ago. However, she has recently noticed some unexpected bleeding. I thought menopause meant no more periods. Why is she bleeding after 10 years of menopause? Should we be concerned, and what should we do about it?

Female | 55

An abnormal vaginal bleed after menopause could indicate the presence of uterine cancer or endometrial hyperplasia and hormonal imbalance. I recommend that your mother consult a gynecologist immediately. A gynecological oncologist is a specialist who can diagnose her in more detail and prescribe treatment if necessary.

Answered on 23rd May '24

Dr. Swapna Chekuri

Dr. Swapna Chekuri

I am suffer from unwanted pregnency. My period date was 18th and I tested on 24 and it was positive. On 25th I consume khushi MT kit 1st dose in morning 7.15 am.and after take that pill i have stomach pain.but nothing gets blood flow. On 27th I consume 2nd dose misoprosotol in morning 7.15 am and i have minor blood flow after 10.15 am.but after 1 or 2 pm the blood flow was stopped. I complete my 3rd dose at same day evening 7.15 pm. But blood flow was very minor. What dhould I do next??

Female | 23

Abdominal pain and light bleeding are a common side effect of the medicine you took. At times, the bleeding may differ from person to person, so if it is not heavy that is fine. Just rest and keep yourself hydrated. If the bleeding stops entirely or you feel severe pain then seek medical help. 

Answered on 28th May '24

Dr. Mohit Saraogi

Dr. Mohit Saraogi

2 month hogya h.abhi tk piriods nhi aaya or 5 dys se continue white discharge ho rha h

Female | 24

missed periods and abnormal discharge may indicate different medical conditions. It is advisable to see a gynecologist for correct diagnosis and treatment. Only a specialist, after thoroughly examining you can offer the appropriate medical advice.

Answered on 26th June '24

Dr. Hrishikesh Pai

Dr. Hrishikesh Pai

Can i prepone my periods due to my exams

Female | 16

It is not recommended that you delay your periods as it can be harmful to your health. Attempts to control your menstrual cycle can result in hormonal disbalance and hence irregular periods. Talk to your gynecologist

Answered on 23rd May '24

Dr. Nisarg Patel

Dr. Nisarg Patel

I have had long light period that lasted for three weeks and spotting after and now with cervic mucus and a burning sensation in lower abdomen. A few months ago my blood test showed higher LH levels than FSH. What could it be please?

Female | 40

You may have a hormone imbalance, meaning your hormone levels aren't in the right ratio. This can affect your menstrual cycle, leading to spotting between periods, unusual cervical mucus, and lower abdominal pain. A blood test showing higher LH levels compared to FSH also suggests an imbalance. It's important to see a doctor for a full check-up. They can examine you and discuss treatment options, which may include medication or lifestyle changes to manage the imbalance effectively.

Answered on 4th Sept '24

Dr. Nisarg Patel

Dr. Nisarg Patel

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