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It would be helpful to know which IUD you have. A Mirena? If so, you can be given some estrogen or birth control pills to try to get the bleeding to stop. Usually the bleeding will get lighter and lighter than stop, but that can take several months with an IUD.
Are you over 35?
You may still be given a low dose of estrogen to try to stabilize the lining. Alternatively, if you are very heavy, an extra dose of progesterone taken by mouth can help. It depends on the details of the situation.
At age 33, we still can use BCPs. After age 35, we don't use birth control pills in smokers because of an increased risk of stroke. But below age of 35, we generally do allow smokers to use birth control pills. An extra low dose could be used.
So the 3 choices for trying to get the bleeding under control are:
1. low dose estrogen only, perhaps as little as 0.25mg of estradiol daily
2. low dose birth control pills
3. if you are heavy, progesterone MPA 10 mg daily
Usually the persistent bleeding with the Mirena does go away over time by itself. It tends to get lighter and lighter over time.
So maybe the anemia is still left over from before the IUD was placed and now it is actually an improvement even though not perfect yet.
The bleeding can be daily but eventually gets lighter and lighter with more and more no bleed days. This can take up to 5 months. After that, most women who start out with heavy bleeding before IUD placement are very happy. SO maybe it's just a matter of more patience?
ok, Is there anything else I can help with tonight? I hope this information was helpful and reassuring so far.
Anything else I can help with tonight? I want to be sure you get the most helpful information for your situation.
ok, I hope it eases up pretty soon and you get the relief from bleeding that you were hoping for with the Mirena. Please leave a rating for my service. I aim for excellent and appreciate your feedback.