OB-GYN questions? Ask a gynecologist online.
Hi there. Board-certified obgyn here.
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What kind of IUD do you have?
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Well, typically the Mirena lightens up women's periods, but it could be that as you're getting closer to the 5 year mark (when the IUD has to be removed and/or replaced), the hormone levels are decreasing and it's not controlling your periods as well.
That being said, if it's been at least a year since your last checkup, you're definitely due for your yearly exam. The IUD could have moved slightly, and that can cause irregular bleeding. STDs and/or abnormal paps can cause irregular bleeding.
There are red flags for which you need to be seen right away:
- Bleeding so heavy you're soaking a pad an hour.
- Having symptoms from the heavy bleeding - fatigue, lightheadedness, dizziness, shortness of breath.
How big are your clots?
That doesn't seem life-threatening.
But the fact that you're fatigued makes me wonder if you're anemic (ie have low blood count) from all the bleeding.
I'd schedule your checkup and possibly an ultrasound to make sure all is well with the IUD. It may even be a time for a new one. Your doc can also call out an order for bloodwork to make sure you're not anemic.