Can I take menstrual induction injections or medications if my period hasn't come after removing the Mirena?
Hello Doctor: I was diagnosed with endometrial hyperplasia last year.
Following the advice of my doctor, I had a Mirena IUD inserted for about six months.
This year, around June or July, I decided to pursue in vitro fertilization due to my age and had the Mirena removed.
However, I have not had my period since then.
I would like to ask if I need to receive a menstrual induction injection or if I should see a doctor to confirm my condition.
Thank you.
Nìmíng, 40~49 year old female. Ask Date: 2022/12/10
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, please consult a physician to determine your condition before making any decisions.
Wishing you good health.
Reply Date: 2022/12/10
More Info
When considering the use of menstrual induction shots after the removal of a Mirena IUD, it is essential to understand the implications of both the removal of the device and the potential use of hormonal treatments. The Mirena IUD releases levonorgestrel, a form of progestin, which can significantly affect the menstrual cycle and the endometrial lining. After its removal, it is not uncommon for women to experience irregularities in their menstrual cycles, including delayed periods or amenorrhea (absence of menstruation).
In your case, since you have not had a menstrual period since the removal of the Mirena, it is advisable to consult with your healthcare provider before proceeding with menstrual induction shots. These shots typically contain hormones such as progesterone or estrogen, which can help stimulate the lining of the uterus and induce a menstrual period. However, the decision to use such treatments should be based on a thorough evaluation of your current health status, hormonal levels, and any underlying conditions that may be contributing to the absence of menstruation.
It is also important to consider the reason for the initial placement of the Mirena. If it was due to endometrial hyperplasia, your healthcare provider may want to monitor your endometrial lining and hormone levels before initiating any hormonal treatments. Inducing menstruation without understanding the underlying cause of your amenorrhea could potentially lead to complications or exacerbate existing conditions.
In summary, while menstrual induction shots can be an option for stimulating a period, it is crucial to first consult with your healthcare provider. They can perform necessary evaluations, such as blood tests to check hormone levels and possibly an ultrasound to assess the endometrial lining. This approach ensures that any treatment you receive is safe and appropriate for your specific situation. It is always best to prioritize your health and well-being by seeking professional medical advice tailored to your individual needs.
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