I have not had a period for four months. Is it due to Mirena IUD?

Hello,

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Hormones have different side effects and appear different from person to person. Mirena is a hormone-secreting contraceptive device which shows it effects like mood swings, breast tenderness, irregular bleeding, etc. According to one study, 20 % of the females stopped menses after a year's use of Mirena. Most of the women felt menstrual changes in the first three to six months of Mirena application like intermenstrual spotting, light irregular bleeding, very light menses. Some of the females showed heavy menstrual flow. Mood swings is also another side effect which you are feeling a lot.

Try to have a healthy lifestyle like yoga, exercise, walk daily. Have recreational activities like painting, and swimming. But avoid recreational drugs like alcohol, cocaine, ketamine, etc. If you had diagnosed any problem or have any other symptoms, try to have full treatment. It is your choice if you want to continue with Mirena or want any other contraceptive if does not suit you. I suggest switching to combined oral contraceptive pills for some time to reduce Mirena effects (after removal of Mirena). Have urinalysis and urine culture for urine problem, follow report and use lots of water and cranberry juice. In case of absence of urine infection try to avoid fluids before work and sleep at night to have less disturbances. Pelvic floor exercise strengthens muscles and helps avoid incontinence. Try to go to a gynecologist with urinalysis report and discuss symptoms as well to have a proper examination to decide for related investigations.