Can an IUD still be effective after years without periods?

Question

Hello doctor,

I had a Kyleena IUD (intrauterine device) inserted four years ago. My period stopped completely after three months. However, three months ago, I started experiencing very light, pinkish spotting each month, lasting for two to three days. This month, I had bleeding more similar to a period (dark brown). After almost three years of having no bleeding at all, I want to determine whether this is normal and if my IUD is still effective despite the return of my periods.

My OB-GYN has retired, so I have been getting my pelvic exams and Pap smears done by my general practitioner. Additionally, I have lost almost 55 pounds over the past year (from 238 to 185 pounds) due to being on Mounjaro (Tirzepatide). I have type 2 diabetes and wonder if my weight loss could also be a contributing factor.

Kindly Help.

Answer 1

Hello,

Welcome to icliniq.com.

Your experience is likely normal and does not indicate that your Kyleena IUD (intrauterine device) is ineffective. Hormonal IUDs can cause changes in menstrual patterns, and it is common to have no bleeding for years and then experience spotting or light bleeding as hormone levels fluctuate. Additionally, significant weight loss can impact estrogen levels, which might explain the return of some bleeding. Despite these changes, Kyleena remains effective for up to five years, meaning you are still protected against pregnancy.

It is important to monitor the bleeding—occasional light bleeding is normal, but if it becomes heavy or painful, you should consult a doctor. If you are concerned about your IUD’s placement, a quick ultrasound or exam can provide reassurance. Since your OB-GYN has retired, you may also want to consider finding a new specialist for future IUD-related concerns. It sounds like your body is adjusting to weight loss and hormonal shifts, but your IUD should still be working. Have you noticed any new symptoms, such as pain or unusual discharge?

I hope I have solved your query.

Thank you.