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Ask Dr. Norm S. Your Own Question

Dr. Norm S.
Dr. Norm S., Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 11059
Experience:  Over 30 years of experience in OB/GYN practice, including teaching students. Fellow of American Board of Obstetrics and Gynecology.
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I had post menopausal bleeding in Jan, thickened lining of

Customer Question

i had post menopausal bleeding in Jan, thickened lining of womb, polyps removed-biopsy clear-and ablation of lining. had Mirena coil fitted in February when had surgery and aged 58.
since the coil fitted other than bleeding a week or so afterwards, nothing until yesterday, feel as though kicked in stomach, light, not fresh blood, but very small stringy smears of blood. Is this normal or should the coil have prevented bleeding by now?
thanks
Ruth
Submitted: 11 days ago.
Category: OB GYN
Expert:  Dr. Norm S. replied 11 days ago.

Did you have a hysteroscopy when the polyps were removed?

Do you take any medications?

Are you having pain now? Thank you.

Customer: replied 11 days ago.
hi, no hysterectomy needed, have taken nurofen,bleeing stopped now but feel dreadful with sore lower half as though kicked
Customer: replied 11 days ago.
please email, is bleeding expected after 9 months from having the coil fitted
Expert:  Dr. Norm S. replied 11 days ago.

A hysteroscopy is not a hysterectomy. It is rather the use of a scope to look inside the uterus, and polyps can be removed using the hysteroscope.

The bleeding is not usual, but may not be anything to worry about. I can answer better once I know whether you had a hysteroscopy.

Customer: replied 11 days ago.
sorry didnt read properly, was hysteroscopy
Expert:  Dr. Norm S. replied 11 days ago.

As long as you had a hysteroscopy, I don't think that the bleeding is anything to worry about. The Merina tends to prevent bleeding, but having some bleeding with the Mirena in place can occur. Cancer has been ruled out.

I'd be more concerned about the lower abdominal pain. It seems to be related to the bleeding, but the Merina shouldn't be causing pain, plus you are highly unlikely to be having pain from something like an ovarian cyst, which is common in younger women.

Perhaps the pain is related to your intestines, bladder, or something else. But it's not normal. If it continues, I would suggest seeing your doctor to figure it out. An ultrasound may help to know what is going on in your lower abdomen. And further questions and history can help to know whether it might be bowel or bladder related.

If the pain should disappear, I wouldn't be worried about the bleeding. I think that will take care of itself. Best wishes.

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