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Bleeding after Mirena removal 
19th-Jan-2011 10:25 am [birth control, ttc]
Rory with Penguins
I had my Mirena IUD inserted 11/2008 and removed a couple of days ago (going to try for #2!). Obviously bleeding afterward is normal, but I'm not sure what "kind" of bleeding it is. I've tried Googling this and seem to find mixed answers.

Most people seem to get a "period" right after having Mirena removed - I've been reading that this is just a withdrawal bleed. Is a withdrawal bleed actually considered a period? I really have no idea where I'm at in my cycle as my periods pretty much went away completely with the Mirena.

I'm just trying to figure this out - if it is a withdrawal bleed, is it considered like a period? After this bleeding am I going to ovulate (assuming my fertility returns immediately) and then have another period? Or is this simply bleeding just from the removal, and in two weeks or three weeks or whenever my natural cycle will kick in and THEN I will get my period and THEN ovulate and things will continue as usual?

Hope this makes sense. If it doesn't, let me know, I'll try to clarify. Lol
Comments 
19th-Jan-2011 05:28 pm (UTC)
It's a withdrawal bleed, so consider the next several weeks your first cycle. You may ovulate right away (and then have a "true" period a couple weeks later) or it may take a while for your body to go "Oh right, ovulating! Let's try that!"
19th-Jan-2011 05:35 pm (UTC)
Ohh okay. Thank you! I don't know why I was having such a hard time wrapping my brain around that. Haha. The doctor did say that I haven't been ovulating (because my ovaries were small)...Any idea if the fact that I haven't been ovulating will have an influence on whether I DO ovulate sooner rather than later?
19th-Jan-2011 05:43 pm (UTC)
It's a "withdrawal bleed" because the hormones in the Mirena are no longer present in your body, so you're going through withdrawal. Make sense?

There's really no way to predict how a person's body will react to the hormones, or subsequent lack of hormones. You can look into FAM to pinpoint ovulation when it does occur, and consider the bleeding you're having now the beginning of a cycle.
19th-Jan-2011 05:46 pm (UTC)
LOL I knew the "withdrawal" part, I was just kind of like, "What will happen from here?" I'll check FAM out to see what I can find. Thanks again. :)
19th-Jan-2011 08:36 pm (UTC)
are you saying that your doctor said that your ovaries atrophied while on the Mirena?
19th-Jan-2011 08:54 pm (UTC)
She casually told me I hadn't been ovulating, I asked her how she could tell and she said it was because my ovaries felt small. I assume they'll get "bigger" again when I start ovulating? She didn't seem concerned.
19th-Jan-2011 05:34 pm (UTC)
Withdrawal bleeding or not, my OB considers the 'period' I got 3 days after having my mirena removed to be my LMP. It was a long sucker too. Good luck!
19th-Jan-2011 05:36 pm (UTC)
Thanks! :)
19th-Jan-2011 06:58 pm (UTC)
I got pregnant right after I stopped my "withdrawl" bleed from Mirena, and my OB considers it my "last period". It's totally possible to ovulate right away, but some people need another cycle , depends on when it is removed I think.
19th-Jan-2011 07:05 pm (UTC)
Thank you. :)
19th-Jan-2011 07:04 pm (UTC)
I had mine removed while my husband was on the road for work, cause I had no idea if I'd get a period or bleed right off or the hormonal shift would turn me into a shrew or anything, so I wanted to get it done while he was out. Oddly, it took a few weeks for any bleeding to show, just in time for him to come home. =P

I was prepared to start bleeding right off, but it was like a few weeks. Regular as a clock since then.

I heard to give it a few cycles before trying, but I think that was more for the disappointment of a negative due to not having a set cycle for a while than any other reason, but I could be wrong.
19th-Jan-2011 07:08 pm (UTC)
After reading up on it, I'm seeing everywhere that you should wait a couple of months to let the uterine lining build up or something. My doctor didn't mention anything about that, just said it usually takes people six months after the removal to conceive but that it is possible to happen within the first month. I figure I'll just go with what my body does and if things are "built up" enough to allow for a viable pregnancy, more power to it. Thank you!
19th-Jan-2011 08:14 pm (UTC)
That was probably what it was. Since you don't really build up with an IUD like that, it makes sense. I took mine out in Oct 08, so it's been a while. LOL =P
19th-Jan-2011 09:45 pm (UTC)
I had my mirena removed on the 7th and have had a little spotting (not even much of that to be honest) and I am waiting for my first period. Since I didn't have any bleeding directly following the removal, I am going to assume that when I do start bleeding it will be a period and we'll start trying after that point. (My midwife recommended waiting until after my first period to start trying to let my uterus work on building up a good lining since I haven't gotten a period in over 3 years.)

Anyway, my vote is that your bleeding directly following the removal is not a true period.
20th-Jan-2011 01:11 am (UTC)
I had my Mirena removed in July of 2010. Three days later, I started my period big time. I may or may not have ovulated since then, since my bbt charts aren't super clear. I have an appt for an ultrasound to check my ovaries next Friday and blood work on CD 21 of this cycle and CD 3 of the next cycle. I will have to ask about the small ovaries part! I hope our ovaries aren't subject to atrophy or anything.
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