After 4 years of using the Mirena IUD at age 52, I am having some brown discharge. Should I have it removed? #104/15

Q:        I am 52 years old. I have been using my Mirena for a full 4 years. I have not had any problems so far, but I will also say I did not have normal periods of bleeding. I had a few blood discharges on wiping only. I did not have a proper period since I get the coil fitted. Now I am having brown bleeding for the last three days and I am worried. Should I go to see a doctor and would you recommend that I have the coil taken out or it would be good to
complete the 5 years?

Thank you

A:        Tell me what your pattern of bleeding is now.

Mirena IUDs have perhaps the most noncontraceptive benefits of any contraceptive at all.Your IUD is protecting you against endometrial cancer and will continue to have this good effect for the next 5 to 10 years.Do you plan to leave your IUD in place?

Robert A. Hatcher MD, MPH

Emeritus Professor of Gynecology and Obstetrics

Emory University School of Medicine

Atlanta, GA 

To learn more about the advantages and disadvantages of the Mirena IUD, go to: www.managingcontraception.com and click on Choices 2014 edition.  This contraceptive is covered extensively in the 20th edition of Contraceptive Technology.  You can order the above 3 books by clicking here: www.managingcontraception.com 

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Key Words:  Mirena IUD, problems, periods, bleeding, discharges, removed, noncontraceptive, benefits, endometrial cancer, protecting

Current Books:

Contraceptive Technology 20th Edition

Managing Contraception 2014-2015 Edition

Choices 2014