Mirena inserted two months ago. But bleeding not stop for a single day. Medicines used 1. Trapic 650 thrice for more than 20 days 2. Regestrone 5 thrice daily for three month 3. Septran thrice daily for 7 days 4. Depoprovera injection one for three month 5. Aquaviron injection one 15 days ago need advice.
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You are over treated. After insertion of mirena ,it takes 2 weeks to get a control of heavy bleeding. Usually a supportive therapy with trapic mf will control the symptoms. Stop all medication and wait with mirena only for a week more. If blleeding still persists, remove mirena and do a d&c.if histopathology shows no evidence of maligant cells, put on high tapering dose of progesteron for 21 dys. You will get a control of the excessive bleeding.
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It usually happens with mirena during initial 6 mth but usually menses stops at all after 6 months which resumes again when mirena is removed. So have patience or get it removed if it's very much troublesome.
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Needs examination and usg.
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