Patient's question:
I have had uterine fibroids for three years. During my gynecological examination last year, they were already 4.6 cm in size. The doctor at the hospital recommended that I use a Mirena IUD. I had it inserted on August 31, 2023, and the doctor said my menstrual cycle would be irregular within a year. Since then, my periods have been lighter than before, but they can also last for ten days. On April 3 of this year, my period started, and it ended seven days later. However, three days after my period ended, I had intercourse, and my period started again. I took medication for irregular periods, and my bleeding stopped the day before yesterday. Last night, I had intercourse again, and today I started bleeding again. How can I solve this problem?Previous Treatment and Effects:
I have been using a Mirena IUD since August 31, 2023. The doctor said my menstrual cycle would be irregular within a year. Since then, my periods have been lighter than before, but they can also last for ten days. My cycle has not returned to normal yet.
Desired Help:
How can the Mirena IUD reduce menstrual bleeding and help control the growth of uterine fibroids? Is my situation not suitable for using it?
Doctor's answer:
Suffering from uterine fibroids, if there is sexual activity, stimulation of the uterus can cause local skin breakdown. The skin breakdown after intercourse should be caused by the uterine fibroids. To this lady, I suggest you observe carefully for a period of time. If the skin breaks after intercourse in the future, you can remove the ring, which means the ring cannot prevent the skin from breaking. Regarding the growth of uterine fibroids, even if you wear a ring, it cannot prevent the tumor from growing. Take other contraceptive measures. If the uterine fibroid grows rapidly and causes continuous heavy menstrual bleeding, consider removing the tumor. Uterine fibroids are a gynecological disease that is prone to occur. During medication, women need to pay attention to their own care, especially in terms of care.