Patient's question:
Please ask: I have been taking Mirena for birth control for a year. I stopped taking it on October 29th, and my period came three days later, lasting until November 7th. It has been until December 1st now, and my period has not come yet. What could be the reason? Do I need treatment?Doctor's answer:
Long-term use of birth control pills may potentially cause irregular menstruation or amenorrhea. You can undergo an ultrasound examination to determine when your period will come based on the thickness of the endometrium. If it remains irregular, you should have an endocrine hormone panel test and an ultrasound examination to assess ovarian function and then receive targeted treatment. The menstruation that occurs after taking Marvelon is artificial menstruation. There are two possible methods for subsequent use. One is to stop immediately after taking the medication, wait for menstruation to occur, and then continue taking the next cycle of medication according to standard methods. The other is to complete the next cycle of medication before stopping, wait for menstruation to occur, and then resume normal medication.