Taking the birth control pill Mirena long-term this month, my stomach is bloated and there is black discharge.

Patient's question:

No

Doctor's answer:

On the first day of your natural menstrual cycle, take the first pill. From that day forward, you will have effective contraception. It is recommended that you first try taking it for 1 to 3 cycles. If you are satisfied with the results, you can continue taking it. Long-term use of birth control pills can lead to endocrine disorders, and in severe cases, it may cause menstrual irregularities and infertility.