Our expert says:
The Mirena is usually the first choice for abnormal vaginal bleeding in a pre-menopausal woman. A womb ablation and sterilization is an option but it is much more invasive and one should try to always start with more conservative treatment. I think however, the doctor should have rather put the Mirena in under anaesthetic, as it is painful to put in through a tight cervix. You should let the doctor know about the bleeding and cramping as he may need to check that the placement is correct (with a sonar). If it isn't, insist on anaesthetic for removal or replacement. Most women do have a drastic reduced bleeding after 3 months with a Mirena. If you still bleed consistenly, and you need to remove the Mirena, I still think it was the right thing to try first. Ablation is not without risks and there is a chance that the operation is not succesfull.
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal
advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.