Does Mirena insertion cause back pain with bleeding slow down?
Patient: I just had Mirena put in last week. The day it was put in I was still bleeding heavily from my period. By the time I got home I was not bleeding at all. I have had constant lower back pain and now have stringy blood and small blood particles in my urine. I have no blood flow on a pad. Is this normal? And will the back pain stop? Doctor: Hallow Dear, Getting Mirena inserted during phase of bleeding is not a very good idea. You should have got bleeding controlled by progesterone or waited for stoppage of bleeding before getting it inserted. Mirena in an intrauterine device which contains Progesterone. Slow release of this progesterone does bring down the uterine bleeding. However, because of intrauterine intervention while inserting it during the phase of bleeding, there are chances of infection. Now your stingy bloody discharge along with low back ache is highly suggestive of infection.  Please report to the Gynaecologist. You will require a course of antibiotics and may be you might have to get the device removed for infection. I hope this helps you. Dr. Nishikant Shrotri