Asked for Female | 40 Years

Is it Safe to Insert a Mirena Coil without Removing the Previous One?

Patient's Query

The situation is that the patient came to the doctor to change the Mirena spiral. The IUD Mirena was recommended by the attending gynecologist after surgery to remove an ovarian cyst and polyp. Diagnosis: adenomyosis (before surgery, the patient complained of heavy, non-painful menstrual bleeding). The first spiral lasted 5 years without problems. The gynecologist introduced a new IUD without first removing the old one. In connection with this situation, I have some questions. I would be grateful for your professional opinion. 1. Is it possible to correctly install the Mirena coil into the uterine cavity if the previous coil was not removed? 2. What side effects can be caused by the simultaneous presence of hormonal IUDs (two sterile foreign bodies) in the uterus. Could this cause health problems and harm to the patient? 3. How can one explain the symptoms that arose after the installation of the second Mirena, such as pain in the lower abdomen, lower back and excessive menstrual bleeding?

Gynaecology

Answered by Dr. Mohit Saraogi

I would recommend that the new coil should not be inserted until the old one removed. This can result in problems such as perforation or infection. The presence of two hormonal IUDs in the uterus may cause hormonal imbalance and the risks of side effects. To treat the symptoms of lower abdominal pain, lower back pain, and heavy menstrual bleeding, consultation with a gynecologist who is an adenomyosis specialist is recommended.

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Dr. Mohit Saraogi

Gynecologist/Obstetrician

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Questions & Answers on "Gynaecology" (4915)

My spouse period started from 20th of October 2024 last month, this month November 20th she has not got period, due to this, we have met doctor for pregnancy test, in that HCG test it is 167.67.

Female | 29

If a woman has irregular periods and her expected period on November 20th hasn’t started yet, along with an HCG test result of 167.67, it could indicate pregnancy. Early signs of pregnancy often include nausea, vomiting, and fatigue. There’s no need to worry, as this is a common experience. Visiting a gynecologist regularly is important for proper care and support throughout the pregnancy.

Answered on 22nd Nov '24

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Hello , I am pregnant of 7 months and I am feeling pain from 1 week and I have also taken medicine but it is not reducing.

Female | 29

kindly visit your gynecologist on urgent basis,ul need to get yourself examined,rule out preterm labour pains

Answered on 23rd May '24

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My question is ke mujhe mere period pta krne h

Female | 22

PERIODS usually come every 21- 35 days.. Stress affects it. PAINFUL periods are common. Heavy bleeding may be abnormal.. Irregular periods are NORMAL during puberty . HORMONAL BIRTH CONTROL helps regulate periods . Consult a doctor if concerned.

Answered on 23rd May '24

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Will I get cancer later in life if I will never get pregnant and breastfeed?

Female | 30

Breastfeeding itself does not directly cause cancer. It has a protective effect against breast cancer. Cancer can develop in both people with and without children. It is of utmost importance to have regular check-ups and to practice good nutrition, exercise, and avoid smoking as preventive measures to lower the risk of getting sick. If you have any peculiar and unusual changes in your body like lumps or changes in moles, you should go to an oncologist.

Answered on 20th Sept '24

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Hi. I had 8 months back resulted in ectopic pregnancy. My periods was normal after that. However, since January my cycle is not right. I usually had 28-30 days of cycle. In January I got periods on 35th day. Feb was 30th day and now I am due on 5th March. Didn't got my period yet. One strange thing is also happening that when I wipe after poop I see a lil blood spot. This only happens around my period since 2-3 times. Currently I am having leg pain since 5 days. Feeling nauseous also. The reason for ivf was low amh. Got only 4 eggs in ivf process. Please help what should I do next

Female | 29

Your gynecologist should be consulted on this, as you experience irregularities in your menstrual cycles after ectopic pregnancy. It might be post-wiping blood because of hormonal changes or as a result of infection. Leg pain and nausea could be caused by almost anything, therefore a thorough investigation must be done. It is vital for you to not neglect seeing your doctor without delay.

Answered on 23rd May '24

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My periods skip sometimes , and I am Suffering from pcod ?

Female | 17

Women often experience irregular cycles with PCOD. This condition occurs when hormonal imbalances disrupt ovulation. Consequences include missed periods or delayed menstruation, acne flare-ups, weight fluctuations, and excess hair growth. Adopting a nutritious diet and maintaining an active lifestyle can mitigate symptoms. In certain cases, prescribed medication may help restore hormonal balance. Consulting a gynecologist and practicing self-care are crucial for managing PCOD effectively.

Answered on 4th Sept '24

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Hello , im a 19 year old girl , with Polycystic ovary syndrome, i didnt have the period since 4 months, 6 days ago i had unprotected sex and 24 hours later (5days ago) i took Navela levonorgestrel 1.5mg, after taking it by a day (4days ago) i had unprotected sex again and i took a second dose after the second sex (3 days ago) , and i had side effects like bloating , i want to vomit, mood swings and my utteres or lower stomach is a bit over size today i had unprotected sex again and therr was precum present , i already took two doses within this week and i dont know what i should do i am worried that is there a possibility that ill get pregnant? Given all the details and i have pcos and no period since 4 months ? What’s the probability of pregnancy What are all the solutions do i have to avoid pregnancy with all matters ? Because im worried taking levonorgestrel 3rd time will be dangerous and will it help anyways ? Can you please help me Thank you

Female | 19

Your history of polycystic ovary syndrome and irregular periods might manage to create some doubts as to your chances of getting pregnant, however, if you have unprotected sex, the chances of getting pregnant are still possible. It's fantastic that you grabbed the morning-after pill, but the fact that you use it multiple times so close together can lead to side effects and maybe it won't be as effective. The ideal way to steer clear of pregnancy is through the use of regular birth control methods such as pills or condoms. Discussing with a gynecologist is essential for finding the best solution to your situation.

Answered on 26th Aug '24

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My menstrual cycle is irregular and very long. Its vary every month from 35-45days. I had sex using a condom 13 days after the first day of my last period. The condom didn't broke or tear. After 6 days i am feeling breast soreness and mild pelvic pain. Am i pregnant?

Female | 20

The first sign of pregnancy is missing periods so u have to wait till you don’t get periods on your expected date , let 7 days pass by from the expected date , u can then do urine pregnancy test to confirm the pregnancy. These are the earliest sign of pregnancy . You can also visit dermatologist near you for quick result

Answered on 23rd May '24

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In my previous periods date is April 25th .I have doing unprotected sex in May 19th .some issue? Any chance for pregnancy?

Female | 25

I understand that you are concerned that you could be pregnant after unprotected sex on May 19 following your period on April 25. Let me tell you this: yes, you can get pregnant as the sperm can stay alive in a woman’s body for several days. Take a pregnancy test if you miss your period, have nausea, or feel tenderness in your breasts.

Answered on 29th May '24

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vagina is exfoliating,itchy,occuring discoloration (white),some of the pubic hair became white

Female | 21

It appears that you are suffering from a vaginal infection or inflammation. I highly suggest booking an appointment with a gynecologist to have you diagnosed and treated properly as soon as possible.

Answered on 23rd May '24

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hi,my mom, who is 55, experienced menopause a decade ago. However, she has recently noticed some unexpected bleeding. I thought menopause meant no more periods. Why is she bleeding after 10 years of menopause? Should we be concerned, and what should we do about it?

Female | 55

An abnormal vaginal bleed after menopause could indicate the presence of uterine cancer or endometrial hyperplasia and hormonal imbalance. I recommend that your mother consult a gynecologist immediately. A gynecological oncologist is a specialist who can diagnose her in more detail and prescribe treatment if necessary.

Answered on 23rd May '24

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Pregnancy related problem

Female | 30

It’s completely normal to experience various changes during pregnancy, including nausea, fatigue, or mood swings. These symptoms arise due to hormonal fluctuations and physical adjustments your body is making. Staying hydrated, eating small, nutritious meals, and practicing relaxation techniques can provide relief. It’s essential to prioritize self-care and ensure you have adequate support. If symptoms become concerning or persist, I recommend consulting a gynecologist who can offer tailored advice and support.

Answered on 8th Mar '25

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i have done with tubectomy but my period missed and i have pregnancy symptoms and i have a pregnancy test but it was negative but still i have symptoms

Female | 23

If you're experiencing symptoms like missed periods and pregnancy-like feelings, despite a negative test, don't worry. Stress and hormonal shifts can sometimes mimic those sensations. Still, it's wise to consult your gynecologist about any concerns. They'll examine you thoroughly to ensure all is well.

Answered on 6th Aug '24

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It is possible to using protection and got periods after 2 week later and still pregnant because missed 2nd month period

Female | 20

This could be hormonal imbalance or pregnancy, among other reasons for missed periods. A gynecologist will accurately diagnose the cause, and give you necessary treatment.

Answered on 23rd May '24

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I Am smruti . My age 19 I'm worrying about my pregnancy because on pregnancy kit c line dark nd t line is not dark

Female | 19

Sometimes the lines on the kit may not look as dark as you expect, but that doesn't always mean there's a problem. The reason could be due to testing very early or following the instructions. If you're uncertain, wait a few days and retest. Remember, it's always best to confirm any concerns with a gynecologist.

Answered on 25th Sept '24

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I am suffer from unwanted pregnency. My period date was 18th and I tested on 24 and it was positive. On 25th I consume khushi MT kit 1st dose in morning 7.15 am.and after take that pill i have stomach pain.but nothing gets blood flow. On 27th I consume 2nd dose misoprosotol in morning 7.15 am and i have minor blood flow after 10.15 am.but after 1 or 2 pm the blood flow was stopped. I complete my 3rd dose at same day evening 7.15 pm. But blood flow was very minor. What dhould I do next??

Female | 23

Abdominal pain and light bleeding are a common side effect of the medicine you took. At times, the bleeding may differ from person to person, so if it is not heavy that is fine. Just rest and keep yourself hydrated. If the bleeding stops entirely or you feel severe pain then seek medical help.

Answered on 28th May '24

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I am having vaginal itching with unusual discharge since last month.

Female | 22

It seems that you have vaginal itching as well as an unusual discharge which can be brought about by several different things. This could mean there is a yeast infection where too much yeast is present in your body. Bacterial infections are other common causes or even sexually transmitted diseases (STIs). You should go for a checkup with a gynecologist who will give the right diagnosis and prescribe proper treatment methods for you.

Answered on 6th June '24

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After 3 months Periods, Heavy bleeding

Female | 22

A lot of flow after three months can be alarming. It may indicate that you are losing a significant amount of blood. This might cause you to feel weak, tired, and short of breath. The usual reasons are hormonal imbalances or problems with your uterus. You must talk to a gynecologist. They can help you identify the cause of the heavy bleeding and recommend the most suitable treatment for you.

Answered on 20th Aug '24

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2 month hogya h.abhi tk piriods nhi aaya or 5 dys se continue white discharge ho rha h

Female | 24

missed periods and abnormal discharge may indicate different medical conditions. It is advisable to see a gynecologist for correct diagnosis and treatment. Only a specialist, after thoroughly examining you can offer the appropriate medical advice.

Answered on 26th June '24

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Can i prepone my periods due to my exams

Female | 16

It is not recommended that you delay your periods as it can be harmful to your health. Attempts to control your menstrual cycle can result in hormonal disbalance and hence irregular periods. Talk to your gynecologist

Answered on 23rd May '24

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Is it Safe to Insert a Mirena Coil without Removing the Previous One?

Questions & Answers on "Gynaecology" (4915)

My spouse period started from 20th of October 2024 last month, this month November 20th she has not got period, due to this, we have met doctor for pregnancy test, in that HCG test it is 167.67.

Hello , I am pregnant of 7 months and I am feeling pain from 1 week and I have also taken medicine but it is not reducing.

My question is ke mujhe mere period pta krne h

Will I get cancer later in life if I will never get pregnant and breastfeed?

My periods skip sometimes , and I am Suffering from pcod ?

My menstrual cycle is irregular and very long. Its vary every month from 35-45days. I had sex using a condom 13 days after the first day of my last period. The condom didn't broke or tear. After 6 days i am feeling breast soreness and mild pelvic pain. Am i pregnant?

In my previous periods date is April 25th .I have doing unprotected sex in May 19th .some issue? Any chance for pregnancy?

vagina is exfoliating,itchy,occuring discoloration (white),some of the pubic hair became white

hi,my mom, who is 55, experienced menopause a decade ago. However, she has recently noticed some unexpected bleeding. I thought menopause meant no more periods. Why is she bleeding after 10 years of menopause? Should we be concerned, and what should we do about it?

Pregnancy related problem

i have done with tubectomy but my period missed and i have pregnancy symptoms and i have a pregnancy test but it was negative but still i have symptoms

It is possible to using protection and got periods after 2 week later and still pregnant because missed 2nd month period

I Am smruti . My age 19 I'm worrying about my pregnancy because on pregnancy kit c line dark nd t line is not dark

I am having vaginal itching with unusual discharge since last month.

After 3 months Periods, Heavy bleeding

2 month hogya h.abhi tk piriods nhi aaya or 5 dys se continue white discharge ho rha h

Can i prepone my periods due to my exams

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