Important Safety Information

If you have a pelvic or genital infection, get infections easily, or have certain cancers, don't use Mirena. Less than 1% of users get a serious pelvic infection called pelvic inflammatory disease (PID)... Continue below

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Treatment for Heavy Periods

How do I know if I have heavy periods?

Heavy periods, also known as heavy menstrual bleeding or HMB, are defined as excessive menstrual blood loss during a single cycle (> 80 mL or about 6 tablespoons). You may have HMB if you: 


  • have a menstrual flow that soaks through one or more pads or tampons every hour for several hours in a row
  • need to double up on pads to control your menstrual flow
  • need to change pads or tampons during the night
  • have menstrual periods lasting more than 7 days
  • have a menstrual flow with blood clots the size of a quarter or larger


If you have any of these symptoms, talk to your healthcare provider. 



Mirena is the first and only hormone-releasing IUD that is FDA-approved to treat heavy periods for up to 5 years, in women who choose an IUD for birth control.  


How does Mirena work to help reduce HMB?

Typically, this is how your period works: 


  • every month, the lining of the uterus thickens during the first half of your menstrual cycle to prepare for ovulation
  • if ovulation takes place and the egg is not fertilized, the thickened uterine lining is shed as menstrual flow
  • on average, a woman's menstrual flow lasts 3 to 5 days. It may be shorter or longer, depending on the woman


However, if you have HMB, Mirena can cause your menstrual bleeding to be less by thinning the lining of the uterus. In a clinical trial performed in women with heavy menstrual bleeding and treated with Mirena, almost 9 out of 10 were treated successfully ― with their blood loss reduced by more than half after 6 months. 

In a clinical trial, 9 out of 10 women were treated successfully for HMB after 6 months

With Mirena, your heavy periods may change

In a clinical trial of Mirena in women with HMB, Mirena rapidly reduced heavy periods. The majority experienced:


In a clinical trial of Mirena in women with HMB, Mirena rapidly reduced heavy periods. The majority experienced 80% reduction in bleeding after 3 months and greater than 90% reduction in bleeding after 6 months

Mirena may also affect heavy periods in other ways

In some women with heavy bleeding, the total blood loss per cycle progressively decreases with continued use. The number of spotting and bleeding days may initially increase but then typically decrease in the months that follow. Bleeding may also continue to be irregular.


You may have bleeding and spotting between menstrual periods, especially during the first 3 to 6 months. Sometimes the bleeding is heavier than usual at first. However, the bleeding usually becomes lighter than usual and may be irregular. Call your healthcare provider if the bleeding remains heavier than usual or increases after it has been light for a while.


About 2 out of 10 women stop having periods after 1 year of Mirena use. If you have any concerns that you may be pregnant while using Mirena, do a urine pregnancy test and call your healthcare provider. If you do not have a period for 6 weeks during Mirena use, call your healthcare provider. When Mirena is removed, your menstrual periods should return.


Because Mirena is placed in the uterus, not the vagina, you can still use tampons or menstrual cups while using Mirena. 


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