abnormal uterine bleeding
"I had the Mirena 1st inserted with great pain in 2006.  After the initial pain of the insertion it was a miracle!  After a lifetime of heavy and irregular periods I actually stopped having periods.  After 5 yrs I had it replaced.  My new Dr. did the removal and insertion of the new Mirena under general anesthesia.   For the first year all was great. Then the unexplained spotting began..I was told it was stress... then bleeding and cramping for months that finally ended with bright red blood loss during sex... scared the heck out of my boyfriend and me... again dr told me stress was to blame.  I changed Drs and was informed that hormone changes which cause the bleeding during sex.  I am having it removed.   Too much at risk the 2nd time around."