Conversation: The conversation between human and AI assistant.
[|Human|] I have had the Mirena for nearly 4 years now. I do not have periods. However, if I am very stressed out, I get horrible cramps and spot for a day or two. My concern, more, is that I have a clear, mucus , sticky discharge from my vagina . Comes out all times of day and night (I ve began to wear pantiliners because of this) and more recently, when I am using the toilet, quite a lot comes out. I ve read that mostly, this would occur during ovulation . But I am concerned/curious as to what is causing this and if I should be worried. There is no pain or itching, aside from occassional cramps that I have considered normal since I had the Mirena placed.
[|AI|]  Hi, It is common for some amount of white discharge to be seen throughout a menstrual cycle and the consistency and the amount varies depending on the hormone status. The presence of an IUD is perhaps leading to the excessive discharge owing to some irritation. Yet, since the discharge is seen increasing of late, I would ask you to get a clinical evaluation by a specialist to exclude vaginitis, erosion and/or polyps and if deemed necessary, replace the IUD. A trans-vaginal sonogram is also needed to see the condition of the pelvic organs; pelvic inflammation also should be excluded. Hope this helps.