Conversation: The conversation between human and AI assistant.
[|Human|] 3 yrs ago I got the mierna iud put in and my periods have been so unperdictable. Recently Ive notice that my breast are leaking and my nipples are purple they feel a bit heavier then normal. Ive had my period at the beginning of the month for a few days then it went a way but just yesterday I started bleeding very heavey and its different bright red color. I took at test to see if I was pregnant right before my first period at the begining of the month it was negitive not sure whats going on nervous
[|AI|]  Dear jillyc4186,Levonorgestrel IUD users may experience abnormal uterine bleeding, the cause of which is usually unknown. You should first inform your doctor to exclude displacement or any intracavitary pathology. If the device is not displaced, no intracavitary pathology and the pregnancy test is negative, I reassure you that this bleeding is temporary and that you can easily treat it by one of the following:- metonymic acid 500 mg TID for 5 days and resume with the beginning of menses. - ibuprofen 600 mg once daily throughout menses. - tranexamic acid 1 gm did for 5 days and resume with menses. Regarding you breast trouble I advise you to measure your (serum prolactin) and if you have high levels it will be treated accordingly. I hope these few words were useful to you and I wish you the best of luck.