I've had the Mirena IUD for about six years now. With my first one I didn't have periods hardly ever, and certainly not the last couple of years of having it. However, since it expires after five years I had it replaced in August of 2020. Up until recently about once a month, around the first of the month, I'd get one day of cramping and spotting, and then it would go away. This is pretty much like what "periods" were like for me on my first Mirena IUD.

However, even though I already had a "period" at the first of February, on the 20th I started bleeding again, and more than before. Then followed a very strange pattern, in which I would cramp/bleed for a day, have no issue for another day or two, and then go back to cramping/bleeding. This has been ongoing for a week and a half now and I am feeling quite frustrated. I haven't had this experience. I also feel like it shouldn't be happening because I am transitioning and taking testosterone for HRT, so my periods should ideally be stopping.

I don't currently have a gyno or PCP. Any ideas what I should do? I thought about talking to the doctor who prescribes my hormones but that's not really their area of expertise.