<s>[INST] I have had the Mirena for about 8 months. I have had light periods every month. About two weeks ago I started having dark brown discharge and it still hasn t stopped. I have a history of ectopic pregnancy. Could it be possible that this is another ectopic? [/INST] Hello, I have gone through your query and understood the concern. It is possible to have abnormal menstrual pattern with the IRENA IUD as with the other hormone contraceptives. Yet, since you have had almost regular menstrual pattern all these months which implies hormone balance, this discharge should be considered abnormal. Chances of ectopic pregnancy are raised with intrauterine devices and in view of your history, I would ask you to go for a proper clinical appraisal immediately. A sonogram of the pelvis should be done to detect any ectopic pregnancy. If negative, you can be treated for hormone imbalance after excluding local causes like infection, polyps and erosion. Hope this helps. </s>