Family, Internal Medicine, General Medical Questions/Body changes


I am a healthy 33 year old woman who no medical history except a few kidney stones. I go to the dr regularly and I have an apt with my gyno in 2 months. I feel like something is happening with my body. I use Mirena as my form of birth control so I usually don't have periods, however, about 5 weeks ago I had one of the heaviest periods I have ever had. I am noticing other changes as well. I have been moodier than usual and there are changes in my sex life as well. One day I will feel like I can't get enough sex and then I may go 2 weeks without being in the mood at all. I am wondering if there might be something wrong and if I could try to move the apt with my gyno up? This has been going on for a couple of months now and it's starting to worry me.

Dear Crystal,

I recommend you call your OBGYN for an appointment to assess for proper placement of the Mirena IUD. I do not know how much blood was involved with your last menstrual period. The Mirena IUD is designed to change the chemistry of the uterus to prevent a large menstrual loss. If it has migrated out of place, it can cause menses to return. Your sex drive, I believe, is unrelated. It is a combination of hormones, internal and external factors, all if which work in conjunction to allow for a higher or lower sex drive.  

Family, Internal Medicine, General Medical Questions

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Dr. Pamela M. Cipriano, DNP, APRN


My name is Dr. Cipriano. I have a private practice specializing in adult health and wellness. I can answer questions associated with thyroid disease, cardiac disease, pulmonary disease, high blood pressure, muscular aches and pains, cholesterol levels, male/female sexual questions or questions on the sexual organs, gastrointestinal problems, healthy ways to lose weight and maintain a healthy lifestyle, and nearly anything else that pertains to medicine.


I am on the Medical Staff at a local hospital where I work as a medical/surgical hospitalist as well as in the emergency department. I am certified in critical care and advanced cardiac life support. Prior to becoming a Nurse Practitioner, I was a certified critical care nurse (CCRN).

Society of Hospital Medicine American Association of Critical Care Nurses American Association of Nurse Practitioners Connecticut Advance Nurse Practitioner Society

Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Critical Care Certified 2014 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

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Named as a World Wide Leader in Healthcare and was included in the 2013-2014 edition by the International Nurses Association.

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