Yes, it can.
Genitourinary side effects have included leukorrhea, vaginitis, dysmenorrhea, breast pain, abnormal pap smear and **decreased libido**. Very common adverse reactions (greater than 1 in 10 users) include uterine/vaginal bleeding (including spotting, irregular bleeding, heavy bleeding, oligomenorrhea and amenorrhea) and ovarian cysts.
- Mirena Information for Consumers
- Mirena Information for Healthcare Professionals (includes dosage details)
- Side Effects of Mirena (detailed)
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