I've used Mirena for two years with no problems. When it was fitted I had on and off bleeding for six months, but then for the last 18 months I've had no bleeding at all - nothing, not even spotting. Now, for the last couple of months I've had two or three incidences of spotting that lasted a couple of days - not a proper bleed, more a brownish discharge similar to the last day of a normal period. Should I be concerned? Is it normal for bleeding to start up again like this after so long?