Weird! I basically never get my period on the Mirena- suuuper light spotting maybe every few months, if anything at all. I’ve never had this experience, but I have had some subtle cramps on longer fasts (24+) that I’ve wondered about. Not sure if it’s related or if I’m just more aware of what’s happening in my stomach/uterus region when I’m fasting.
I’ve had the Mirena since before dabbling with keto (not currently following) and later IF and shorter term fasts. IF doesn’t seem to do anything noticeable, but I’ve noticed that fasts longer than a two days seem to guarantee a decent chance of spotting… which tends to undo the work as I justify binge-y cravings after ending the fast as “that time”. Ah well!