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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Contraction Like Pains, Pain While Urination After Having Mirena Insertion. Frequent UTIs. What To Do?

I have had the mirena for 3 years now. Recently I have been having pains that feel just like contractions and a sharp pain every time I urinate. I also can not feel my strings anymore. I have had about 3 or 4 UTI's since the mirena has been in so I know what one of those feel like and these pains are not similar to that feeling at all. My doctor can't get me in for 2 weeks , but I am in too much pain to wait til then. What should I do ?
Mon, 10 Jun 2013
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General & Family Physician,  's  Response
Hi.
Thanks for asking in Healthcare Magic.

You are unable to feel your strings of Mirena because it has moved from its position and it could have got embedded in uterine tissue. Sometimes it can spontaneously move out from uterus and can get embedded in abdomen.

Absence of strings accompanied by unbearable pain could be due to perforation in which case it is an emergency. But risk of perforation is usually high when it is inserted soon after delivery, ie., during peurperium.

You should consult your gynecologist immediately and an abdominal X-Ray or ultrasound uterus will reveal the status of mirena. If it has moved away then it needs to be removed immediately and you should opt for some other contraceptive method (not another IUD) for few more months.

I hope this is useful to you.
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Contraction Like Pains, Pain While Urination After Having Mirena Insertion. Frequent UTIs. What To Do?

Hi. Thanks for asking in Healthcare Magic. You are unable to feel your strings of Mirena because it has moved from its position and it could have got embedded in uterine tissue. Sometimes it can spontaneously move out from uterus and can get embedded in abdomen. Absence of strings accompanied by unbearable pain could be due to perforation in which case it is an emergency. But risk of perforation is usually high when it is inserted soon after delivery, ie., during peurperium. You should consult your gynecologist immediately and an abdominal X-Ray or ultrasound uterus will reveal the status of mirena. If it has moved away then it needs to be removed immediately and you should opt for some other contraceptive method (not another IUD) for few more months. I hope this is useful to you.