Conversation: The conversation between human and AI assistant.
[|Human|] Ive had my Mirena for 4 months now.  I bled heavily for a month after insertion but havent had a period since.  My partner avoided ejaculating inside of me during sex until a few weeks ago.  He has done this twice in the past 2 weeks, and each time, a few days later I have light spotting/bloody discharge.  WHAT IS GOING ON??  Should I get the Mirena removed??  Also, my strings move A LOT.  Not so much that they come out, but enough that I have to reposition them at least a few times a week so we can have sex comfortably.
[|AI|]  Hi, Thanks for the query. Intrauterine contraceptive device can present side effects like irregular menstrual cycles, pain abdomen etc. Sometimes these problems may settle down after few months. Sometimes these may prolong. For more details : http://www.indiastudychannel.com/resources/144770-Barrier-contraceptives-intra-uterine.aspxAs you are having problem continuously, better to consult gynecologist once. By taking additional dose of hormones bleeding can be controlled. Possibly after that your next cycles may get regularize. You can ask your doctor to trim the length of the threads of IUD to decrease discomfort during intercourse. If the symptoms still persists you may need to change the contraceptive method. Take care.