Conversation: The conversation between human and AI assistant.
[|Human|] Hi I want some advice in relation to contraceptives.  Ive got a Mirena coil fitted which Ive had for 3 years now.  I experience severe ovulation pains, up to 3 days at a time which keep me awake at night and are not relieved by Ibuprofen.  Prior to the coil I took the pill for a number of years and then had 2 children.  I am just wondering if the Mirena can exacerbate ovulation pain?  I have never had pain like this before, even when using no contraception.I also experience bad period pains, but very little actual blood loss.  The ovulation pains appear to start about 3 days after the period pains finish.  I have had an ultrasound scan 6 months ago to check nothing else is causing the pain and everything appeared normal.I am considering getting the Mirena removed as cannot continue with such levels of pain.  Is there an association between the Mirena and ovulation pain?
[|AI|]  Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. Forum.  You got marina coil fitted three years back. Now you are getting ovulation pains, three days after the period. You also had period pains, but little blood, U.S.scanning show nothing. You are thinking to get the marina removed.  Your decision is correct, marina and other I.U.C.D.s should be changed after three years. Otherwise there will be infection, and the potency also will be decreased.  The infection will cause the pain and other symptoms.  I advise you to consult a cynic, and get the marina removed.  Wishing a quick and complete recovery.  Best regards.