Conversation: The conversation between human and AI assistant.
[|Human|] A little on my history, I am a 29 year old female. I have a son going on 5 in November. I have had about 4 miscarriages before he was conceived. My question is, in the past I knew when I was miscarrying. But it has been some time since Ive had any misccariages since then. Once my son was born within two months I had Mirena as my chosen birth control. Back to my  question, I started my period yesterday, and I just went to washroom and noticed a large flat piece of tissue. Flesh colored with no blood. I am very concerned I am having a miscarriage despite my birth control. I havent seen anything like that and it was very thick. What do you think?
[|AI|]  Hi, You are a 29-year-old female, have a son of 5 years, had 4 miscarriages before him, It appears to be the IRENA has fallen, if it is a miscarriage you can have a positive HPT, up to few days after the miscarriage.  And the marina has a life span of 3 years and after that it is to be changed, otherwise its efficacy is lost.  Consult your doctor to confirm its presence, and if it is still there get it changed. Thank you.