Conversation: The conversation between human and AI assistant.
[|Human|] I had my Mirena removed 25 days ago, my doctor told me that I will have some spotting (which I did for 4 days) and then I should return to my normal cycle on time. Well if that is true then I am 8 days late. I have been TTC so I am being hopeful, but I took a test 4 days ago and it was Negative. I am soooo sleepy all the time, and have been having horrible headaches . Now my neck and my left shoulder have been hurting for the past 3 days. I figures I slept wrong, but have been doing some research and read that shoulder pain is a sign of ectopic pregnancy . Idk what to think. HELP please!
[|AI|]  Hello, You are too early to detect an ectopic pregnancy with symptoms since you had the IUD removed 25 days ago and should you conceive so soon, which is rare, symptoms usually develop at four weeks of pregnancy. The pain may be unrelated. Yet, to rule out, you can get a sonogram of the pelvis if possible in the trans-vaginal route after seeing a specialist for a proper clinical appraisal of your situation. A blood test for pregnancy helps in the diagnosis. Hope this helps.