Conversation: The conversation between human and AI assistant.
[|Human|] I have a mirena coil, which has been in for 3 months and have had strong cramps today. My usual period wouldve been due last week. I feel cold, nauseous and tired. The cramps almost feel like constipation but my bowels are normal. I feel dizzy with the pain.
[|AI|]  Thank you for the question, and I am happy to help. During the first few months after an IUD insertion, mild cramping and breakthrough spotting are normal.  Severe cramping, to the point that you are nauseous are not normal.  This could be related to migration of the IUD into an improper location or into the cervix (the lower part of the uterus).  You need to contact the clinic where this was placed and state that you need an urgent visit.  They also need to perform an ultrasound to assess its location.  In the meantime check a pregnancy test and if it is positive, go immediately to the ER. I hope that this helps and good luck.