Conversation: The conversation between human and AI assistant.
[|Human|] I had mirena inserted a littles over 3 weeks ago. I ve had some minor on and off cramping which I know is normal. However, since Monday I have been experiencing severe sharp pains in my lower right abdomen . Usually in the morning shortly after getting up. I have an apoinment with my obgyn Monday to have the mirena checked. Is it okay to wait that long of should I seek immediate attention?
[|AI|]  Hallow, I fully empathize your sufferings. Mirena is an intrauterine device. When with IRENA in you start getting severe pain in abdomen, the cause could be:1. The uterus cannot get adjusted with it and is trying to throw it out. This is more commonly observed in women without any previous pregnancy.2. There is infection in the uterus and the device.3. The device is trying to perforate through the uterus. You will have to report to the Gynecologist at the earliest. Ultrasonography/X-ray can reveal about the perforation aspect. Rest two will have to be evaluated by the Gynecologist by clinical examination. You may have to get the device out if it is not tolerated by you. If there is infection, you may require a course of antibiotics. I hope I have guided you with sufficient information.