Conversation: The conversation between human and AI assistant.
[|Human|] I ve had the mirena for almost 3 years now and during sex my boyfriend said he sometimes can feel it poking him, so that made me question has it moved ? Also my periods are starting to last 10 days or more & im not sure if its stress or thr mirena. Sometimes after a few days its barely bleeding jus pinkish or brownish slimy clots I just need to know if I should go and see a doctor about these things .
[|AI|]  Hi, Thanks for trusting us with your health concern. In the current scenario, I would suggest a proper clinical evaluation for several reasons. 1. Once the IUD is inserted, periodic check up to see if it is in place is mandatory. 2. As you have noticed abnormal menstrual pattern in recent times, you should get tested for abnormal endometrial pattern, local causes like erosion of the cervix, polyps of the cervix and endometrium, infections etc., and also cysts of the ovary. 3. Coarsening of the threads may lead to the pricking sensation, but, displacement of the IUD should always be considered and excluded. Hope this helps.