Conversation: The conversation between human and AI assistant.
[|Human|] Hi Dr Lundi, I am a 22 year old female and recently had the Mirena IUD inserted (3 weeks ago). I have not had a child before and the insertion was very painful. I had consistent cramping for about a week and on and off ever since. Recently though, I have started getting severe shooting pains. Some start in the abdomen and shoot all the way down my cervix and walls. I checked two weeks ago for the strings, which were intact. Should I see a doctor? Thanks so much. Molly
[|AI|]  HiT hanks for your query, Insertion and removal may be associated with some pain and bleeding. In case of difficult insertion and/or exceptional pain or bleeding during or after insertion, physical examination and ultrasound should be performed immediately to exclude perforation of the uterine corpus or cervix. Severe shooting pain may also be a symptom of an ectopic pregnancy. So I will suggest you to see a doctor soon. Best of luck Hope it helps....