Conversation: The conversation between human and AI assistant.
[|Human|] I had a Mirena IUD inserted a month ago. I have bled everday since insertion, from light spotting to heavy bleeding. The more physically active I am the more heavily I bleed and the more pain I have pain every I can only associate with the IUD because it was not present until the IUD was inserted. I have pain while active and while at rest. Should I have it removed or is there potentially something wrong with it?
[|AI|]  Hi. Thanks for asking in Chat Doctor. Mirena contains Levonorgestrel, a progesterone that is released slowly, daily for a period of five years. One of the main problems of IUD like IRENA is interred menstrual bleeding in the initial 3 to 6 months. Progesterone results in spotting, vaginal discharge, abdominal pain. Mood changes and bloating sensation. But these symptoms wane off after few months as the body gets adopted to the effects of progesterone and the hormonal imbalance due to IRENA.Funds can result in vaginal infection or pelvic inflammatory disease (PID) which will also present with similar symptoms of pain, discharge and spotting. If the spotting and abdominal pain persists or if it worsens, then you should consult your treating