Conversation: The conversation between human and AI assistant.
[|Human|] Ive had a mirena iud in place for 5 years. The doctor try to take it out but couldnt grasps the strings. I had went to the doc originally thinking i was preg. My belly looked 2 mths preg. Neg test. He ordered a ultrasound to see where the iud is situated. Been nausea ous for 2 mths. Took laxatives. Belly went away but im still sick. Whats your advice. Ultrasound on the 15 of this mth.
[|AI|]  Hallow Dear, Since the threads of IRENA are neither visible nor palpable, it is likely that it has migrated outside the uterine cavity - may be in the peritoneal cavity by perforating the uterine walls. Perforation of intrauterine device, particularly in the abdominal cavity can cause nausea, vomiting, abdominal distension, etc. You are having these symptoms for about 2 months. Therefore, it is likely that IRENA has perforated since that date.  Your doctor therefore has advised you Ultrasonography. It will locate the position of IRENA. If it has perforated the uterine wall - partially or completely, you will need surgical intervention for removing the device. Please follow your doctors religiously. You need Gynecologists care.