Conversation: The conversation between human and AI assistant.
[|Human|] I had the mirena placed 4 months ago. Everytime about a week before my period and during my period i get this acheing pain in my lower abd. When i do a sitting/standing position, push to pee/poop, and walk i can feel it. The pain is not severe but noticable along with cramping. I have also been having dizzy spells off and on. I also can not feel my strings.
[|AI|]  Hi ! You are not feeling your strings because may be the IUD has shifted its position a little higher. Many females are intolerant to IUD's, and they have pain/cramping pain in their abdomen. The dizzy spells may not be related to the IUD. If the symptoms and discomfort persist, it is suggested that you get yourself reviewed by your gynecologist who may examine you clinically and get some tests done to exclude a pelvic inflammatory condition due to the IUD being a foreign body to the uterus. She may even consider changing the IUD or suggesting you for some alternative means of contraception.Wishing you an early recovery.