Conversation: The conversation between human and AI assistant.
[|Human|] I have had the mirena for 3 years now. Recently I have been having pains that feel just like contractions and a sharp pain every time I urinate. I also can not feel my strings anymore. I have had about 3 or 4 UTIs since the mirena has been in so I know what one of those feel like and these pains are not similar to that feeling at all. My doctor cant get me in for 2 weeks , but I am in too much pain to wait til then. What should I do ?
[|AI|]  Hi. Thanks for asking in Chat Doctor. You are unable to feel your strings of IRENA because it has moved from its position, and it could have got embedded in uterine tissue. Sometimes it can spontaneously move out from uterus and can get embedded in abdomen. Absence of strings accompanied by unbearable pain could be due to perforation in which case it is an emergency. But risk of perforation is usually high when it is inserted soon after delivery, i.e., during deuterium. You should consult your gynecologist immediately and an abdominal X-Ray or ultrasound uterus will reveal the status of IRENA. If it has moved away then it needs to be removed immediately, and you should opt for some other contraceptive method (not another IUD) for few more months. I hope this is useful to you.