Conversation: The conversation between human and AI assistant.
[|Human|] I had my son 6 months ago and a month later had the IUD placed. For the past month I had been having pain in my abdomin and gained weight. So at my doctors appointment on 7/20/10 I had my doctor switch me to the shot. Now I started my period a week early and it is very heavy and there are a lot of clots and Im having very bad pains now (not like menstrual cramps but worse). I know it is almost impossible to get pregnant on merena but I also got pregnant with my son while I was on birth control. Should I take a pregnancy test or what? If you have any advice I would appreciate it. Thank you.
[|AI|]  Hi. Thanks for your query. Yes the IUD can cause pain in the abdomen. There is no need to go for a pregnancy tests as you already have the heavy bleeding, clots and pain, I would advise you to undergo an ultrasonography to see the position of the interior of the uterus. If the products are seen, you have to undergo curating. IF no such things medicines under the guidance of a Gynecologist will help you to get a control. Continue with the treatment as already must have been advised.