<s>[INST] Mirena I am 21 years old and have been married for almost two years. Last February we decided to get birth control so I had the IUD known as Mirena inserted. Ever since I have been experiencing major cramps between my lower abdomen and my pelvic area. I have also had issues with over discharging to the point that pads are useless. Along with this, I have been having uncomfortable pains when urinating almost as if I have a UTI. Is this due to the Mirena? What should I do? [/INST] Hello, Thanks for posting your query. In the current scenario, your symptoms are more likely to be due to the IUD inside, the hormone effects thereupon. I would suggest a review of the IUD and check if there is any displacement. This can be done through a clinical exam followed by a pelvic scan. Heavy bleeding can be due to the hormone effect of the IUD as well as the uterine irritability. Infection also has to be ruled out. If the position is not disturbed and if there is no sign of any infection, the hormone effect settles down in course of time. Else, removal is the option. Hope this helps. </s>