mirena iuc user for one year having major problems

	Asked by Unregistered (Female; 21; c section, chronic ear infections, tonsilectomy, tubes in ears.; Relevant drugs:none ) on Mon 29, Dec 2008 03:44pm
	i have had the mirena iuc for one year and two months now with no problems, three days ago i started my first heavy period that has lasted more then one day and it is occompanied by pressure in the pelvise, and severe cramping at times on both sides. I dont know what to think?
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	Answer by Dr Bhupinder K, MD (doctor) on Tue 30, Dec 2008 05:09am: Hello, Mirena birth control consists of a T-shaped polyethylene frame (T-body) with a steroid reservoir and a string attached to it. It looks like you are having pelvic inflammatory disease(PID). Mirena is notorious for causing pevic inflammatory disease. Pelvic inflammatory disease is an infection of the uterus, fallopian tubes or ovaries.It occurs when bacteria move upward from a woman's vagina or cervix to her uterus or fallopian tubes.Many organisms are responsible for PID,gonnorhea and Chlamydia being the commonest ones. I sincerely advise you to consult a gynecologist and get cervical swabs and pelvic ultrasound done to find out whether PID is responsible for your symptoms. In some cases, a laparoscopy may be necessary to confirm the diagnosis. Treatment will depend on the confirmation of the diagnosis. Hope it helps.Take care and pls do keep me posted if you have any additional queries.
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