Pelvic Pain Support Network
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Iud and lower abdomen pain

Hello. Got mirena iud through lap about a month ago. Already got my first period and it was survivable. Started having lower abdomen cramps everyday for the past 2 weeks even though I'm not having my period. At times it gets so bad that I start having anal cramps along with it. Currently managing with naproxen and paracetamol and it takes about 1.5 hours to go off. :(

Is this normal? It's quite painful at least once a day and I'm having my wedding shoot in 3 weeks. Should I take it ouT? Please advise.

4 Replies

Hi Boboveena28

Ive noticed no one has replied to your post over the last few day so I will try to help. I've tried the mirena twice in the past but unfortunately didn't do anything for me. It is still relatively early so it maybe your body getting used to it even though the pain has occurred in the last two wks. It can take 6-9 months to settle down so might be worth giving it a while longer.

Another possibility is that it might have become displaced. I don't know if you are able to feel the strings at all? Sometimes the mirena becomes displaced which can cause pain or spasms so it might be worth getting your practice nurse to check or GP. They might send you for an ultrasound just to check if not sure or just to put your mind at rest - please don't panic if they do! Most displaced mirenas can simply be removed by the GP. I've had both mine put in during laps and removed by the the gynae and the second one by the GP. It's painful for a bit and I had cramping for a week afterwards with some bleeding but might be due to the endo and adenomyosis. If you don't want to go via your GP most large hospitals esp teaching hospitals have sexual health clinics you can use to check mirena etc and can in many cases just walk in. If all is good you may want to keep it in place until your follow up with your specialist. A similar treatment option to the mirena is the implanon implant which is placed in the arm. It contains no oestrogen so is suitable if you can't have this because of blood clotting issues or your specialist doesn't want you on treatments containing oestrogen. Many clinics are very clued up on endometriosis and pelvic pain. The one I want to that put in my implant and removed it is attached to the hospital where I go for treatment. I hope I haven't waffled on too long! If you have any more questions feel free to ask and myself and others will do our best to help


Hi, I've had four mirenas in the past, they did not suit me at all, I put up with the pain for almost a year on the last one, my cervix is further back than normal and apparently mirenas aren't suitable if this is the case. I've been using a copper iud for about 10 years or so and it's been fine, might be worth trying instead?


Oh, forgot to say, mirenas can aggravate ibs, mine caused diverticulitis and then twisted so I had to have it removed anyway


Hey thank you sooo much for your reply. I got my iud removed eventually as I ended up in emergency room just a month after my lap. I honestly believed that the lap would solve everything. Haiz. Now started on a new hormone pill called visanne. Doctor said it's promising for endo. There's some good reviews here as well. Hopin for the best :)


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