Thanks for writing in.
If the Mirena
has been partially displaced, it's contraceptive
effectiveness may be reduced. So pregnancy
is definitely a possibility we need to rule out. It would be good if you run a urine pregnancy test before you visit the nurse. We would need to confirm the position with a sonography
and if it has been displaced, it needs to be removed. It can be re-inserted 7 days after you get your next menstrual period.
Hope this helps.