Hi there, Welcome to HCM, Please do not worry. It is a known concern that sometimes intrauterine devices like Mirena can get inverted upside down. But it becomes necessary to remove such a device as it may not function as it is supposed to if it gets displaced. To remove the displaced coil is a relatively easy procedure and can be done in most cases at the Gynaecology OPD itself. This will feel like an internal examination to you, and may be only just slightly more uncomfortable than that as they may use a small instrument made specially to remove it for the same. It is not very long procedure and you need not worry as this removes the dislodged IUD which is in the womb very easily in 99% of cases. In a rare few if the IUCD is displaced further ultrasound guidance may be required. In a few more if the above procedure fails we may have to do removal under anesthesia with the help of hysteroscope or laparoscope. But this is required in very rare cases. Hope this helps. Regards.