Hello, I have had the mirena for 5 years with no periods and light spotting every so many months. My removal date was june 20th to be removed but due to my yearly checkup it got pushed back until the 19 of july. I have been experencing lower back pain, stomach cramps that come and go, and extreme exhaustion for the past week. I have had sex quite a few times using the "pull out" method everytime. I haven't taken any test to see if I am pregnant yet, but can it be possible that I am?