It is inserted into the uterus by a health care provider. Desaree Nicole Lee Johnson suffered pain when her Mirena IUD perforated her uterus and moved into her abdomen. Our clients have high expectations, and we strive to meet them by demanding fair compensation from negligent parties. Some women also experience other symptoms, although this is not common. If you have recently removed an IUD and are dealing with any of the above symptoms, it is important you reach out to your physician as soon as possible. The Mirena Crash is the set of symptoms prevalent in women who opted to remove the Mirena IUD before the lapse of 5 years. If pregnancy should occur with Mirena in place, Mirena should be removed. Have unusually heavy, persistent vaginal bleeding, Have unusual or foul-smelling vaginal discharge, lesions or sores, Develop very severe headaches or migraines. Hopefully things will go back to normal. Well, before you make an appointment with your doctor, theres more to know about Mirena and Skyla its called the crash.. Whippany, N.J.: Bayer Healthcare Pharmaceuticals Inc.; 2022. https://labeling.bayerhealthcare.com/html/products/pi/Mirena_PI.pdf. For most women whose IUD strings are visible through the cervix, we recommend removal of the IUD at the first visit. After five years, I had it removed. Not knowing about the crash, I had the Mirena IUD removed a couple of weeks prior to leaving for our vacation. While not all IUDs releases hormones, the Mirena IUD does discharge small amounts of progestin into the uterus. Once a month, check to feel that Mirena's strings are protruding from your cervix. Keep Sharing. But patients arent at increased risk for ectopic pregnancies just because they have an IUD. The Mirena IUD can increase your risk of developing a serious pelvic infection, which may threaten your life or your future ability to have children. Rarely, removal can be more complicated. Try testing again on Sunday. It may also make it harder for a fertilized egg to implant in the uterus. Your healthcare professional will examine you to see if Mirena needs to be removed or replaced. Family planning. Manufactured by Bayer Pharmaceuticals, Mirena is a small flexible, T-shaped plastic IUD device. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Guide to a Healthy Pregnancy, Book: Mayo Clinic Guide to Fertility and Conception. If you are worried about heavy bleeding, consider waiting a little longer to start trying to conceive after IUD removal to be extra sure youre ready for pregnancy. The technology is a T-shaped plastic structure that medical professionals place into the uterus. I would love to hear some stories! It is also prescribed sometimes for the reduction of overly heavy menstrual periods. You can learn more about how we ensure our content is accurate and current by reading our. The Mirena IUD is available with a 5-year prescription, making it an attractive choice for women who want to avoid pregnancy for an extended period of time. We can make all the difference in recovering damages for your physical, financial, and emotional losses. It can be used in premenopausal women of all ages, including teenagers. There are also risks if you get pregnant while using Mirena and the pregnancy is in the uterus. . The contraceptive efficacy of Mirena during extended use beyond 5 years was studied in the Mirena Extension Trial, a multicenter, open-label, uncontrolled . It's removal sparked the most awful anxiety attacks and general weird head, feeling agitated, uneasy and wired, insomnia, exhaustion, nausea, stomach pain and no appetite. What can I expect after having the mirena IUD removed? So when I took test they took out right away but didn't see yolk sac or baby yet at that time. The Mirena crash may also have symptoms very similar to estrogen dominance, as the ovaries continue to develop eggs, but may not be successfully ovulating them yet. A woman can have the IUD removed whenever she wants to try to become pregnant. Fertility after intrauterine device removal: a pilot study. Heavy periods are possible after any type of IUD removal but they are most likely to happen after Mirena, ParaGard, Liletta, or Skyla removal. Women claim that they have sustained financial losses, injuries, and other damages after using the Mirena IUD. Have sex every other day during the fertile window. You may be eligible to recover both economic and non-economic damages. Mirena is made of flexible plastic, and T-shaped. I called my PCP and went in to get blood work and an EKG done to be sure there were no underlying conditions. It also thickens the mucus in the cervix. 20th ed. This field is for validation purposes and should be left unchanged. It may take weeks or longer before the body understands it has to create its progesterone since it previously depended on the synthetic supply. This medication is part of a class of drugs called progestins. It works by releasing a very small amount of hormones every day into the uterus in order to block sperm from penetrating and causing pregnancy. The doses of medicine. You should have Mirena How Does the Mirena Crash Occur? . In: Comprehensive Gynecology. It can be weeks or longer before the body realizes it needs to produce its own progesterone because it has become lazy, relying on the synthetic provision. You might be wondering what is the Mirena crash? The IUD then emits a certain kind of progestin hormone. You can get the IUS for free, even if you're under 16, from: contraception clinics; sexual health or genitourinary medicine (GUM) clinics; GP surgeries; some young people's services; Find a sexual health clinic If your symptoms become too severe to manage, or you have suicidal or self-harming thoughts, seek medical attention immediately. Further, Matt has been quoted in the media numerous times and is a sought-after speaker on a variety of legal issues and topics. If you don't get a positive HPT Sunday, POAS everyweek until either AF showsor you hit CD 60. One sufferer described her feelings as being smothered with severe despair at night. If the damage to the tissues is too excessive in some extreme cases, a hysterectomy may be required and pregnancy may not be easily achieved. I was off on vacation soaking up the sun, sand, and having lots of fun telling some jokes and then WHAMO. Read the newbie link, check out Fertility Friend and do some lurking. Our mission is simple: Help moms everywhere feel happy with who they are and how theyre raising their families And overcome their doubts. Ectopic pregnancy is a medical emergency that often requires surgery. Unfortunately, many doctors have denied the existence of the Mirena Crash and often choose to recite what Bayer has told them. I went to bed feeling relaxed and happy to be on vacation, and then woke up with a crushing, heavy, almost suffocating feeling of blah. However, one symptom does pose some riskthe emotional effects. Let a skilled personal injury lawyer take up your cause and help you get the compensation you deserve. It's definitely more expensive than other basic cleanse programs out there (using supplements, shakes & whole foods) but I believe it is superior quality, nutrient dense, no chemicals or additives, and works to reset the body systems that are typically impaired by Mirena. Economic damages refer to losses with an established monetary value, like the price of a therapy session with a counselor. The copper IUD, Paragard is one of the intrauterine devices that protects immediately against pregnancy, so if youre worried about that risk then its a good idea to ask your doctor if the copper IUD could be right for you. One or more symptoms that persist for days, weeks, or even months following the removal of the Mirena IUD are referred to as the "Mirena crash." When the body stops getting progestin, there is assumed to be a hormonal imbalance that causes these symptoms. If you are a woman using the Mirena or Paragard IUD, talk to your doctor about removing it if you experience any pain, abnormal bleeding, or other serious side effects indicating the development of a serious injury. However, providing a warning does not release a company from all liability for injuries and damages caused by a medical device. Mirena is a hormonal IUD (intrauterine device) that secretes a synthetic form of the hormone progestin (levonorgestrel), into the uterus. . it hit me. One of these emotional changes (or a combination of them all) is the possibility of suicidal thoughts, which poses a serious risk. Headaches This imbalance can cause a range of symptoms, including irregular periods, heavy bleeding, cramps, mood swings, acne, and fatigue. Had it in until 2 weeks ago because I started feeling it and having lower back pains. Symptoms and their severity vary, but are thought to include: There is currently no data tying Mirena removal with these symptoms. So far its been over a month and Ive still not gotten my period. The symptoms associated with removing the Mirena IUD are not necessarily life-threatening, although that's not to say they're not painful. When a woman has an IUD implanted in her uterus, the introduction of the synthetic hormone can cause the body to stop producing the natural version of that hormone on its own. Hatcher RA, et al. Over a decade ago, users of the Mirena IUD began to come forward with reports of severe side effects, claiming that Bayer neglected to disclose serious risks to patients. In between 2-10 % of all people with IUDs, the device can slip partially or even fully out of the uterus, which is often not noticeable at all and can mean that you arent protected against unwanted pregnancy. These symptoms are collectively referred to as the Mirena crash. Take care of yourself and always always put your health first. The thinning of the uterine lining can also reduce or stop menstrual bleeding. 7th ed. Yes, you could be pregnant if you had unprotected sex. You may be more likely to expel Mirena if you: Your health care provider may recommend removal of Mirena if you develop: Your health care provider will evaluate your overall health and do a pelvic exam before inserting Mirena. If you experience any symptoms or adverse reactions after removing the Mirena IUD, contact your physician immediately. Some other women suffer for an extended time, both physically and emotionally, at any time, day or night. I finally got my IUD removed 1 week ago today, and Ive just been anxious , and am also experiencing light spotting. I had my Mirena out in December and until about 3 months I had the shittiest symptoms. Not knowing about the crash, I had the Mirena IUD removed a couple of weeks prior to leaving for our vacation. By the end of 3 months after insertion, It has pretty much settled in. Thousands of women have filed complaints claiming their Essure IUDs moved, broke, required repositioning, or caused various unpleasant side effects. After the removal of Mirena and other hormonal IUDs, some. They still really aren't sure how far along I am, think we caught very early - so hoping to learn next time at my visit/US on Tuesday! I had my Mirena removed on Aug. 2nd and experienced what I thought was AF the next 3 days after removal. Many women view modern intrauterine devices, or IUDs, as the holy grail of long-term birth control. When you wish to get pregnant, your doctor will take the IUD out. We have been able to build a reputation for excellence based on our ability to consistently negotiate fair settlements that reflect our clients' needs. Here are some rough estimates on what to expect when it comes to pregnancy after IUD removal: Women below the age of 35 have a 20% chance per month of conceiving a child, with up to 90% conceiving by one full year. This can be as simple as taking a long, brisk walk. Your experience has no doubt been traumatic. General Ineffectiveness: It has been found that around 1% of women who have an IUD like Mirena can still become pregnant. Now we understand that because IUDs are so effective at preventing intrauterine pregnancies that, if a pregnancy does occur, theres a higher likelihood that it developed outside the uterus. Make sure you eat a wide variety of nutritious foods. More than a third of the reports cite expulsion of the Mirena from the uterus (32,084) or dislocation of the device (10,793). It's one of several hormonal IUDs with Food and Drug Administration approval. It is inserted through the vagina into the uterus by a. This usually means the IUD has shifted. I am a 25 year old female. Exercise daily. This content does not have an Arabic version. Mirena and Skyla work by releasing a small amount of progestin, levonorgestrel, into the uterus. The Mirena lawsuits allege: Mirena is defective, dangerous and not suited to be used as intended; Bayer did not perform adequate testing to determine the safety and efficacy of the IUD; Bayer concealed its knowledge that Mirena could put users at risk for serious side effects; Bayer took part in a marketing campaign known as "Mirena parties," which misled women and further diluted warnings . Your new IUD can be placed immediately after . I'm stuck in a limbo of no AF & negative HPT's and I'm ready for AF to show or a BFP. Missed menstrual periods. If you are also using Mirena to treat heavy periods, you will need a new one after 5 years. I was a hormonal mess when I went of BC a couple of years ago. If Mirena cannot be removed, talk with your healthcare professional about the benefits and risks of continuing the pregnancy and possible effects of the hormone on your unborn baby. If you do not have a period for 6 weeks during Mirena use, call your healthcare professional. Be careful not to pull on the strings. Women who are already pregnant should not have an IUD inserted because it may cause adverse pregnancy outcomes. The body kind of freaks out a little after you discontinue BC. Contact our experienced product liability attorneys at Dolman Law Group. Good luck! No more pills to pop or rings to change, and lighter periods to boot! On Mirena, my life is much better, I had bleeding continuously for one month, then on and off for next 3 months. 2005-2023 Healthline Media a Red Ventures Company. The biological cause of the Mirena Crash and adverse reactions to the IUD is hormone imbalance, and every woman experiences hormone imbalances differently. Also dizziness started. My period is five days away now, and I took a five day early test which came back negative. 2023 - Roman Austin Personal Injury Lawyers - All Rights Reserved. (2015). Symptoms associated with the Mirena crash include, but are not limited to: Depression; Increased irritability and mood . An IUD can prevent pregnancy for three to six years. Mirena is generally safe. Having Mirena inserted into the uterus does not lower the chances of conceiving after it has been removed. The Mirena crash is more uncomfortable than dangerous, but it can leave you feeling low and out-of-whack. Filing a lawsuit for Mirena IUD injuries can get someone's life back on track; however, these lawsuits are typically a complex undertaking. In some very rare cases, the Mirena may not have been placed properly into the uterus and therefore causes a hole in the uterine wall, thereby embedding itself in the uterus. It may also cause ectopic pregnancy which is pregnancy in any other part of the woman's body other than the uterus. Lobo RA, et al. Tiger, Ga.: Bridging the Gap Foundation; 2017. After the IUD is removed, it can take a significant period of time for the body to restart hormone production, resulting in a hormonal imbalance. Mirena IUDs are the subject of numerous lawsuits related to the side effects and adverse reactions caused by the device. In: Managing Contraception 2017-2018. Medically speaking, there is no way to tell because it depends on how long your body takes to return to a normal hormonal balance. If you need help with your injury case or you want to learn more information, please call the Product Liability law firm of Roman Austin Personal Injury Lawyers at (727) 787-2500 or visit the nearest location to schedule a free case evaluation today. it hit me. Mirena cases involving other types of serious injury deserve attention and fair compensation. The . Im normally a healthy person so all of this was so bizarre to me. I think I will wait a few days before testing again. Of all three of these issues, the Mirena Crash can be especially troubling given how common it is and how severe it can be. These include: Mirena IUDs should only be removed by a doctor. Mirena was approved in 2000 to prevent pregnancy and decrease heavy menstrual bleeding. How Can a Medical Malpractice Lawyer Help After a Cancer Misdiagnosis? Also know that even if your case is not life-threatening, your pain is real. Record menstrual cycle frequency. You May Like: Accidentally Donated Plasma While Pregnant. 2023 by Sweeney Merrigan Personal Injury Lawyers. LEARN MORE, Mark Roman | December 30, 2020 | Product Liability. The risk of perforation might be higher when inserted during the postpartum period. Once its gone boom your hormone levels drop and the crash occurs. Ov date would have been the 19th. Some IUDs are made of copper, and others, like the Mirena IUD, release hormones into a woman's body to mitigate the risk of pregnancy. Defective medical devices like the Mirena IUD can cause severe damages that leave injured people with depleted finances and a greatly reduced quality of life. During Mirena insertion, you may experience cramping, dizziness, fainting or a slower than normal heart rate. You will lie down in the same position you used for the IUD insertion, and then your provider will: Grasp the strings using a medical instrument called forceps. Symptoms I never have gotten with my period coming before. Mirena Crash Experiences? Mirena must be inserted into the uterus by a physician. How long will it take to get pregnant after removing the IUD Mirena? I wont lie: it sucked. Before we dive into the Mirena crash, lets talk briefly about how hormonal IUDs work. Normally, your body produces both estrogen and progesterone. In some women, Mirena crash symptoms appear recurrently before each period, lasting for months. If you think you can manage your crash on your own, give yourself the space and time to recuperate. Mirena is a T-shaped hormonal IUD implanted in the uterus, containing a reservoir of slowly released synthetic progesterone. If you have any concerns that you may be pregnant while using Mirena, do a urine pregnancy test and call your healthcare professional. The first year I had it, I would experience random days of intense nausea but after a year, that went away. These cysts usually disappear on their own in 2 to 3 months. (Had in for 4.5 yrs). Philadelphia, Pa.: Elsevier; 2016. https://www.clinicalkey.com. They include: According to its manufacturer, Mirena IUDs are over 99 percent effective at stopping pregnancy. IUDs like Mirena and Paraguard are popular methods of birth control among women aged 15 to 49 in the U.S., with more than 10% of this population using this method as of 2019. Mirena can remain in the uterus for up to 8 years to prevent pregnancy. sargancie- I had a very similar experience with iud#1 vs iud#2! Frequent mood swings can strain relationships and affect work performance, Physical symptoms such as muscle fatigue, cough, sore throat, and even fever are often misdiagnosed, Consistent sadness, hopelessness, and/or anxiety, Loss of interest in once enjoyable activities. The Mirena Crash is the term used to describe the adverse effects many women experience when they have the IUD removed, and can last up to several months. Hormonal IUDs release hormones into the uterus that thicken the cervical mucus so that the sperm cannot reach the egg. In these cases, surgery is required to remove the Mirena. This imbalance can last anywhere from a few days to several months or longer. I got the mirena shortly after having my son in 2012. Becoming pregnant with an IUD inserted is exceedingly rare, according to an article published by the NLM, and its still one of the most effective forms of contraception. No matter the situation, we can handle it. You might need to take a pregnancy test to confirm you're not pregnant. Companies that make and sell medical products have a duty to those who use their products. Matt has been a practicing civil trial, personal injury, products liability, and mass tort lawyer since 2004. Or if you would prefer to email us, then please visit our contact page. Not knowing about the crash, I had the Mirena IUD removed a couple of weeks prior to leaving for our vacation. If you did indeed O on 8/29 you'd still be in the 2WW. Women above the age of 35 have a 10 to 15% less chance of conceiving per month. Our lawyers are committed to ensuring that your Mirena IUD lawsuit can help you recover from your losses. *The above information was written and reviewed by either Attorney Matthew Dolman or another injury lawyer at the Dolman Law Group Accident Injury Lawyers, PA which has a combined 90 plus years of experience practicing Florida personal injury law. Waiting too long to file could result in losing your right to hold the company liable for damages caused by a Mirena IUD. If you do become pregnant with an IUD in place, and the egg has implanted itself in the lining of your uterus, then you are at an increased risk of miscarriage, sepsis, premature labor, and premature delivery. If you need guidance on trying to conceive, contact the Palm Beach Fertility Clinic for a consultation at 819-5177 or easily book your appointment online. Extreme, debilitating emotional mood swings, Painful sex and an overall decrease in sex drive. A migrating IUD (one that moves from its intended location) can lead to internal injuries that can require multiple surgeries, miscarriage, and possible sterility. Common symptoms of the Mirena Crash include: Extreme, debilitating emotional mood swings Anxiety Depression Vomiting, nausea, and a general lethargy Breast tenderness Painful sex and an overall decrease in sex drive Relational difficulties All rights reserved. As a result, sperm has a hard time moving and surviving in the uterus. However, while taking out the IUD improves the pregnancy outcome, there is still a higher risk of pregnancy complications compared to patients who never had an IUD in place. Some women report that they experience the same symptoms while the IUD is in their bodies, and that these symptoms continue after its removal. I could have removed it sooner, but I wanted to keep it in for the full 5 years. The efficacy of Mirena over 5 years was studied in 1169 women aged 18 to 35 years. Roman Austin Personal Injury Lawyers is a personal injury law firm serving Tampa Bay, and its surrounding areas. This is often referred to as the "Mirena crash." There are no studies about this phenomenon, but symptoms should resolve over time as hormone levels return to normal. During an ectopic pregnancy, the fertilized egg doesnt grow in the uterus , but rather in the fallopian tube, although it can occur in the ovary, or even the cervix, the Mayo Clinic reported. The information provided comes from extensive research and years of experience trying legal cases in courtrooms throughout Florida. But after four days, I felt pretty much back to normal. Mirena is the brand name for an intrauterine device used for birth control. This device is placed in the uterus where it slowly releases the synthetic female hormone levonorgestrel, a progestin birth control hormone that has been proven effective 99% of the time in controlling pregnancy for up to 5 years. Upon removal my anxiety started decreasing. . I had my iud put in due to having to go on Accutane in april of 2015. Yes, you could be pregnant if you had unprotected sex. Can a Doctor Lose Their License When Sued for Negligence? Hi I also had the Mirena coil in for 3 years and had it removed in Dec 2015. If you have Mirena inserted more than seven days after the start of your period, be sure to use backup contraception for one week. Everything was fine , and I no longer got my period, which I did not mind. Seeking damages for Mirena IUD injuries can be complex and fraught with legal obstacles. Hormonal IUDs are effective in preventing pregnancy. Mirena is typically inserted in a health care provider's office. I am glad I went with my gut and had it removed. Our team is familiar with the tactics powerful companies use to diminish the value of settlements and are prepared to protect you from being taken advantage of by insurance companies and their adjusters. IUDs provide long-term birth control and are one of the most effective ways to prevent pregnancy. Women who do get pregnant while using an IUD have an increased risk of an ectopic pregnancy, which is very risky for a womans health.. However, you should be able to feel a short string far up inside your vagina, which is attached to it. Gently and steadily pull on the strings, which gets the IUD out. The device itself works on the basis of its release of hormones such as progesterone which is the main element in the prevention of ovulation and menstruation. The Mirena crash can feel like it came out of nowhere. I have not been temping, but I did have EWCM Aug. 27th & 28th. Mirena and Skyla, and other types of hormonal IUD can take anything up to seven days before they actually start to prevent pregnancy. Those 34 and older will experience it at a higher rate. A few suggestions include: If youre having thoughts of self-harm or suicide, you can call the National Suicide Prevention Hotline. My daughter has been experiencing heat flashes and then an electric shock sensation in different areas of her body at different times. DH & I are TTC. Accessed Aug. 16, 2022. RaisingRowen Sep 14, 2019 at 7:40 PM We are TTC this month, and I've had on and off pregnancy symptoms sense 4 DPO. Taking a nonsteroidal anti-inflammatory medication, such as ibuprofen (Advil, Motrin IB, others), one to two hours before the procedure can help reduce cramping. Until then, you will experience a Mirena Crash. Removal or manipulation of Mirena may result in pregnancy loss. Removing a Mirena IUD may cause brief cramping or discomfort. Mirena. It contains levonorgestrel, a synthetic female hormone that helps in preventing ovulation, which makes pregnancy unlikely. It is safe to get pregnant after the removal of Mirena. Can be used whether or not youve had a baby. Cysts on the ovary. Mirena Crash symptoms reported by women include: For some women, the Mirena Crash can be debilitating. Mirena is a hormonal intrauterine device (IUD). But I guess I was not very clear with my title for the post. Thickens mucus in the cervix to stop sperm from reaching or fertilizing an egg, Thins the lining of the uterus and partially suppresses ovulation, Eliminates the need to interrupt sex for contraception, Can remain in place for up to seven years, Can be removed at any time, followed by a quick return to fertility, Can be used while breast-feeding although you may need to wait six to eight weeks after having a baby so that you don't risk injuring the uterus during placement, Doesn't carry the risk of side effects related to birth control that contains estrogen, Severe menstrual pain and pain related to the growth of uterine-lining tissue outside the uterus (endometriosis), Unusual growth of the lining of the uterus (endometrial hyperplasia), Unusual growth of uterine-lining tissue into the muscular wall of the uterus (adenomyosis), Uterine conditions, such as fibroids, that interfere with the placement or retention of Mirena, A pelvic infection or current pelvic inflammatory disease, Take any medications, including nonprescription and herbal products, Have a heart condition or have had a heart attack, Have blood-clotting problems or have had a stroke, Recently gave birth or are breast-feeding. Im grateful I came across this thread because all these symptoms are spot on to what Im going through and it will allow me to sleep better tonight knowing more than likely this little bugger is the reason. Take a prenatal vitamin. When your doctor removes the Mirena IUD, your body must begin producing progesterone again. 1. For four days, I felt a crushing anxiety. I had trouble with my Mirena from the beginning of getting it inserted. For more information, call our law office at (617)-391-9001. Is it possible that I am pregnant and it's still too early if I ovulated later than expected? PregancyProTips.com is a one-stop resource for everything you want to know about pregnancy. Light bleeding and cramping is common during removal. About 2 out of 10 women stop having periods after 1 year of Mirena use. Ask your doctor about this risk. At Roman Austin Personal Injury Lawyers, our injury lawyers primarily serve the following localities: New Port Richey, Trinity, East Lake, Palm Harbor, Dunedin, Clearwater, Safety Harbor, Oldsmar, Westchase, Town N Country, Egypt Lake Leto, Citrus Park, and Tampa. This article was written and reviewed by Matthew Dolman. If the tests are negative, you probably aren't pregnant. The symptoms may last a few weeks to several months or longer. Our first step is to determine the type of pregnancy, which could be either: Intrauterine, which is the normal location for pregnancy development, allowing for fetal growth over 9 months, or, Ectopic, which is when a fertilized egg implants in a fallopian tube or other location outside the uterus and poses serious health risks to the woman. Women who have become pregnant while having an IUD in their uterus are at a greater risk of having an ectopic pregnancy. You can reach us by phone at (727) 451-6900 or through our website.

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mirena crash or pregnant

mirena crash or pregnant

mirena crash or pregnant