Answer
Bleeding, pain or increased menstrual flow may indicate partial or complete expulsion of the Mirena levonorgestrel intrauterine system, although expulsion can occur without being noticed and lead to loss of contraceptive protection.
Sources for this answer
- Mirena 20 micrograms/24 hours intrauterine delivery systemBayer plc · emc · SmPC §4.4 Special warnings and precautions for use · Version 36Document updated
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