. It is understandable that you are concerned about your current symptoms. It is important to have a gynecological examination to determine the cause of your heavy bleeding and pelvic pain. It is also possible that the Mirena IUD may need to be re-evaluated. Additionally, it is important to ensure that your diet and exercise routine are meeting your needs. I recommend speaking with a kinesiologist or nutritionist to ensure that you are taking the right steps to reach your goals.