Hello dear, Understand your concern. Mirena is a progesterone contain intrauterine device, long term contraceptive and reversible in action. It make the cervical mucus thick and make uterus unfavorable for implantation. Following are the side effect: 1. Irregular menstruation: so I think you have side effcets of mirena 2. Cramp pain 3. Dizziness and headache 4. Infection: most common gonorrhoea and chlymadia which lead to Pelvic inflammatory disease (PID). It generally occur 1 to 2 months after insertion. Other cause may be: 5. STDs: gonorrhoea, chlamydia, candidiasis. 6. hygiene problem and dermatitis 7. Urethritis 8. Generalized Anxiety Disorder 9. Vulvovaginitis If not resolves, If you have fever and severe cramps in presence of foul smell discharge after 5-7, you should consult gynecologist. Do the following test 1. Pelvic examination 2. USG 3. ELISA and Nucleic acid amplification test to diagnose STD infection Advice are as follow 1. Wash your vagina with this water twice a day for two to three days with warm water 2. Apply Apple cider vinegar: it has excellent antibacterial and antifungal properties 3. Salt Bath- Wash your vagina with concentrated salt water whenever you feel the itch. This will give you great relief instantly and prevent further multiplication of bacteria. 4. Antibacterial/fungal talcs: apply candid powder 5. Keeping The Vagina Dry (Not wet, clean well) 6. Wear pur cotton Loose innerwear 7. Hydro cortisone ointment if itching is severe 8. Tablet cetrizine 5 mg BD orally You should use following single dose treatment: 1. AZEE 1000 mg 2. TINI 1 G 3. ZOCON 150 mg Hope this may help you. Take care and stay healthy. Best regards. Dr. Sagar