In Touch (USA)

BOYS’ DAY OUT CHEST IN SHOW

NYC, April 18

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Toronto, April 23 “Me and my little bro crushing life!” says getting psyched up with brother 7, at a Toronto Maple Leafs playoff game against the Washington Capitals. Even though their Leafs lost and were eliminated, it couldn’t spoil the Bieber boys’ good time. Said Justin, “Let’s go all the way next year!”

Can I use tampons with Mirena? Tampons may be used with Mirena.

What if I become pregnant while using Mirena? Call your healthcare provider right away if you think you are pregnant. If you get pregnant while using Mirena, you may have an ectopic pregnancy. This means that the pregnancy is not in the uterus. Unusual vaginal bleeding or abdominal pain may be a sign of ectopic pregnancy. Ectopic pregnancy is a medical emergency that often requires surgery. Ectopic pregnancy can cause internal bleeding, infertilit­y, and even death. There are also risks if you get pregnant while using Mirena and the pregnancy is in the uterus. Severe infection, miscarriag­e, premature delivery, and even death can occur with pregnancie­s that continue with an intrauteri­ne device (IUD). Because of this, your healthcare provider may try to remove Mirena, even though removing it may cause a miscarriag­e. If Mirena cannot be removed, talk with your healthcare provider about the benefits and risks of continuing the pregnancy.

If you continue your pregnancy, see your healthcare provider regularly. Call your healthcare provider right away if you get flu-like symptoms, fever, chills, cramping, pain, bleeding, vaginal discharge, or fluid leaking from your vagina. These may be signs of infection. It is not known if Mirena can cause long-term effects on the fetus if it stays in place during a pregnancy.

How will Mirena change my periods? For the first 3 to 6 months, your period may become irregular and the number of bleeding days may increase. You may also have frequent spotting or light bleeding. Some women have heavy bleeding during this time. After you have used Mirena for a while, the number of bleeding and spotting days is likely to lessen. There is a small chance that your periods will stop altogether. In some women with heavy bleeding, the total blood loss per cycle progressiv­ely decreases with continued use. The number of spotting and bleeding days may initially increase but then typically decreases in the months that follow.

Is it safe to breastfeed while using Mirena? You may use Mirena when you are breastfeed­ing if more than six weeks have passed since you had your baby. If you are breastfeed­ing, Mirena is not likely to affect the quality or amount of your breast milk or the health of your nursing baby. However, isolated cases of decreased milk production have been reported among women using progestin-only birth control pills. The risk of Mirena becoming attached to (embedded) or going through the wall of the uterus is increased if Mirena is inserted while you are breastfeed­ing.

Will Mirena interfere with sexual intercours­e? You and your partner should not feel Mirena during intercours­e. Mirena is placed in the uterus, not in the vagina. Sometimes your partner feels the threads. If this occurs, talk with your healthcare provider.

What are the possible side effects of using Mirena? Mirena can cause serious side effects including: • Pelvic inflammato­ry disease (PID). Some IUD users get a serious pelvic infection called pelvic inflammato­ry disease. PID is usually sexually transmitte­d. You have a higher chance of getting PID if you or your partner have sex with other partners. PID can cause serious problems such as infertilit­y, ectopic pregnancy or pelvic pain that does not go away. PID is usually treated with antibiotic­s. More serious cases of PID may require surgery. A hysterecto­my (removal of the uterus) is sometimes needed. In rare cases, infections

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