so, I have a Mirena and I've had it since the summer. July i think. I think it's expelling. And I'm not sure if I need to go to the hospital for it? Like, it's cramping really badly. For about 2 weeks I've been having spotting, one day I randomly thought my period was finally coming and so I put a tampon in because there was a lot of blood, and then, it stopped too quickly. Now I just checked to see if I needed to put another tampon in because I was cramping, and I could feel the strings were sticking out, and I've never been able to feel them ever before. Is this something I should assume is expelling? and what's the proper medical care for it?