I've had the mirena IUD for over 5 months and

Patient : I've had the mirena IUD for over 5 months and starting two days ago, I've had some pain and very light dark brown bleeding. The bleeding is still very light, but now the pains feel almost labor-like and are excruciating. I was on the pill when I got pregnant with my first child, by the way.. Should I be concerned or am I just paranoid?
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