My Mirena was removed in mid October 2010. Since then I have a few instances of spotting; in April, May, and June of 2011. I have associated this, as has my GYN, with having intercourse for the first time in a long while. Since June 2011 I have not even spotted, nothing! I have taken about 9 pregnancy tests since; even though I was certain I could not be pregnant as my partner and I use protection. It has now been a total of 7 months since I had even spotted. I am concerned that the removal, which had to be done surgically as the device was not easily removable, has caused permanent damage and possible infertility. I see my OB-GYN in a few weeks but have been going INSANE wondering and worrying. Any advice?