think my mirena fell out!

hi soo i think my mirena fell out and im not sure how to tell ive had t in for about 3 yrs and ive never been able to feel for it due to the length of my arms so ive always depended on a dr telling me whether it is still in or not but now ive come to the issue that i cannot afford to go to the dr due to not having insurance and being a single mom sooo now i dont know what to do i have been in a committed relationship for 2 yrs now                                                                                                           what to do!!!!

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