not sure Bec, i got it put in at the hospital , (by a realy hot young doc.so not the circumstance id want to be in if i saw him again ) its was OK for a few weeks . i was told if the spotting stops after a few days , then comes on heavy and dark then its probably falling out , my spotting lasted about 3 day then nothing till the heavy bleeding , so i have no i dea if it was in properly ..