 [ Symptoms ] is overhead pressing and pulling important in training  i have had shoulder tendonitis from doing a lot of painting and remodeling and i would heard from the orthopedic doctor that i should stay away from military presses  if that were the case i guess i should stay away from the lat pulldown exercise too correct  i do not want to do damage to my shoulders in the long run i would like to have healthy shoulders even if i stopped working out not stop working out and always be in pain from not training smart [ Disease ] i worked as an lpn in women is health for 20 years mirena is a wonderfully effective bc method you should have very few worries regarding pregnancy it does not however offer any protection from stds your provider will have made you aware of these risks along with making sure you know how to properly check for the strings of your mirena manually check every month following your cycle as long as you can feel the strings  they feel similar to fishing line and you are confident in your partners sexual good health you should not be worried about contraception for up to 5 years from the date of insertion so enjoy hope my answer was helpful