A woman should not clean herself out internally during the clean days. Doing so defeats the purpose of the clean days. 

If staining is causing difficulty completing the clean days, you may reduce the number of bedikot required to one each on days 1, 7, and one additional intermediate clean day.

It is permissible to shower normally (without purposely cleaning out the internal vaginal area), wait 10-15 minutes, and then perform the bedikah.

Unfortunately, irregular staining or bleeding is common for up to six months after having the Mirena inserted as your body adjusts to it. We do recommend attempting to count the clean days, but be prepared for the possibility that you may have to restart them due to continued staining or bleeding.

If these suggestions don’t help you successfully complete the clean days, please feel free to get back to us for further guidance.