Conversation: The conversation between human and AI assistant.
[|Human|] Hi I m 18 and Im having problems in my abdomen . I had the birth control mirena in for almost a year after I had my daughter. I was having so much pain when I placed it it that one day I removed it myself when my doctor wasn t available for an appointment. That was almost a year ago and today the pains just get worse and worse daily. I don t know what to do and I hope you can help
[|AI|]  Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. Forum.  You had IRENA placed, as the doctors are not available, you have removed by your own. After one year, You had pain again and is very bad.  It appears to be the pelvic inflammatory disease, due to some infection. Other causes could be urinary tract infection, or stone in the urinary bladder, which started with the insertion of the IRENA, and it could be the recurrence.  I advise you to consult a cynic for diagnosis and treatment. You may need to have M.R.I.besides other routine tests for confirmation. If there is recurrence again both the partners should use the medicines.  Wishing for a quick and complete recovery.  Best regards.