Conversation: The conversation between human and AI assistant.
[|Human|] I have pain in my lower left abdomen at times with pelvic pain that radiates down my legs. Ive had this for 5 months already. I saw my Gyn in August 2011 for this and he said it was an infected Iud. Took lots of antibiotics for it and nothing. So got the IUD removed. Got pregnant and had a miscartiage Dec 20,2011. And im having the pains again. It hurst more when i do alot of walking or siting. What can this be?
[|AI|]  Hi ! Good afternoon. I am Chat Doctor answering your query. With the history of infected IUD, and a miscarriage, and long term treatment for the PID (pelvic inflammatory disease), there is a possibility of your pelvic organs getting adhered either to each other or surrounding structures, and this adhesion might be responsible for the pain. Usually it is seen that in chronic PID is very difficult to eradicate completely, and the pain could radiate to the back and lower limbs. If I were your doctor, I would advise you for a urine routine and microscopic test followed by a culture and sensitivity test of both the urine and vaginal swab to be sure of the best possible antibiotic effective against the chronic infection. If you are sexually active, you have to take appropriate precautions so that you do not get or spread the infection on either side. An ultrasound of the abdomen would be helpful in such cases, and if need be a diagnostic laparoscopy might be advised by your gynecologist in case of intractable pain disturbing your routine activity. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor.