Conversation: The conversation between human and AI assistant.
[|Human|] hi i am a 20 year old female. since last saturday (4/20/2013) i have not been able to keep anything in my stomach. i have a headache at the same time everyday, nausea every night, sometimes to the point of throwing up. i have lower abdominal pains, that are also in my lower back into my hip, all on the left side. i had an abortion in may, and at the same time got the mirena iud put in. i am always tired no matter how much sleep i get, loss of sex drive recently and when i do have sex with my boyfriend i do have pain and some spotting afterwards. we have not been using any protection because of the mirena and this is the first time since i had it put in that i have been this nauseas and have had constant headaches, what should i do?
[|AI|]  Hi dear user, pregnancy rate with IRENA use is less than 0.5 per 100 women years which is very low. So, chances of pregnancy are very low if your IRENA is in its right place. Probably, all these signs are due to its side effects. However, to be on safe side, you can go for serum beta Chat Doctor levels to rule out pregnancy. If that is negative then you can take anti emetics and painkillers for your symptoms.