Conversation: The conversation between human and AI assistant.
[|Human|] I am a 24 year old woman, I have had an IUD since the birth of my first child almost 5 years ago. Ever since I have had a lot of pain, not excruciating pain but uncomfortable pain that feels like to me a felopian tube? Intercourse with my husband is painful and I seem to not have a sex drive anymore. And sometimes my pain feels like to me, that my IUD hurts. I am on a fixed income and cant afford to just go to a doctor if this is normal with an IUD.
[|AI|]  This is not normal with IUD. The pain you have described seems to be in the lower abdomen on the sides - one or both. This indicated infection/inflammation of pelvis. If the IUD remains in the uterus for longer time than its life it gets infected. Also, if it gets infected by any reason, this can happen. I would advise you to get IUD removed first. Then you may have to take a course of antibiotics and anti-inflammatory medicines to get rid of the infection and swelling in the pelvis. Then your doctor will decide whether you can be fitted IUD again or you need some other birth control method. Please do not ignore nor pull on with this for long. You have already done so for a very long period. You need to report to your gynecologist to get things set right. You may further discuss with me on phone, direct question or by premium question.