Conversation: The conversation between human and AI assistant.
[|Human|] I have had the mirena coil in for almost 6 months now and ive not bled for about 3 months now but i am suffering with excrutiating abdomal cramps lately. i experienced this about 2 months ago and when checked by a gp they said all was ok. im in alot of pain and discomfort!
[|AI|]  Hi. Thanks for your query. The IRENA coil being a foreign body in the uterus can cause the uterine contraction to cause the lower abdominal cramps. The changed environment of the uterine cavity may not be allowing to have a proper menstrual flow. You can always check this by an ultrasonography, the status of the uterus, position of IRENA Coil, sighs PID,- Pelvic Inflammatory disease or any problem with the ovaries and / or Fallopian Tubes. If there are associated symptoms related to bowel or bladder a course of antibiotic and metronidazole will help. If the cause is IRENA coil, it may have to be removed. Consult a Gynecologist to get a confirmed diagnosis and to have a proper plan of treatment.