Conversation: The conversation between human and AI assistant.
[|Human|] Hi, this morning when I woke I went to void. While voiding I blew my nose and had immediate sharp pelvic pain, when I wiped there was some bleeding, not bright red. I have had the nexxplanon since March and have yet to have a period, but I have had about a 25lb weight gain. Today when I voided there was an uncomfortable pain and once again there was blood. I also could feel a bulge on the bottom part of my vagina.
[|AI|]  Hi! Good morning. I am Chat Doctor answering your query. If I were your doctor, I would advise you for a serum Chat Doctor test, and an ultrasound of abdomen to rule out an unsuspected pregnancy. I would also advise you for a gynecological check-up to rule out any pelvic pathology. Further management would depend on the reports. 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. I wish you an early recovery. Chat Doctor.