Conversation: The conversation between human and AI assistant.
[|Human|] I have been have lower back pain and sharp stabbing pain in my lower abdomen. I have have the mirena for a little over a year and this is the first time that it has happened too severely. I went to see mt gyno last week and he said I was very sensitive and tender and put me on an antibiotic but didn t explain anything further. Could this be because of the mirena?
[|AI|]  Hi, Well it could be due to infection, PID (Pelvic inflammatory disease), other gynecological pathology(fibroid, ), renal pathology (renal, ureteric, cystic calculus etc.) GIT pathology (polyp, appendicitis, diverticulitis, Inflammatory bowel disease, colitis, etc.). It could also be due to IUD (IRENA) but with regular use the symptoms decreases only increases with infection or PID.  As your gynecologist has clinically reviewed it and diagnosed due to some infection then complete course of antibiotic prescribed. If symptoms persists after treatment or aggravates during treatment then revisit your doctor or take second opinion with X-rays abdomen standing app view, USG whole abdomen (CT scan if required). Hope this will helpful free to ask for any query Thanks n regards Chat Doctor. Com