The conversation between human and AI assistant.
[|Human|] I have had an iud for a few years. I don t get my period. I have been having intense abdominal pain simular to menstrual cramps but more intense and they last for quite awhile. There os no spotting. It hurts to poop and pee, so bad I have to brace myself. The pain in my abdomen is so severe it hurts to walk. What could this be? Is it my IUD?
[|AI|]  Hello, I have gone through your query and understood the concern. I think that you should get evaluated for the position of the IUD in the current scenario. Displacement of the IUD can often lead to the symptoms you are experiencing. Another possibility is an ectopic pregnancy that could be pressing on the bowels and bladder. A sonogram of the pelvis should be taken to confirm/exclude pregnancy. If the IUD cannot be located, MRI or CT scan of the pelvis is needed to locate the device and plan further management. Infections and other local causes also have to excluded, though less likely in this situation. Hope you find this information useful. Wish you good health.
