Hello I had a diagnostic laparoscopy 24 days ago which found no reason for my heavy and painful periods.They also fitted a mirena coil. Since then I have been having lower abdominal/ pelvic pain which increases when I got to the toilet (both urine and bowel) Yesterday I had my urine tested and it showed pus cells so was given three day course of antibiotics and urine was sent for analysis Today I have extreme abdominal pain which was so severe this morning I contemplated calling an ambulance. It did subside but is still there periodically especially when I move or try to open my bowels what could this be?
Hello. Welcome to Chat Doctor. Pain after IRENA is most commonly due to perforation, and you need to immediately visit ER and undergo ultrasound scan or laparoscopy to confirm and/remove IRENA. Delayed will be life-threatening. Other reasons might be due to infection,pre-existing uterine pathology, but emergency causes should be ruled out first and treated. All the best