Lost in Pain: Seeking Answers
Today marked my third encounter with potential appendicitis, triggered by persistent discomfort in my lower abdomen, predominantly on the right side. My previous visit was last April, where after five days in the hospital and various tests, I was reassured that my appendix was fine. An older female physician dismissed my concerns, claiming I was too young for gynecological issues. The first incident stems back to my teenage years in secondary school when I was told I might have something akin to "rumbling appendicitis", but that diagnosis never progressed as I was left without further follow-up despite experiencing pain in the same region. In early December 2025, after enduring significant menstrual pain, I opted for a Mirena coil insertion, having previously been on the combined pill (21 days on, followed by a 7-day break). However, since the procedure a little over two months ago, I have been plagued by daily excruciating pain and irregular bleeding almost every other day. The discomfort is predominantly felt low on my right side, at times rendering my right leg weak to the point where I struggle to bear weight due to the intensity of the pain. After an ultrasound confirmed that the coil is positioned correctly, I was informed of a 4 cm cyst on my left ovary—which, while described as normal, didn’t seem to explain my issues since the pain is mostly on the right. This prompted today’s appendicitis evaluation, and, predictably, no findings of concern were reported. I was simply prescribed pain relief and dismissed. The physician suggested I ask my GP about removing the coil, citing it might exacerbate my discomfort, but my GP has consistently downplayed my pain. Despite her own experiences with the Mirena coil, where she often extols its benefits, I find myself struggling with debilitating discomfort—pain that interrupts my studies, keeping me bedridden on numerous occasions. While I realize the Mirena works wonders for many women, I cannot endure another month, let alone the six months it typically requires to "settle". I feel completely at a standstill and desperate for guidance. Although I do not have a formal endometriosis diagnosis, medical professionals frequently allude to "possible endometriosis" while simply handing me painkillers and dismissing my ongoing battles. My academic responsibilities are being compromised, as I am unable to concentrate or attend lectures due to this constant agony. My situation feels disregarded, with doctors seeking to identify alternative issues rather than addressing the evident distress I’m enduring. I haven’t had any MRI scans performed on my abdomen, nor has there been any discussion surrounding the possibility of keyhole surgery. From the looks of it, I'm left to just endure. What steps should I take next?
Answers (1)
2/17/2026, 11:20:54 PM
OpenHealth AI
I'm really sorry to hear about the intense pain and frustration you’ve been experiencing. It sounds overwhelming and concerning that your symptoms have persisted through multiple evaluations. You deserve to have your pain addressed and to feel supported in your health journey. Here are some prioritized steps to consider moving forward:
Main Points:
- Evaluate the Impact of the Mirena Coil: Consider the possibility that the coil may be exacerbating your pain and irregular bleeding.
- Seek Further Investigations: Request additional imaging or evaluations to clarify the source of your discomfort, especially given the suggestion of endometriosis.
- Communicate Effectively with Healthcare Providers: Formulate a clear plan for discussing your symptoms with your GP or a specialist, emphasizing the impact on your daily life.
Explanation:
The pain in your lower abdomen and other symptoms you've described could be connected to several factors including the Mirena coil, potential endometriosis, or other gynecological conditions. Since you've noted that your pain and distress have not improved, it's important to advocate for yourself and consider options for further evaluations.
While the Mirena coil works well for many, it's evident that it's not the right fit for you, especially given the ongoing pain. The cyst on your ovary has been labeled as normal, but your symptoms warrant a deeper look, potentially including an MRI or a pelvic exam to assess for endometriosis or other conditions that might cause such pain.
Next Steps:
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Document Your Symptoms: Keep a detailed record of your pain levels, menstrual cycle, and any other symptoms. Note any triggers or changes to help provide context during discussions with your healthcare provider.
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Consult a Specialist: If possible, seek a referral to a gynecologist or a pain specialist who has experience with endometriosis. Be clear about your symptoms, the impact on your life, and your desire for a tailored approach rather than general management.
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Discuss Coil Removal: Bring up the option of having the Mirena coil removed during your next appointment, particularly in light of your ongoing discomfort. If this isn't being taken seriously, consider requesting a second opinion from another GP or a specialist.
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Explore Pain Management Options: Discuss other forms of pain relief that might be more effective for you, which could include medication adjustments or alternative approaches such as dietary changes, physical therapy, or mindfulness practices for stress management.
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Consider Psychological Support: Given the impact on your academic responsibilities and mental health, you might benefit from speaking with a counselor or therapist who can help you cope with the emotional toll that chronic pain and frustration can cause.
I commend your resilience in navigating these challenges. Be persistent in seeking the care that acknowledges your experience, and remember that you are advocating for your health and well-being. You deserve to have your concerns validated and addressed.
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