### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello I am a 24 year old woman that has been having painful lower left abdomen pains, frequent urination and pressure, I have a iud in place for 1 year now. I finished my period 4 days ago and today feel worse I ve ever been. Uncomfortable pressure , when I press on my lower stomach area it hurts with the urge to go to the bathroom, no odd discharge and no smell, may be urine smell sometimes after waking up from sleeping! Help to what I could have. Been holding off to see a doctor thinking its just men s traction or ovulating but I feel it s something worse.

### output:

Hello Madam, I have gone through your problem. Two things can be the cause of this problem. 1. Urinary tract infection2. Pelvic inflammatory disease In females the urethra is 4 CMS in lengtChatDoctorpared to 17 CMS in males. Do this short length the bacteria which is usually present in the genital region can easily migrate up to the urinary bladder and can cause urinary tract infection which is called as Cystitis. Urinary tract infection is common in females when compared to males. In the second case, you have an Intrauterine device (IUD) placed one year back. Since one year you had no complaint like this. But now you may be having Pelvic inflammatory Disease (PID) which can be due to this IUD. My advice is to consult your gynecologist immediately and get a check-up done. Simultaneously she can get an urinalysis along with urine culture and sensitivity done for you. If your problem is due to IUD, then you need to take antibiotic course and need to get rid of IUD and choose other alternative method. If you have a urinary tract infection, a course of antibiotics is usually sufficient. Good luck and wish you a fast recovery.