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

### input:
ive been experiencing abdominal pain for over 2 weeks now. i was diagnosed with a bladder infection and took my prescription. a week later, i still had pain and was given a different antibiotic. that night i experienced severe abdominal pain, predominantly on the left side for 1.5 hrs before it passed. 2 days later, i was still having pain so i went back to the dr. my urine came out clean and he suggested that perhaps i had an ovarian cyst that burst. my pain subsided finally about 2 days ago, but my husband and i had sex this morning and i experienced deep pelvic pain during sex. this was followed by bleeding approximately 2 hours later. im not sure if this is the beginning of my period or not, but i wasnt expecting it until next week. FYI, i have the Mirena IUD placed right now.

### output:

Hi. Thanks for your query and an elucidated history. The history of pain in the abdomen - treatment-reduction in symptoms but then recurrence of pain and then deep pelvic pain during sex is indicative of multiple problems at the same time. This may be a mixed infection of the urinary tract as well as the of PID, meaning Pelvic Inflammatory Disease. I would advise you the following:To undergo all the tests of blood, urine and stool. Ultrasonography of the abdomen including trans-vaginal USG and Examination by a gynecologist to ascertain the cause. Proper diagnosis will lead to a proper treatment. If there is still no complete relief after the next course of antibiotics, metronidazole and antifungal medicines, I would advise you to undergo CT scan of the whole abdomen and colonoscopy.