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

### input:
Ive had the coil fitted for just over 4 and a half years now and I have had problems with it from the day it was fitted for the first year I bled heavily and had extreme abdominal pain. I suffer from other medical problems such as POCS, severe constipation and Irritable Bowel Syndrome. Within the second year I stopped using the laxatives I was being prescribed as I was going to the toilet every day without them something that I was unable to do since I was 15. started having huge bloating but would go away after a few days went to see my GP regarding this and speak to her about being able to feel the threads whilst having intercourse wit my partner and she cut them  for me. the 3rd year of having the coil in caused more problems I hadnt bled for about a year and then all of a sudden I was bleeding for 2 weeks at a time went to see my GP again regarding this and they sent me to see the nurse to check the threads under an examination the nurse could not locate the threads but I had a scan 2 months or so prior to this regarding POCS and when the GP looked at the scan they determined that the coil was visible but advised me that it was fine. I have been in and out of my doctors for the following past 2 years with constant problems with bloating and I was given advice as to stick with it that these where only minor side effects. My stomach has been bloated for the best part of 3 weeks now and I am going for an ultrasound this month but I was only told on the 24th of this month that the coil has been ineffective and hadnt protected me against pregnancy. I am extremely depressed about the way I look and cannot cope with the pain anymore can you give me any advice. thanks

### output:

Hi, You got coil since 4.5 years, Had many problems, threads were cut, not felt, but coil is inside and infected. Feeling bloated.  First thing one should change the coil every 3 years. Stings were cut, and it will be difficult to remove the coil.  I advise you to consult a gynecologist for removal of the coil, immediately. I to my patients with such symptoms prescribe fluconazole, a combination of ofloxacin and ornidazole, and omeprazole and risperidone.  Thank you.