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

### input:
nullI am 35 years old and have 5 children all natural. I am very athletic and run almost every other day. In the past year or so (only once in awhile) it seems that during my run I would feel some heaviness in my lower abdomen. This past month I felt it again and I started to be concerned. I don t feel any pain other than a little heaviness. I went to a pap and there was no mention of anything irregular and I haven t received a call back stating that there were any problems. I ve the murina IUD for almost 4 years with no problems. This week out of curiosity I checked my cervix and the strings and it felt low and tilted towards the left. Usually it s tilted a bit but this time it was difficult to touch the strings due to the cervix pointing towards the left. I am waiting for my drs appointment and I am really concerned. It feels like the strings might be rubbing against the wall. Today it feels like I have a slight pinching or a sensitive feeling on the lower left side of my abdomen just above my pubic bone. Should I be concerned? I am scared of a prolapse or a growth of some sort.

### output:

HelloThanks for writing to us with your health concern. Normally the cervix is tilted towards either one side so don't worry. It should not feel too low. With 5 natural childbirths, the chances of a prolapse are increased. If you did not feel the strings easily, then that is paradoxical, because with a prolapse, you should have been able to feel them easily. Apart from this issue, you are also having slight discomfort in the lower abdomen. It could indicate an infection or possibly a cyst. Yes, do not be overtly concerned. BUt just have a gynecological evaluation to be on the safer side. Collect your Pap report too. Have an internal check up - per magnum and per spectrum. That will rule out both polyps and growths. A growth is least likely with a clean Pap smear. All the best and take care.