Many thanks for your question.
I am so sorry that you have experienced this often very painful condition. You are correct in saying that pelvic inflammatory disease inhibits conception, however there is still a remote chance that there may be a pregnancy with what you have mentioned, and also with you having been on a pharmaceutical antibiotic. Therefore, I do recommend that you have a pregnancy test done please. You may use one of the home pregnancy test kits for this purpose, but do test the urine before 10 a.m. in the morning, as this is the time that the human chorionic gonadotrophin hormone (HCG hormone) is raised when there is a pregnancy. If done at a later time in the day, you may end up with have a false reading either way. I recommend that you do the pregnancy test for peace of mind as well, due to your concern.
I wish you well, and hope that you fully recover soon.
Gabriell (Dr.) Prinsloo
The best treatment for an infection in the uterus is antibiotics. It is important to treat the infection as rapidly as possible so that it doesnít spread. If the infection doesnít clear in response to the antibiotics, it might be necessary to take a swab to see which bacteria are causing the infection and then to give different antibiotics for those bacteria. It might also be necessary to remove the Mirena to allow the infection to clear. The Mirena can then be replaced later once everything has healed.
If the pain hasnít cleared by now or if your periods continue to be irregular, then I would suggest going to see your Gynaecologist for an examination, ultrasound scan and further advice.
Dr Gabriell Prinsloo
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