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Sorry to hear that.
Did she have any pelvic ultrasound or CT scan?
Did you see my replies above?
Did she have any pelvic ultrasound or scan?
Your partner needs a CT scan of the pelvis with contrast for further evaluation.
She likely has pelvic endometriosis.
Endometriosis can cause this type of persistent and severe pain.
There may be adhesions in the uterus lining from IUD causing the pain.
Most of the times, the hormonal fluctuations, mainly excess estrogen can cause this type of pelvic pain.
The best option is to use a medication called Leuprolide.
Leuprolide is administered as subcutaneous injection monthly
This often provides relief to her symptoms.
Another option will be to consider laparoscopic surgery to remove the adhesions and the scar tissues in the pelvic region.
But first leuprolide should be tried along or in combination with norethindrone.
It is better to consult with a gynecologist the above options.
Thank you for your very detailed advice. I have forwarded to the individual in Guyana, South America, who is very pleased and will take it to her doctor on her next visit. Apologies for not being more specific. I read the report and was very pleased with its advice.