Hi welcome to Health care magic forum.
Thanks for calling H.C.M.Forum.
You had mirena
placed, as the doctors are not available , you have removed by your own. After one year, You had pain again and is very bad.
It appears to be the pelvic inflamatory disease, due to some infection. Other causes could be urinary tract infection
, or stone in the urinary bladder
, which started with the insertion of the mirena, and it could be the recurrence.
I advise you to consult a gynic for diagnosis and treatment. You may need to have M.R.I.besides other routine tests for confirmation. If there is recurrance again both the partners should use the medicines.
Wishing for a quick and complete recovery.