I m a 39yo mwf with hx of 2x Caesarian (children now 8 & 10), with Mirena for 5 yrs (due for replacement soon). Non-smoker, BMI 23.6, mostly good diet, gym 1-3x/week, 0-3 wine or beer/week (varies with social activity). No health concerns. C/o experiencing extreme abdominal bloating, lower back pain, constipation, and pain on defecation. Today is day 9 of my cycle.