Hi, I am a healthy active 42 year old woman. In the last few months i have been experiencing regular dull aching in the abdomen, with small changes in my bladder and bowel movements that i put down to variations in diet. I had an iud put in 2 years ago and noticed that there is sometimes pain and spotting after intercourse, I am due for a pap smear. The pain is very uncomfortable some nights and causes me to sleep restlessly. Also lower back pain, which i blame on a new mattress. Is there cause for concern, maybe I'm making up excuses for the pain when it could be something more sinister. Thank you Aliyah