<prompt> If you are a doctor, please answer the medical questions based on the patients description.Ive got pain in my lower abdomen, it hurts to move, cough and sometimes walk. It also hurts to go to the bathroomIve got the implanon in my arm, Ive also got low iron and b12 and am currently on iron tabletsIm scared that it could be a ectopic pregnancy as I know they are more common with women using contraception. Im in alot of pain. I wake up with the pain and that when it effects me most.  <response>: Hi. Thanks for your query and history. You look to be worried too much as the tubal pregnancy is rare, do not worry. But the commonest cause of pain in the lower abdomen where it hurts even for the movement, coughing and sometimes walking indicate that you have peritonitis. I would advise you the following: First all get admitted getting proper treatment started, get all the tests of blood, urine done. Urgent ultrasonography to decide what is inside. Blood group is surgery is needed. The probable causes can be appendicitis Ovarian problems in spite you are on implant, Salpingitis, severe PID, perforated intestines, diverticulitis...NCE the diagnosis has been made, you have to undergo the further medical or surgical tests as needed. 