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Pelvic pain possibly maybe pcos
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Gynecology & Pregnancy Care
Question #10372
276 days ago
432

Pelvic pain possibly maybe pcos - #10372

Zaimab

Assalamualaikum doctor, I’ve been experiencing sharp pain in the lower left side of my abdomen that gets worse when I sit, stand up, or even laugh or stretch. The pain feels deep and pulling. I also have pain in my left leg, nausea, and extreme hunger — even after eating. I got my period on 22nd June after three months, and during those three months, I had similar symptoms — including bloating, left-sided pain, and acne breakouts. There’s no vomiting or fever, but these symptoms are making me uncomfortable and concerned.

Age: 20
Chronic illnesses: No
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Doctors' responses

Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
276 days ago
5

Walikum assalam Zainab Possibly you have ovarian cyst that is causing pain so I want you to get USG pelvis and want to ask some private questions if u are okay

545 answered questions
74% best answers
Accepted response

4 replies
Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
276 days ago
5

Then possible cause is pcos or ovarian cyst for that you should get USG pelvis LH, FSH, Prolactin AMH (for ovarian reserve) Testosterone ( acne/hair) TSH (thyroid) Fasting insulin/glucose And get checked with gynecologist for proper treatment

545 answered questions
74% best answers
Accepted response
Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
276 days ago
5

Are you sexually active Are your period regular Do u have any acne weight related issue?

545 answered questions
74% best answers
Accepted response
Zaimab
Client
276 days ago

Sure

Zaimab
Client
276 days ago

No I had periods on 22 june after three months I have acne and hair on chin and chest My weight gets up down

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
276 days ago
5

Pelvic ultrasound Serum LH, FSH, TSH, Prolactin Serum testosterone ( free + total ) Crp and ESR Fasting blood sugar

RX 1) Tab Drotin M 1 tab twice daily after meals for 5 days 2) Tab pan 40 1 tab before breakfast for 5 days

Follow up with reports to know the diagnosis.

1854 answered questions
59% best answers

0 replies

With the symptoms you’re experiencing, PCOS (Polycystic Ovary Syndrome) might be a consideration, given the irregular periods and acne. However, the sharp, localized pain, especially considering its intensity with movement, also points toward other possibilities like ovarian cysts or perhaps even endometriosis. These conditions can mimic or overlap with PCOS symptoms and might provoke similar pain patterns. The leg pain and nausea can reflect either referred pain from the lower abdomen or another unrelated issue, but it’s worth watching closely. It’s important to distinguish whether this pain is cyclical with your menstrual cycle or persistent, as this could help decide the underlying cause. Immediate dangerous conditions like appendicitis should be ruled out, although it’s usually on the right side, potential complications should never be ignored. Ensure you’re up to date on wellness screenings, including pelvic exams and possibly transvaginal ultrasound. These would provide more insight into what’s occurring internally. For now, NSAIDs like ibuprofen might be helpful in managing the pain and inflammation, but adherence to maximum dosing instructions is essential to avoid any adverse effects. Similarly, maintaining a balanced diet addressing your extreme hunger can help manage weight as well, crucial in managing PCOS. However, you should book an appointment with your gynecologist or general practitioner to pinpoint the issue. Blood tests could be recommended to evaluate hormone levels, which can further help in the diagnosis. Pay attention to any worsening of symptoms, and if you develop a fever, vomiting, or severe pain, seeking immediate medical attention would be wise.

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