Pelvic pain possibly maybe pcos - #10372
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.
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Doctors’ responses
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
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
Sure
No I had periods on 22 june after three months I have acne and hair on chin and chest My weight gets up down
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.
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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