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Sharp pains in the vagina and spotting before onset of periods - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2407 Questions
User :   I have been spotting dark brown discharge for the past 3 days and today I had a knife like sharp pain in my vagina which lasted less than 5 minutes and some red blood came out then my spotting stopped all together. My BBT was low for the past couple of days and I took a HPT which came up negetive. What could this be?
Doctor :   hi
User :   hello
Doctor :   Dr. XXXXXXXX here. let me read what you have typed
Doctor :   when was your last menstrual period?
Doctor :   are you any birth control measures?
Doctor :   if yes, since when are you taking them and which one?
Doctor :   are you there?
Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
Doctor :   hi.
Doctor :   are you back?
User :   I am not on any birth control
Doctor :   please proceed.
Doctor :   ok
Doctor :   when was your last menstrual period?
User :   I used to be on the Meraina IUD.
User :   Last period was on april 11th
Doctor :   ok
Doctor :   was it normal?
User :   I had the same spotting 2 days before my period last month but then it came normally
Doctor :   what is the menstrual cycle length? i mean to ask in how many days gap do you get your periods once
User :   sharp pains with spotting as well last month.
User :   my periods are irregular
Doctor :   ok
User :   last cycle was 44 days
User :   I am on day 45 now
Doctor :   ok. is it same with cycles before the last one?
Doctor :   since when are you getting these sharp pains during periods?
User :   no last month was the first time this started.
Doctor :   what other symptoms are you having?
User :   sharp pains on and off since january
Doctor :   ok
User :   sharp pain during sex. Feels like my husband is pounding into my uterus.
User :   sometimes
User :   not always
Doctor :   ok, do you feel this pain during intercourse before starting your periods? or is it present anytime during the cycle?
User :   Any time between periods. I got rid of the IUD because it started causing me pelvic pain frequently.
Doctor :   is there any vaginal discharge present apart from menstruation? if yes is there foul smell?
User :   nope
Doctor :   is there vaginal itching or smell after intercourse?
User :   no
Doctor :   does your husband complain of burning sensation in penis after the intercourse?
User :   no
Doctor :   ok.
Doctor :   i would recommend you few things to be done
User :   ok
Doctor :   1) get yourself examined by a gyne doctor, to see if she can feel any tenderness while examining ou vaginaly
Doctor :   if you get pain at time of examination it will sugest 2 thigs
Doctor :   a) PID (pelvic inflammatory disease), b) endometriosis, c) fibroids
Doctor :   2) get a vaginal smear and PAP test done
Doctor :   3) get a hormonal analysis done if all of these come back normal
User :   i just had a pap done last month and it was normal
User :   I have been diagnosed with PCOS and Hypothyroid
Doctor :   4) get a pelvic ultrasound done to see if there is evidence of PID or any other problem that is causing you the pain and the symptoms
Doctor :   are you on any medication for PCOS?
Doctor :   when was these diagnosed?
User :   no but I am taking medicine for my thyroid.
User :   PCOS diagnosis in July 2009
Doctor :   ok.
User :   Thyroid was diagnosed in February 2010
Doctor :   then a repeat scan is recommended to see what is happened to your PCOS
User :   ok
Doctor :   if it has gone worse, or lead to PID, then you might have the symptoms that you are facing now.
Doctor :   it should be treated to keep symptoms under control
User :   i am taking synthroid 75mcg for my thyroid right now
Doctor :   schedule an appointment as early as you can with your doctor and discuss these above points with her
User :   ok
Doctor :   ok, were the thyroid hormones checked after starting treatment for it?
Doctor :   if not, get a thyroid profile don etoo
User :   yes she just upped my dose 2 weeks ago
Doctor :   to see if the 75mcg of synthroid is enough to control it or not
Doctor :   ok
User :   I need to go back in a month to re-check my level
Doctor :   ok
User :   what can be done about PCOS?
User :   We want children and I don't think I even ovulate
Doctor :   PCOS needs to be rechecked with scan and hormonal levels to see the exact status
Doctor :   and start treatment appropriately
User :   my BBT's have been low all month last month
User :   what treatments are there for PCOS?
Doctor :   once the thyroid state is under control and PCOS too, you can try and get ovulation induced and get pregnant
Doctor :   PCOS treatment depends on the extent of it
Doctor :   so we would first need to determine that
Doctor :   and then start you on traetment to control it
Doctor :   and once the hormonal levels are fine then
Doctor :   you can be given medications to induce egg release to help you get pregnant
User :   how long does it usually take to get things under control?
User :   average
Doctor :   if nothing works, then with the same medications, th egg release can be caused, and egg captured, and fertilized outside and re-inserted in uterus
Doctor :   the time depends , for some it works in 1 cycle, for some it takes upto 5
User :   what kind of treatments are there for different stages of PCOS?
Doctor :   the in vitro fertization can only be done when your thyroid status is controlled
Doctor :   the treatments vary from using only ovulation inducers or combining them with insulin modifiers
Doctor :   it will be decided by your treating doctor depending on your investigation results
Doctor :   have you followed what I have said?
User :   yes
Doctor :   is there anything else I can help you with?
User :   no that is all Thank you
User :   I will make an appt to see my doctor asap
Doctor :   ok
Doctor :   Thanks for consulting me. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
Doctor :   Please fill the feedback form say done when done.
User :   ok
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