Brief Answer:
You may be ovulating or having a flare of your endometriosis

Detailed Answer:
Hello, and I hope I can help you today.

Endometriosis is a chronic, lifelong condition that unfortunately really only goes away at menopause. No one knows what causes endometriosis, however the disease is caused by the presence of cells that are normally only found in the menstruation producing cells of your uterine lining outside of your uterus. What that means is when you menstruate, these cells also shed blood and can cause pain and scarring internally from the bleeding.

I reviewed some of your other questions to get some more information about your gynecologic history. It seems that you only had your uterus removed when you had your hysterectomy two years ago; meaning that you still have your ovaries. Even though you do not menstruate from your uterus, your ovaries go through ovulation cycles and you do have the normal withdrawal of hormones that would cause you to bleed from your uterus if you had one.

So there are two possibilities of what could be causing your pain: one being ovulation (which should go away on its own in a few days) and the other being your "period". Though you cannot bleed vaginally, if there is any endometriosis tissue remaining in your pelvis this tissue may become inflamed and bleed internally causing pelvic pain.

In the short term, if your pain is not controllable with medication that you have at home and you cannot get a prescription from your own doctor, you could consider going to an emergency room for treatment. You should go to the emergency room if you develop a high fever, begin vomiting, or getting diarrhea, which may indicate another cause abdominal pain like appendicitis.

However, what you really need is additional medical therapy for your endometriosis. Birth control pills taken continuously (meaning having no pill-free week), or other medications such as Lupron (which is an injectable medication that is often used to treat endometriosis) may be options to help reduce the occurrence of your pain in the future.

I hope I was able to adequately answer your question today and that this information was helpful. If I can be of any further assistance, please do not hesitate to contact me.

Best wishes,

Dr. Brown

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Brief Answer:
You should go to the emergency room

Detailed Answer:
Hello again, and I apologize for the delayed reply.

If your pain is not controlled with the narcotic pain reliever you have at home, the only way you will get releif is to go to the hospital where they can give you IV pain medication. Then hopefully your doctor can try to suppress your hormonal surges to prevent your feeling like this again.


I am sorry that I cannot be more helpful and I hope if you go to the ER they can help you feel better.

Please let me know if I can help in any way-

Regards,

Dr. Brown

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