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Tender lower abdomen, discomfort during sex, sore vagina. UTI, urine test normal. Treatment?

Hi, I am a 29 year old female. I have been suffering from a sore/tender lower abdomen for about a week now. I was at my doc on friday & he put it down to a twisted ovary as he has done before. He checked my urine for a uti as well as pregnancy and both were clear. I had intercourse with my boyfriend last night & it was quite uncomfortable (which has happened a few times in the past), about 20 mins later I was very sore and found it quite uncomfortable to sit & walk. It eased after about an hour but I m still having niggly pains today. Any idea what it could be??
Asked On : Thu, 9 Aug 2012
Answers:  1 Views:  50
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General Surgeon 's  Response
Hello!
Pain during intercourse and after it is characteristic for endometriosis. It means that a uterine cells are growing outside the uterine, mostly in abdominal cavity.
To diagnose it mostly laparoscopy (some kind of surgery where a camera is put in to a abdominal cavity) is necessary. However, before endometriosis is suspected, other abdominal cavity diseases must be ruled out. To do that abdomen ultrasound or even abdominal CT needs to be performed.
If this will show nothing, and blood tests, urine tests are negative, laparoscopy is necessary.
There can be other reason of your pain - dry vagina. You can try some lubricants.
Vaginal infection should be ruled out as well. You should see your gynecologist for examination and intra vaginal ultrasound.
Hope this will help
Answered: Wed, 15 Aug 2012
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