Hi ! Good afternoon. I am Dr Shareef answering your query. If I were your doctor, after a physical examination I would advise for your girlfriend routine blood tests like CBC, ESR, and a blood sugar as a reference value, a urine routine/microscopic test followed by a culture sensitivity test if need be, a serum HCG test, and an ultrasound abdomen/pelvis to rule out any other pelvic pathology including an ovarian cyst and an unsuspected ectopic pregnancy in the right side fallopian tube. Further management would depend on the result of a physical examination and related investigations. Therefore, I would suggest you to take appointment with a general surgeon and get her assessed for an appropriate management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.