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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Stomach Cramps, Nausea And Lower Back Pain?

Could this be early pregnancy sign Im 26 187lbs 5 5. I have PCOS to my periods isn t regular currently taking no kind of meds. I ve been having like cramping slight nausea with lower back pain and hot flashes to where I m waking up in cold sweat and I ve also spotted for 3 days and I am in a relationship
Fri, 28 Aug 2020
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OBGYN 's  Response
Hi,

Women with polycystic ovarian syndrome can present with irregularity in menstrual cycles due to reproductive hormonal imbalance and insulin resistance. Nausea, abdominal cramps, spotting, hot flashes, etc. symptoms can be seen during the premenstrual period also apart from early pregnancy. As you are not on any contraceptive measure at present the possibility of pregnancy cannot be ruled out.

So if you want to be sure, please go for a blood test for pregnancy or ultrasound. Blood test for pregnancy is comparatively more accurate than urine pregnancy test if serum beta HCG levels in the blood test are less than 5 mIU/mL that rules out the possibility of pregnancy. Ultrasound helps in ruling out the possibility of pregnancy and also in assessing the present status of PCOS. As you started spotting, if the pregnancy test gives a negative result, you may get menstrual flow soon.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Sree Gouri S. R., OBGYN
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What Causes Stomach Cramps, Nausea And Lower Back Pain?

Hi, Women with polycystic ovarian syndrome can present with irregularity in menstrual cycles due to reproductive hormonal imbalance and insulin resistance. Nausea, abdominal cramps, spotting, hot flashes, etc. symptoms can be seen during the premenstrual period also apart from early pregnancy. As you are not on any contraceptive measure at present the possibility of pregnancy cannot be ruled out. So if you want to be sure, please go for a blood test for pregnancy or ultrasound. Blood test for pregnancy is comparatively more accurate than urine pregnancy test if serum beta HCG levels in the blood test are less than 5 mIU/mL that rules out the possibility of pregnancy. Ultrasound helps in ruling out the possibility of pregnancy and also in assessing the present status of PCOS. As you started spotting, if the pregnancy test gives a negative result, you may get menstrual flow soon. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sree Gouri S. R., OBGYN