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Can You Help And Guide On Her Problems And A Solution To This In Her Last Period My Wife Had Severe Abdominal Pain And Cramps?

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Posted on Tue, 13 Dec 2022
Question: In her last period my wife had severe abdominal pain and cramps. When we visited doctor, she was asked to do a TVS USG scan. Get the attached TVS report. Please review and share your feedback.

Age : 29 Years | Weight : 54Kg. | Height : 4ft 10 inch. | Blood Grp : B- | Marriage Year - Dec, 2016

Current Medication
Fol 5mg daily 1 tab.
Sustain 200mg from Day 16 - Day 25 in last period cycle. Since stopped.
SOS-Pain - Drotin M with Pan 40.
Constipation - Emty Solution 40ML.

Medical History:
She had cyst in cervix 4 years ago. She only had severe abdominal pains during periods since teenage days. Apart from it she is healthy and her recent blood test are also good.
Feb,18 - Lower Abdominal Pain. USG Report - Mild PCOS and PID Detected. Medication- OF 200, Clingen Forte,
Mar,18 - Return of Right Lower Abdominal Pain. TVS Scan - PID And Cyst Detected in Right Overy. Medication- Candid V6, Fenza, Canditral 100, AF Kit
Apr,18 - Pain continues on Right side. Medication - Novelon Berium meal Scan suggested no Appendix.
Mid Apr, 18 - No cyst in Left Overy Confirmed by TVS scan. Pain persists on Right Overy. Doc suggests conceiving can be permanent solution.
May,18 - Gyno refers to Gastro, he does colonoscopy. Apart from small hemoroids nothing else is found. XXXXXXX 18 - UTI found in urine culture. Medication - Martifur MR 100.
July,18 - Trying to conceive. Doc Suggests Medication - Fol 5mg and Sustain 200mg from Day 16- Day 25
July 24 - Very sharp completely unbearable pain in lower abdomen. Before the day of period evening she had pinkish discharge as well. Period lasted for 3 days.

We seek help and guidance on her problems and a solution to this.
doctor
Answered by Dr. Dr. B. Radhakrishnan. Nair (1 hour later)
Brief Answer:
Chronic PID

Detailed Answer:
Hi
Greetings
I can understand your situation.
She is been diagnosed as suffering from pelvic inflammatory disease and many drugs have been given to treat it.
The scan report is almost normal except for the fluid in POD.
HOPE you are also been given antibiotics.If not better to get a direct check up with an urologist to rule out any genital infection and if so may need treatment under guidance till infection subsides.
It is better to avoid intercourse during the treatment.If she is having symptoms of PID even now, it may be worthwhile treating both simultaneously by consulting a GYNAECOLOGIST and urologist simultaneously.
Incomplete treatment of your wife and no treatment for you may be the reason.
HOPE MY ANSWER HELPS YOU.
Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. B. Radhakrishnan. Nair (46 minutes later)
Hi,

I am her husband. So any test i can do to rule out or find out if i can be the culprit?
I was given AF-KIT once few months ago. But after that our Gyno suggested that we resume normal intercourse. And getting her pregnant will be the only long term solution.

Please provide your thoughts on this.
doctor
Answered by Dr. Dr. B. Radhakrishnan. Nair (7 hours later)
Brief Answer:
HI

Detailed Answer:
Hi
SINCE your gynaecologist would not have examined you it is better to get a direct check up with urologist to rule out prostatitis,or any other infection in view of her chronic PID.
some times partner can be a carrier for chronic infections.
HOPE MY ANSWER HELPS YOU.
Feel free to ask your doubt with more details
Regards

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Dr. B. Radhakrishnan. Nair

Sexologist

Practicing since :1986

Answered : 1660 Questions

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Can You Help And Guide On Her Problems And A Solution To This In Her Last Period My Wife Had Severe Abdominal Pain And Cramps?

Brief Answer: Chronic PID Detailed Answer: Hi Greetings I can understand your situation. She is been diagnosed as suffering from pelvic inflammatory disease and many drugs have been given to treat it. The scan report is almost normal except for the fluid in POD. HOPE you are also been given antibiotics.If not better to get a direct check up with an urologist to rule out any genital infection and if so may need treatment under guidance till infection subsides. It is better to avoid intercourse during the treatment.If she is having symptoms of PID even now, it may be worthwhile treating both simultaneously by consulting a GYNAECOLOGIST and urologist simultaneously. Incomplete treatment of your wife and no treatment for you may be the reason. HOPE MY ANSWER HELPS YOU. Regards