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Suggest Treatment For Pelvic Pain

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Posted on Fri, 24 Oct 2014
Question: hi there, today i went in to see my obgyn. due to constant pelvic pain. she did an transvagnial ultrasound and saw some fluid in the pouch of XXXXXXX she said she can't tell if the fluid was from a ruptured cysts or not. i am still in a lot of pain. do you have any idea what it could be? i pushed her to schedule me for a lapaoroscpy surgery to check for endometriosis. because several times talking with her she wouldn't budge in doing the surgery. she keeps saying that endometriosis doesn't cause constant pelvic pain.. i do have really painful periods and painful intercourse. and pain after my period is over with. i've done so many test to rule things about before coming back to my doctor about endometriosis. i've been tested for stds and food allergies, celiac disease, crohns disease, any other autoimmune disorders. everything came back normal. its frustrating.
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Answered by Dr. Hardik Sanghvi (1 hour later)
Brief Answer:
It can be endometriosis.

Detailed Answer:
Hi, dear.
I have gone through your question. I can understand your concern.
Fluid in pouch of duglas may be seen after ovulation or may be due to rupture of some cyst. If you have constant pelvic pain and pain is relieved after menstruation then it may be due to endometriosis. Because endometriosis means presence of endometrial tissue at some ectopic place. So it has all changes that are seen in normal endometrium in menstruation. You may have ovarian endometriosis. You can go for surgery and go for histopathological examination to check whether it is endometriosis or some other pathology. Consult your gynecologist and plan out for that.
Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic.
Wish you a very good health.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Hardik Sanghvi

Hematologist

Practicing since :2008

Answered : 7043 Questions

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Suggest Treatment For Pelvic Pain

Brief Answer: It can be endometriosis. Detailed Answer: Hi, dear. I have gone through your question. I can understand your concern. Fluid in pouch of duglas may be seen after ovulation or may be due to rupture of some cyst. If you have constant pelvic pain and pain is relieved after menstruation then it may be due to endometriosis. Because endometriosis means presence of endometrial tissue at some ectopic place. So it has all changes that are seen in normal endometrium in menstruation. You may have ovarian endometriosis. You can go for surgery and go for histopathological examination to check whether it is endometriosis or some other pathology. Consult your gynecologist and plan out for that. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.