What causes cramps, lower back and pelvic pain while on BHRT?
Proper examination and investigations required
Hi XXXX, I have gone through your question and understand your concerns. Bioidentical hormone replacement therapy (BHRT) is usually given to relieve the menopausal symptoms. It can lead to cyclical bleeding mimicking the natural periods, however sometimes when there is no hormone free interval, there may be no periods at all. The cyclical cramping could be due to hormone withdrawl, or could also be due to any pelvic pathology like endometriosis, pelvic adhesions, fibroids, chronic pelvic infection, pelvic congestion syndrome, ovarian cyct etc.
The black blood clots could be due to bleeding from the uterus due to withdrawl bleeding.
Left lower pelvic pain and back pain may be due to uterine pathology, ovarian cysts or can be due to any problem associated with colon or renal pathologies like stones or infections.
I would suggest you to consult an OBGYN specialist to get properly examined, investigated using ultrasound , MRI and get treated accordingly.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Dr Deepti Verma
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