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What Causes Vaginal Pain And Abdominal Pain With Fullness?

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Posted on Wed, 18 Mar 2015
Question: Hi. I am experiencing vaginal pain, abdominal pain with fullness. No infections have been found by er doctor.
What could be my problem?
doctor
Answered by Dr. Sameer Kumar (8 minutes later)
Brief Answer:
possibly UTI

Detailed Answer:
Hello,
Thanks for query to HCM,
Vaginal pain with abdominal fullness with pain is most often associated with urinary tract infection in reproductive age group if vaginal infections have been ruled out. If there is no pain on intercourse , then PID and endometriosis is ruled out.
Though a per vaginal examination would be ideal first and also a urine culture test to ascertain the diagnosis.
Also there is a possibility that vaginal dryness may cause similar presentation and that is usually associated in premenopausal or menopausal women.
you may furnish the menstrual details please,also last intercourse and any issues you have seen during the act ... they shall be helpful.
regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (3 minutes later)
No intercourse . I am menopausal though. Haven't had a menstrual cycle for quite sometime. Very concerned whether I have an ovarian cyst. How can you tell?
doctor
Answered by Dr. Sameer Kumar (4 minutes later)
Brief Answer:
answered..

Detailed Answer:
As far as possibility of an ovarian cyst is concerned , the symptoms should have been few months old and not acute onset and this would require an ultrasound pelvis to rule out for definite.
Vaginal pain as it is accompanied indicates a possible vaginal dryness and vaginitis without discharge to cause similar pain.
It is suggested that being menopausal now, an ultrasound is required to estimate the size of ovaries to rule out any ovarian mass. Simple cysts would be uncommon now.
Please get an ultrasound pelvis done and thereupon the reports can be discussed. In the meantime continue on the antibiotics which you are already on for UTI.
regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (2 minutes later)
Thank you verymuch for your insight. I have somewhat of vaginal stenosis as well. The onlty way is an abdominal ultrasound . Do you have any insight of another way to examine?
doctor
Answered by Dr. Sameer Kumar (3 minutes later)
Brief Answer:
answered

Detailed Answer:
Another way is a bimanual per vaginal exam by a qualified physician where if an ovarian cyst is present , it is usually palpable per vaginally. But the confirmatory would be an ultrasound indeed and if any mass found then a CT SCAN would be required to delineate the contents , if its a simple or complex cyst thereupon.
regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (1 minute later)
Thank you. You have been very helpful.
doctor
Answered by Dr. Sameer Kumar (4 minutes later)
Brief Answer:
thanks

Detailed Answer:
its my pleasure.
If you have no further query then you may close the query , so that i get paid for my opinion.
regards,
Dr.Samiir Kumar
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1780 Questions

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What Causes Vaginal Pain And Abdominal Pain With Fullness?

Brief Answer: possibly UTI Detailed Answer: Hello, Thanks for query to HCM, Vaginal pain with abdominal fullness with pain is most often associated with urinary tract infection in reproductive age group if vaginal infections have been ruled out. If there is no pain on intercourse , then PID and endometriosis is ruled out. Though a per vaginal examination would be ideal first and also a urine culture test to ascertain the diagnosis. Also there is a possibility that vaginal dryness may cause similar presentation and that is usually associated in premenopausal or menopausal women. you may furnish the menstrual details please,also last intercourse and any issues you have seen during the act ... they shall be helpful. regards