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Intense pain in lower abdomen when period starts. Had USG, no issue. What should be my next step?

I am female, 36 yrs. Since last 2 months just when the periods start, I have intense pain in middle lower abdomen. Last month when I visited doctor, she advised for a USG(Pelvis). Got it done, but nothing was found. The pain went off in 5 days last month. This month again, when my periods started, the same pain re-occurred. But this time the pain did not go off. Went to the same doctor and she has again asked for a USG(Pelvis). It makes no sense to me to take the same test when the result came negative once. My question is if USG doesn't show any result, what is the next step of test to find out the pain.
Asked On : Fri, 12 Apr 2013
Answers:  4 Views:  46
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Diseases and Conditions
General & Family Physician 's  Response
Sep 2013
Hi, Thanks for the query.
I would like to say that you got a ultrasound of effected part and there was nothing wrong, that 's good thing.
As age grow in some women there is a dysmenorroea ( pain during period).
You asked that pain is continue even after period is over, that's a worry.
Now note down that this is also related to your's period and due to frustration of pain you develops anxiety and that is the cause that still you have pain.
So first of all consult a Psychiatrist and he will advice you proper thing. Thanks. Good luck.
Dr. HET.
Answered: Sat, 13 Apr 2013
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General & Family Physician Dr. Muhammad Ishfaq Habib's  Response
Welcome to HCM

The condition is called dysmenorrhea and it is experienced about more than 50% females. The dysmenorrhea can be due to several causes but when it is without any cause or if the cause is not known then it is called idiopathic dysmenorrhea. You are having idiopathic dysmenorrhea as the ultrasound haven't detected anything. You do not need any further investigations. This pain starts at the start of cycles and is severe initially but decreases in intensity and ends with cycles.

Drugs like ibuprofen and mefnamic acid is very much effective in such sort of pain.

Answered: Sat, 13 Apr 2013
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

Your doctor is possibly thinking of Endometriosis / which may at times be missed...
The next approach may be CT scan of abdomen and pelvis

If no cause is found, Non Steroidal Anti Inflammatory Drugs, started before the expected period will reduce or avert the pain

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Fri, 12 Apr 2013
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1 Doctor agrees with this answer

  User's Response
mag phos 6 X 4 tab 4 times and viburnum opulus 4 drop 3 times with water
Answered: Fri, 12 Apr 2013
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