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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Lower Abdominal Pains During Periods, Had A Failed Pregnancy. Can Endometriosis Be The Cause ?

I always get severe lower abdominal pains (on the right hand side) during my mentrual cycle and the pains are that strong I am physically sick. However this pain is different to period pains and always starts at the back end of the cycle when the bleeding is stopping.
I get normal period pain during the 1st few days when the bleeding is heavier and this other pain I get is different feeling like dragging / twisting pain that eases when I crouch down in a ball and it radiates in the very lower abdominal area and deep into my back. Hard massage to my back also seems to help the pains.
Also during this time I suffer with bowel problems and get trapped wind, constipation and mucas - I have tried every type of treatment and have been treated for IBS with Buscopan, every type of constipation product etc.. and no matter what I take or do I get exactly the same result / pain.
I was on the contraceptive pill for many years and never had any issues at all but now I am coming to a time in my life where I am thinking about starting a family (I am 35 years of age) so I came off the pill in preperation and have had this problem since and every month I take 1-2 days off work due to this.
I have had ultra sound scan and a Colonoscopy and both were clear.
My mum suffered from Endometriosis - could it be possible that this is what is causing me problems? I wporry now that this could effect my fertility and I had a failed pregnancy 6 months ago when I was 4 weeks pregnant - could this be the cause?
Thanks in advance
AAAAA
Mon, 8 Jul 2013
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General & Family Physician 's  Response
Hi, it appears to be the urinary tract infection, or a small stone in the urinary tract, or infection in the falopian tube, or some sort of adhesion of the tube on right side, You may need to have M.R.I. for confirmation.
So i advise you to consult a surgeon for diagnosis and treatment.
I advise to my patients with such pain a combination of mefanamic acid and dicycomine hydrochloride for temperory relief. Thank you.
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General & Family Physician Dr. Vidya KR's  Response
Thanks for using HCM.

Pain during menstruation could be due to endometriosis or fibroid uterus both condition cause severe pain.
Better to get USG abdomen done.
consult gynaecologist for further management.
fibroid and endometriosis could be a reason for infertility.

Hope I have answered your query.

Regards
Dr. Vidya
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Severe Lower Abdominal Pains During Periods, Had A Failed Pregnancy. Can Endometriosis Be The Cause ?

Hi, it appears to be the urinary tract infection, or a small stone in the urinary tract, or infection in the falopian tube, or some sort of adhesion of the tube on right side, You may need to have M.R.I. for confirmation. So i advise you to consult a surgeon for diagnosis and treatment. I advise to my patients with such pain a combination of mefanamic acid and dicycomine hydrochloride for temperory relief. Thank you.