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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes lower abdominal and back pain during menopause?

I AM 43 YEARS OLD, I HAD MY LAST PERIOD TWO MONTHS BACK, MY GYANE SAYS MY MENOPAUSE HAS STARTED. I INSERTED MULTILOAD LAST YEAR IN APRIL. MY CIURRENT PROBLEM IS THAT I AM HAVING SEVERE LOWER ABDOMEN AND BACK PAIN FEELING PRESSURE DOWNWARD,WHITEWATER DISCHARGE WITH BLOOD STAINS. A UNILOCULAR CYST IN LEFT OVARY OF 23MM AND FIBROID OF 12X9MM,VOL .5CC IN ANTERIOR WALL OF UTERINE.PAINFUL INTERCOURSE,MY MOTHER HAD BREAST CANCER.I WANT TO KNOW WHETHER THESE SYMPTOMS ARE NORMAL OR NOT.
Tue, 9 Apr 2019
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General & Family Physician 's  Response
Hello,

A uterine fibroid can cause pain during intercourse. For your symptoms with severe lower abdominal pain and back pain and feel pressure may be from your uterine fibroid or cyst that grows bigger. And abnormal vaginal discharge with blood stains can be from your multi-load or uterine fibroid. Your age can be manopause and the above symptom can be or not related to manopause.

For my practice on your reproductive age I will check pregnancy test, even you have IUD but it could be a mistake from IUD that not place in the uterus well. You should make sure that your IUD is in place by looking in an ultrasound. If the resulting negative I also follow up the side of your left ovarian cyst and your fibroid to make sure that it does not change the size. Tumor marker blood test including ultrasound is helpful also to rule out cancer.

Do you have any history of weight loss?

You should follow up with your doctor for re-evaluation especially, you have a family with cancer.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Heang Chan Raksmey, General & Family Physician
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What causes lower abdominal and back pain during menopause?

Hello, A uterine fibroid can cause pain during intercourse. For your symptoms with severe lower abdominal pain and back pain and feel pressure may be from your uterine fibroid or cyst that grows bigger. And abnormal vaginal discharge with blood stains can be from your multi-load or uterine fibroid. Your age can be manopause and the above symptom can be or not related to manopause. For my practice on your reproductive age I will check pregnancy test, even you have IUD but it could be a mistake from IUD that not place in the uterus well. You should make sure that your IUD is in place by looking in an ultrasound. If the resulting negative I also follow up the side of your left ovarian cyst and your fibroid to make sure that it does not change the size. Tumor marker blood test including ultrasound is helpful also to rule out cancer. Do you have any history of weight loss? You should follow up with your doctor for re-evaluation especially, you have a family with cancer. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Heang Chan Raksmey, General & Family Physician