Hi,
According to your description the possible causes are:
- Chronic
pelvic infection with recurrent acute exacerbations
- Gastrointestinal infections
As you got evaluated 13 months ago, you may need reevaluation. So, please consult your doctor, get examined and for
ultrasound and
pap smear, vaginal culture and sensitivity. With this workup the possible cause of your problem can be identified.
Measures that can help you are:
- Both the partners should be treated simultaneously according to culture and sensitivity report in case of pelvic infection.
- Antacids and anti emetics along with antibiotics can help in gastric infections.
- If symptoms still persist you may need advanced investigations like
endoscopy,
laparoscopy etc for diagnostic and therapeutic management.
Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Sree Gouri S. R., OBGYN