Hello XXXX,
You mean sexual excitement? During such times, lot of physical changes also occur in the body along with the mental or neurological changes. But a pain should not occur. Also bleeding between periods is not normal. Therefore it is better to consult a gynaecologist at the earliest . Contact me for treatment.
Dr C. J. Varghese,
Homoeopath,
YYYY@YYYY ,
+91 0000

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Brief Answer:
Hello XXXX , Thanks for the follow up query.

Detailed Answer:
Hello XXXX ,
It was written in your query that you get pain in your abdomen during intimacy. I understood it to be during sexual excitement, or foreplay during the beginning of sexual intercourse.
During that time, you may have several physical changes occurring in your body especially in the pelvic area all with the purpose of making you ready to accept the erected penis of your partner but all of them should be within a bearable limit and in no case should be painful. If there is pain in abdomen during sexual excitement ( intimacy according to your query) or foreplay you need to be investigated thoroughly to diagnose your problems in the abdomen.
You have also written in the query that you also bleed between periods. Therefore I answered that bleeding from vagina in between periods or during sexual excitement or even during sexual intercourse is not normal and also should be subjected to investigations.
Get all investigations done at the earliest and get back to me again with more information about you.
I am attaching a case record to help you to expand your case. You may kindly fill it and send back to me. I can suggest Homoeopathic treatment for you to cure your health problems.
With Best Wishes,
Dr C. J. Varghese,
Homoeopath,
YYYY@YYYY ,
+91 0000
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CASE TAKING / RECEIVING FORMAT
(This is only a frame work to help you to develop your case. You can expand your case to any extent. But try to help the physician to understand your genetic dispositions, individuality and constitution in the physical and mental plain. )
I      PRELIMINARY DATA
1.     Name
2.     Age
3.     Sex
4.     Occupation
5.     Financial Status
6.     Social status
7.     Religion
8.     Address
9.     Contact no
10.     Email address
11.     Mother tongue
II      PRESENTING /CHIEF COMPLAINTS
1.     Since when the complaints started
2.     Onset sudden or gradual
3.     Pain –its duration, how long it remains, how it comes and goes, its character, its extension
4.     Side of affection - Left or Right, from left to right or from right to left, upper left and lower right or upper right and lower left
5.     Aggravating or ameliorating factors or conditions
6.     Supportive investigations and reports, diagnosis, findings…
7.     Speed of development of disease - slow or fast
8.     Probable or final diagnosis
III      ASSOCIATED COMPLAINTS / OTHER DISEASES
1.          Since when the complaints started
2.     Onset sudden or gradual
3.     Pain –its duration, how long it remains, how it comes and goes, its character, its extension
4.     Side of affection - Left or Right, from left to right or from right to left, upper left and lower right or upper right and lower left
5.     Aggravating or ameliorating factors or conditions
6.     Supportive investigations and reports, diagnosis, findings…
7.     Speed of development of disease - slow or fast
8.     Probable or final diagnosis
IV     PAST HISTORY ( MAJOR ILLNESSES / SURGERIES / ACCIDENTS) IN THE PAST
1.     Never well since like vaccination, pneumonia, typhoid, malaria etc.
2.     Any suppressive treatment like ointments for skin, laser therapy for stones, corrective surgery for eye etc.
3.     Emotions that precipitate the disease every time
4.     Emotional conflict happened just prior to the onset of disease that remain unresolved
5.     How from lower layers of tissues the disease shifted to more important and higher layers of tissues
6.     Chronological journey of disease- how you started with first sickness, next what happened , then what etc. till you developed the present state of illness.
V     FAMILY HISTORY / HEREDITARY DISEASE TENDENCIES/GENETIC DISEASES ETC. IN THE FAMILY
1.     Father
2.     Mother
3.     Paternal Grand Father
4.     Paternal Grand Mother
5.     Siblings, in order
6.     Paternal uncles and aunts
7.     Maternal uncles and aunts
VI      GYNAECOLOGICAL / OBSTETRICAL HISTORY (FEMALES ONLY)
1.     Menses in detail
2.     Complaints before, during and after menses
3.     Menarche (onset) age, early, late etc.
4.     Menopause (stoppage ) normal, early, late, complaints during.
5.     Children born, living, dead.
6.     Abortions, Miscarriages, delivery normal or surgical
VII      DRUG / TREATMENT HISTORY
1.     Any medication, Allopathic, Ayurvedic or Homoeopatic
2.     Allergic sensitivity to any drug
3.     Over use or abuse of drugs
4.     Any affection / side effects of taking drugs
VIII     INVESTIGATION REPORTS / RESULTS (ATTACH RELEVANT REPORTS)
1.     General health
2.     Presenting complaints
IX      PATIENT AS A PERSON / PHYSICAL / GENERAL
1.     Appearance: built, structure, height, weight, complexion, face, skin, warts, moles, discolouration, pigmentation etc.
2.     Speed: of talking, eating, working, walking,
3.     Thermals: Sensitivity to cold or heat, can tolerate heat or cold better, need or fan / ac, need of warm clothes, covers uncovers during sleep, takes warm or cold bath…
4.     Appetite: normal, increased or decreased, peculiarities in eating habits, veg/non-ves, desires, cravings and aversions, aggravation and ameliorations, intolerances and ailments from particular tastes and items of food, prefer cold, warm or hot food,
5.     Thirst: quantity of water drinking in a day, thirsty during night, drinks by habit or by feeling thirsty, during meals only or drinks in between, throat and mouth getting dry, cold or room temperature, warm or hot water, fruit juices, other drinks
6.     Stool: habits, frequency, difficulties, any complaints before, during, and after.
7.     Urine: any difficulty, any complaint
8.     Sleep: sound/ disturbed, deep comatose or catnap- alert, easily waking, restless, tossing about in bed, position in sleep, salivation during etc.
9.     Dreams: good/ bad, frightful, repetitive, related to family, work, death, dead bodies, accidents etc.
10.     Side: which side is predominantly or frequently affected,
11.     Sensitivities: to sun, noise, light, tight clothing, touch, strong or perfume smell, rain, cloudy weather, winds, moon phases etc., how affected and how much…
12.     Senses: vision, smell hearing, touch, taste, extra sensory perception etc.
13.     Habits: smoking, drinking, chewing etc.
X      PATIENT AS A PERSON/ MIND/ LIFE SITUATION
1.     Family, single, married, staying together, multiple partners, staying with whom, joint family, nuclear family, mutual relationships etc.
2.     Job, salary, working conditions, job satisfaction, work site conflicts,
3.     Education, diligence for gathering or updating knowledge, eligibility or qualified for the job, laziness to study or to exert mentally,
4.     Expressive or non expressive, extrovert or introvert, vivacious or quiet, loquacious or silent, loud talker, sweet talker, self praise, open hearted, foolish talking, lewd or talking about sex, expansive, changing subjects, talking about money, health, religion, talking to himself, jesting etc.
5.     Communicative, easily starting conversation, easily mixing with strangers, sharing feelings with others, prefers to be in company or solitude
6.     Intellect: studied by self, or pushed by others, how handles work, intellectually sharp or slow, concentration and comprehension easy, reading desires, idiocy or childishness, making mistakes while talking and writing, good and quick or bad and slow in making decisions, indecisive or yielding to the opinion of others, etc.
7.     Diligence or non diligence, regular or not in going to school, work , office etc.
8.     Morals: respecting rules and morality, sensitive to values
9.      Will: good and confident in handling responsibilities alone and in critical situations, or wanting support always, reacting or supporting injustice, strong or weak willed, confident or timid, dependant or courageous, optimistic, persevering and positive or pessimis, bashful or embarrassment.
10.     Memory: good or bad, recollecting events of the past, remembering numbers and names, active or weak , any forgetfulness…
11.     Nature or disposition: angry or mild, yielding or haughty, weeping, sarcastic, contemptuous, apprehensive, fearful , contented or discontented , quarrelsome, fighter, revolting or indifferent etc.
12.     Emotions: when getting angry how reacts, anger expressed or suppressed, expressed even to elders, keep thinking about the issue for long or can forget or forgive easily, sentimental or sensitive, sympathetic to the point of forgetting one’s own needs, involved in XXXXXXX or social service, grieved, affectionate, jealousy, rage etc
13.     Sensitivity: to behaviour of others, rudeness, criticism, reproach, contradiction of others, relationship, social position, success or failure, money, admonition, ego, appreciation, injustice, to the surroundings, cleanliness mania, nature, animals, music, religion etc.
14.     Anxiety about conscience, health, children, family, future, salvation, about trifles, for others, apprehension, anticipation, punctuality,
15.     Attachment: to career, position, family, friends, name and fame, money,
16.     Consolation desires, ameliorates, aggravates, appreciation craves,
17.     Fears: any fixed fear
XI      N.B:     You can expand the case to any extent for making the physician understand your life situations and your genetic and constitutional reactions to them so that the physician can very easily understand your individualistic and characteristic features, both physical and mental and thus arrive at your curative remedy, the SIMILIMUM.

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