
What Causes Persistent Pelvic Pain In An Anxiety Disorder Patient?

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Detailed Answer:
Hello and welcome,
It's possible that you did not ovulate this cycle, and when that happens, the timing and flow can be "off" with more clot/tissue, dark blood, bright red blood, etc. Anovulatory cycles are not uncommon or dangerous, happen more in the teens and early 20s, and are more likely to occur when someone is under stress.
It's also possible that the pelvic pain may be due to the effects of hormones stimulating your ovaries due to an anovulatory cycle (no ovulation).
That said, I think it is important for you to go in to your doctor for a pelvic exam. During the bimanual exam, your doctor can feel the size of your ovaries and check for tenderness. The doctor can also feel over your abdomen to try to localize where the pain is coming from. A pelvic ultrasound can also help sort things out. Sometimes the ovaries can have cysts (usually benign) as a result of attempts at ovulation. With smaller functional cysts (which can cause pain), if they are under a certain size, they are usually left a lone and the body will shrink them over time.
Can I assume you are not at risk for a sexually transmitted disease? Because these can cause pelvic pain in women too.
I looked at the picture of the skin discoloration, and am not sure what to make of it. Best to watch it over time and show it to the doctor when you go in to be checked.
So - your symptoms are not necessarily worrisome, but it would be a good idea to go in for an exam. And if the pelvic pain becomes very painful, then don't wait for an appointment but go in to the ER.

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