What Does One Sided Hemorrhagic Follicle With Lower Abdominal Pain Indicate?

Brief Answer:
DETAILS ARE GIVEN BELOW.

Detailed Answer:
Hello,

Thanks for giving detailed information. Followings are my comments:

1) One sided hemorrhagic follicle with lower abdominal pain is mostly suggestive of Chocolate Cyst of ovary or Endometrioma, related to endometriosis. Above clinical features are associated with this condition.

TREATMENT: a) Nonsteroidal anti-inflammatory drugs (Painkiller) are the first choice to reduce pelvic pain. GnRH agonist drug and progesterone can be used to treat the condition where combined birth control pill is NOT effective much.

b) Laparoscopic surgical approaches include excision of ovarian adhesions and of endometriomas. It is the BEST choice in case of failed medical therapy.

Here, I suggest you to consult with gynecologist regarding this to proceed clinical examination and necessary investigation for proper management.

2) Excessive abnormal hair in female is called HIRSUTISM. It is related to PCOD as a result of high level of androgen in the body.

Some blood tests like Testosterone level, DHEAS, Serum prolactin, LH/ FSH, TSH etc are to be carried out for complete evaluation.

TREATMENT: a) Anti-androgenic drug treatment with Cyproterone acetate (combined with estrogen) or Flutamide is quite useful. Kindly, consult with her doctor for complete prescription.

b) Laser hair removal, waxing etc are some other method to remove excessive hair.

Hope, it helps for your information. Kindly, close the discussion if you don't have any other query.

Wish her good health and take care yourself.

Regards,
Dr Soumen

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

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Brief Answer:
DETAILS ARE GIVEN BELOW.

Detailed Answer:
Hello,

Thanks for additional query. Followings are my suggestions:

1) Most common cause of FIRST trimester abortion is chromosomal abnormality. For recurrent Miscarriage, she needs to undergo some baseline investigation to rule out causative agent.

2) Following tests are needed to carried out under the guidance of Gynecologist.

- Test for Anti-phospholipid Antibody Syndrome (APAS).
- TORCH profile to exclude associated infection (if any).
- Endometrial biopsy to rule out Luteal Phase Defect (LPD).
- Test for Ovarian Reserve (Anti-Mullerian Hormone assay).
- Karyotyping of conceptus if miscarriage occurs in next pregnancy.
- Blood test for thrombophilia includes factor V Leiden, Prothrombin, Protein S.
- Serum TSH, Progesterone, Blood sugar (PPBS), Hb%, Blood Group & Rh Typing.

3) Both of you take healthy diet with more green vegetables and fresh fruits, vitamin and Folic acid supplement for at least 3 months, control body weight, avoidance of salty/ fatty/ high calorie foods, drink more water or fruit juice, maintain genital hygiene, avoid mental stress and need sound sleep. These are essential to build a healthy life style.

Hope, I have answered your query. Kindly, close the discussion.

Good luck and all the best.

Regards,
Dr Soumen

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