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Pain In Lower Abdominal, Pelvic Area. Had Partial Hysterectomy. Suggested Ovarian Cyst That Ruptured. Suggestions?
I was in a lot of pain last night, to the point of now wanting to move. It was in the lower abdominal, pelvic area. I had a partial hysterectomy when I was 28 and still have my ovaries. I have had this pain before and asked my doctor about it and stated it sounded like ovarian cyst that ruptured. I read the description of ovarian cyst below and that is exactly what it feels like. Today I am still hurting, not as bad as last night, it is even tender to the touch. I feel sure that is what it is, but I had sex a week ago with an old boyfriend. I had not seen him in a while. I am a little concerned with the pain?
Wed, 28 Aug 2013
Hi ! From your history, and the intensity of pain and tenderness in your abdomen, I would suggest you to see your family physician/surgeon who may after examining you clinically, may advise you to go for some urine test and an ultrasound, and if required a serum HCG test. This will possibly help your physician to arrive at a diagnosis for further management irrespective of the pathology. Wishing you an early recovery.
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Hi,
Thanks for writing in to us.
I am sorry to hear about your pain in lower abdomen. Considering that you have undergone partial hysterectomy earlier, there are a few things which need to be considered in your case.
As the first priority, urgent life-threatening conditions (e.g., appendicitis, ruptured ovarian cyst) and fertility-threatening conditions (e.g., pelvic inflammatory disease, ovarian torsion) must be considered. A careful history focusing on pain characteristics, review of systems, and gynecologic, sexual, and social history, in addition to physical examination helps narrow the differential diagnosis. The most common urgent causes of pelvic pain are pelvic inflammatory disease, ruptured ovarian cyst, and appendicitis; however, many other diagnoses in the differential may mimic these conditions, and imaging is often needed.
Transvaginal ultrasonography should be the initial imaging test. Treatment will be administered accordingly.
Hope this helps
Thanks for writing in to us.
I am sorry to hear about your pain in lower abdomen. Considering that you have undergone partial hysterectomy earlier, there are a few things which need to be considered in your case.
As the first priority, urgent life-threatening conditions (e.g., appendicitis, ruptured ovarian cyst) and fertility-threatening conditions (e.g., pelvic inflammatory disease, ovarian torsion) must be considered. A careful history focusing on pain characteristics, review of systems, and gynecologic, sexual, and social history, in addition to physical examination helps narrow the differential diagnosis. The most common urgent causes of pelvic pain are pelvic inflammatory disease, ruptured ovarian cyst, and appendicitis; however, many other diagnoses in the differential may mimic these conditions, and imaging is often needed.
Transvaginal ultrasonography should be the initial imaging test. Treatment will be administered accordingly.
Hope this helps
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Hi, it could be urinary tract infection, or a stone in the uriter near the bladder, or could be related to the ovaries.
You may need to have a ultrasound for diagnosis, so i advise you to consult a gynacologist for diagnosis and and treatment. Thank you.
You may need to have a ultrasound for diagnosis, so i advise you to consult a gynacologist for diagnosis and and treatment. Thank you.
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