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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Lower Abdominal Pain Along With Prolonged Menstrual Cycle?

Really bad lower abdominal pains, feels like labor but I am not pregnant, tubes have been tied for 6 years. My cycle lasts for 7 days off 2 days and back on again for another 3 days. It s so heavy I have to wear a tampon and a pad. My Dr. refuses to give me surgery because I m only 35 and he doesn t want it to affect my hormones. I can t take birth control because of my high blood pressure. Do you know what might be causing this and why?
Thu, 3 Aug 2023
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General & Family Physician 's  Response
Hi,

I feel USG of uterus before periods can throw some light to exclude few things like endometriosis., fibroid etc. Hormonal imbalance is another thing which can be the cause. If that is the cause doctor can think of trying hormonal IUDs as they have only progestin which is safer in blood pressure patients. It will reduce bleeding and also help in correction of hormonal cycle in menstruation. Please consult your gynecologist for more personal and specified advise.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Vasudha Jayant Athavale, General & Family Physician
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Pathologist and Microbiologist Dr. Shailja Puri's  Response
Hello,

Lower abdominal pain during menstruation is suggestive of dysmenorrhea. Dysmenorrhea can be managed with anti-spasmodics. I suggest you to consult your gynecologist for management.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Shailja Puri, Pathologist and Microbiologist
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What Causes Severe Lower Abdominal Pain Along With Prolonged Menstrual Cycle?

Hi, I feel USG of uterus before periods can throw some light to exclude few things like endometriosis., fibroid etc. Hormonal imbalance is another thing which can be the cause. If that is the cause doctor can think of trying hormonal IUDs as they have only progestin which is safer in blood pressure patients. It will reduce bleeding and also help in correction of hormonal cycle in menstruation. Please consult your gynecologist for more personal and specified advise. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Vasudha Jayant Athavale, General & Family Physician