Thank you for choosing DoctorSpring.
The lesion appears to be a infective lesion. (bacterial infection like impetigo in view of the lymph node enlargement )
You need to take a course of antibiotics, as it seems to be an infective lesion on your chin. A course of 10-14days of Cefixime or Azithromycin may help.
Regarding your menstural symptoms could you explain it more ? When you say severe is it like more days / increased bleeding ? / or just increased pain and symptoms ?
I will recommend you some suggested tests based on this information.
You can reply as a followup
Patient replied :
I have breast soreness about 20 days out of my 30 day cycle. About 14 days before I start bleeding I have weight gain, from having an unsatisfiable appetite. Right before my period, I get warm. I'm not in my 50s but I can only describe it as a hot flash. I get severe depression at this time too, crying spells ,and I lose weight right before my period comes. I have brown spotting/mid cycle bleeding as well. When it does come, I have extreme fatigue and painful cramps. Once every 3 months, I'll be very nauseous with it and buckle over in pain although I will not vomit. Throughout the month, I get a dull pain in my lower left quadrant. Sometimes if I bend in the wrong direction, the pain will shoot from the front to back. It is located about 1 cm above my hip and 4 cm toward the midline.... This pain though, I have told several doctors about and I have had for probably 10 years of my life now, on and off, and they all say there are no major organs there... and follow up with a standard blood test panel, which is such an incredibly ignorant way to go about diagnosing. I felt for a long time I should probably be referred to a specialist of some sorts.... It wasn't until I finished school to be an EMT this year, that I realized I probably need an endocrinologist. Thank you for your help. I am going to find a clinic today to try to get a prescription for an antibiotic. I have my cousin's wedding to go to next weekend. Do you know how terrible it feels to have a swollen double chin and an infection on your face when you try to look for a dress to wear for a wedding? And I going to be a featured reader/speaker! Good thing I don't like to drink anyway....
Thank you for the additional information.
I would prefer a step by step approach than a blind shot of tests. A possibility of endometriosis has to be ruled out. You will require a physical examination, Ultrsound of abdomen and pelvis, CA 125 levels, Thyroid levels (if not done already).
Regarding the lesion on the face, I understand it could be really troubling. Although Dermatology is not my area of specialisation, I am sure the last thing you want is any kind of scarring. So do not scratch or rub the lesion.
Hope this helps
Feel free to ask followups