What helps for sharp pain in lower abdomen and spotting?

Resolved question:
Hi, I had my last period April 25-29 2014. From May 15-17 2014 I had off and on light spotting and never got my period. It's now June 27th and still no period. I took a at home pregnancy test and it was negative. What has me really concern though, is I've been getting sharp pains in my lower abdomen and under my ribs on both sides off and on for the past 2 months. One incident, on my lower left abdomen it felt like my stomach was pulsing in one spot. Any help would be so appreciated. Thanks

Submitted: 4 Days
Category: OBGYN

Expert:  Dr. Aarti Vazirani replied 4 Days.

Hello.

Thanks for writing to DoctorSpring.com with your health concern.

You need to have a complete gynaecological evaluation.

That would start with an internal exam - per vaginum and per speculum.

This should be followed by a pelvic transvaginal ultrasound scan.

Also, hormonal levels - FSH, LH, TSH, Prolactin, OGTT, DHEAS, Free testosterone need to be measured.

This would help to arrive at a diagnosis.

Your symptoms could be due to just a mild hormonal imbalance leading to irregular cycles. This can be precipitated often by stress, anxiety, unaccustomed exercise, changes in your weight, smoking, alcohol, late nights, ingestion of certain medications, high altitude, illness, fever etc.

Also, it could be due to other conditions like thyroid hormone disturbance, polycystic ovaries etc.

It is difficult to arrive at a specific condition without the workup listed above.

Please get it done.

All the best.

Please feel free to discuss further.


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