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Suggest Remedy For Severe Lower Abdominal Pain During Menstruation

Posted on Mon, 13 Jul 2015

Question: Hi

My wife is suffering from severe/extreme pain in lower abdomen during menstrual cycles.

Answered by Dr. Nidhi Setia (1 hour later)

Brief Answer:
need some details.

Detailed Answer:
Hello,

Welcome to HCM,

I can understand your concerns for your wife.
I have gone through your reports thoroughly.

Kindly provide some more details:
1. Does her period come monthly(regular)?
2. Does she has normal flow or heavy bleeding?
3. Does she has pain during intercourse?
4. Is she having any other symptoms, other than pain?
5. Any Excessive or prolonged vaginal discharge?
6. On what basis her doctor has diagnosed her with adenomyosis? Has she gone for abdominal/pelvic ultrasound or any other imaging investigations?

The details will help me to reach to a better conclusion.

Hope to hear from you soon.

Thanks.

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Nidhi Setia (1 hour later)

1. Does her period come monthly(regular)?
Yes
2. Does she has normal flow or heavy bleeding?
Sometimes normal sometimes heavy(not very heavy). With cramps.
3. Does she has pain during intercourse?
No
4. Is she having any other symptoms, other than pain?
No
5. Any Excessive or prolonged vaginal discharge?
No
6. On what basis her doctor has diagnosed her with adenomyosis? Has she gone for abdominal/pelvic ultrasound or any other imaging investigations?
By symptoms and by ultrasound.

Answered by Dr. Nidhi Setia (17 hours later)

Brief Answer:
levonorgestrel-releasing IUDs.

Detailed Answer:
Hello,

Sorry for late response.

With this details I can say that she may have fibroid uterus or adenomysis.

As you told that your doctor is suspecting adenomysis on the basis of symptoms and ultrasound,you can further confirm it by pelvic MRI.
I would also like to review her ultrasound report. (kindly upload here, if possible).

The abdominal pain in case of your wife is not responding to contraceptive pills.
In such cases, levonorgestrel-releasing Intra uterine device can be used. Other than this, aromatase inhibitors like letrozole can be used.(prescription drug)

However, the only definitive cure for adenomyosis is a hysterectomy, or the removal of the uterus.

If the symptoms does not resolve with the drug therapies and your family is complete, then hysterectomy can be considered.

Kindly discuss this with your gynecologist.

Hope this helps.

Feel free to ask further.

Thanks.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Nidhi Setia (1 hour later)

Thank you mam for your answer . Clarification required. So in one of the reports it says :
Direct Smear Occasional pus cells, epithelial cells and bacteria seen.
What is this related to then ? to some bacterial infection or its because of adenomyosis ? And also the blood count seems to be less it has been flagged red in some of the reports any reasons for them ?

Answered by Dr. Nidhi Setia (22 hours later)

Brief Answer:
insignificant findings.

Detailed Answer:
You are most welcome.
Really for the late response again.

The important thing in culture examination is that there was no growth of bacteria after 48 hrs of incubation. This signifies that there is no infection.
Occasional bacteria is not a worrisome issue.
It is not because of adenomyosis.

Similarly, the values flagged in red are just slightly below the normal range.
This is also not significant.

In my opinion, these are normal findings and you should not worry about it.

Hope this helps.
Take care.
Thanks.

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj