What might be happening

Based on the information you have provided, possible diagnoses include:

• Pelvic Organ Prolapse: This occurs when the muscles and tissues supporting the pelvic organs (uterus, bladder, or rectum) become weak or loose. This can cause a bulge or "prolapse" in the vagina, which can cause discomfort, pressure, and pain.

  • Treatment options for pelvic organ prolapse can range from lifestyle changes and physical therapy to surgery, depending on the severity of the prolapse and the patient's overall health.

• Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs, often caused by sexually transmitted bacteria. Symptoms can include pelvic pain, a mass or lump, and gastrointestinal symptoms like diarrhea and vomiting.

  • Treatment of PID typically involves antibiotics to clear the infection.

• Ovarian Cysts or Tumors: These are growths that can form on the ovaries. While many are benign, some can be cancerous. Symptoms can include pelvic pain, a palpable mass, and gastrointestinal symptoms.

  • Treatment can range from monitoring to surgery, depending on the size, type, and symptoms caused by the cyst or tumor.

• Gynecologic Cancer: Given your family history and the presence of a mass, this is a possibility that should be evaluated. Gynecologic cancers can present with a mass, pelvic pain, and gastrointestinal symptoms.

  • Treatment typically involves surgery, chemotherapy, and/or radiation therapy.

What you can do

It's important to follow up with your doctor as soon as possible for further evaluation and testing. In the meantime, you can:

1. Rest and avoid heavy lifting or straining, which can exacerbate symptoms of pelvic organ prolapse.
2. Stay hydrated and eat small, frequent meals to help manage your nausea and vomiting.
3. Keep track of your symptoms, including when they occur, their severity, and any potential triggers. This can be helpful information for your doctor.

What you should look out for

Please seek immediate medical attention if you experience:

• Severe or worsening pain
• Heavy vaginal bleeding
• Fever or chills
• Difficulty urinating or having a bowel movement
• Worsening nausea or vomiting, or inability to keep down fluids

Please remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.