[19F] Experiencing severe pelvic and back pain with gastrointestinal and menstrual irregularities

What might be happening

Based on the information you've provided, possible diagnoses include:

• Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs. It's usually caused by a sexually transmitted infection. Symptoms can include pelvic pain, increased vaginal discharge, irregular menstrual bleeding, and symptoms of infection like fever.

  • Treatment typically involves antibiotics to clear the infection.

• Endometriosis: This is a condition where tissue similar to the lining of the uterus grows outside the uterus, causing pain and potentially affecting fertility. Symptoms can include pelvic pain, painful periods, pain with intercourse, and gastrointestinal symptoms.

  • Treatment can involve pain management, hormonal therapies, and in some cases, surgery.

• Ovarian Cyst: This is a fluid-filled sac that forms on or inside an ovary. Most ovarian cysts are harmless and go away without treatment in a few months. However, a large or persistent cyst, or a cyst that bursts, can cause symptoms like pelvic pain, bloating, and irregular periods.

  • Treatment can range from monitoring to surgery, depending on the size and behavior of the cyst.

• Pregnancy: Given your missed period and other symptoms, it's possible that you could be pregnant. Some women experience symptoms like fatigue, nausea, and changes in their menstrual cycle early in pregnancy.

  • Confirming a pregnancy involves a pregnancy test, which can be done at home or by a healthcare provider.

Please note that these are possibilities based on the symptoms you've described, and not a definitive diagnosis. You should seek care from a healthcare professional for a formal diagnosis and treatment.

What you can do

1. Seek medical attention: Given the severity and duration of your symptoms, it's important to seek medical attention as soon as possible. A healthcare provider can perform a physical examination and order tests to help determine the cause of your symptoms.

2. Take a pregnancy test: If there's a chance you could be pregnant, taking a pregnancy test can help determine this. Pregnancy tests are available over-the-counter at most pharmacies.

3. Monitor your symptoms: Keep track of your symptoms and any changes. This information can be helpful to your healthcare provider.

What you should look out for

Seek immediate medical attention if you experience:

• Severe or worsening pain
• High fever (temperature over 100.4°F)
• Fainting or loss of consciousness
• Vomiting or inability to keep down fluids
• Signs of shock, such as cold and sweaty skin, irregular heart rate, or rapid breathing.

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.