[19F] Experiencing sharp pains in left ovary and late period

Patient Description

A 19-year-old female has been experiencing sharp, intermittent pains in her left ovary for the past four days, rating the pain severity as 8 out of 10. She reports that her menstrual period is currently three days late. Following a chemical pregnancy and miscarriage in October, she has noticed spotting between periods, varying from light pink to somewhat heavy. Additionally, she experienced three menstrual periods in one month starting in late March and April 2024. She also reports significant weight loss of 25-30 lbs since December, along with symptoms of dizziness, fainting, and occasional nausea. She has not experienced any shoulder tip pain. The patient is currently taking Cetirizine as needed for allergies and has no other medications or known pre-existing conditions.

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Arora's Assessment

What might be happening

Based on the information you've provided, there are several possibilities that could explain your symptoms:

  • Ovarian Cysts: These are fluid-filled sacs that form on the ovaries. They are common and usually harmless, but can sometimes cause symptoms like pelvic pain. The pain from an ovarian cyst can be sharp or dull, and it can come and go.

    • Most ovarian cysts resolve on their own without treatment. If a cyst is causing significant symptoms or is not going away on its own, a doctor may recommend hormonal contraceptives or surgery.
  • Ectopic Pregnancy: This is a pregnancy that occurs outside the uterus, usually in the fallopian tube. It can cause sharp pelvic pain, especially on one side. Other symptoms can include vaginal bleeding, dizziness, and fainting.

    • An ectopic pregnancy is a medical emergency and requires immediate treatment. Treatment options include medication or surgery.
  • Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs, often caused by sexually transmitted bacteria. It can cause pain in the lower abdomen and changes in menstrual cycle.

    • Treatment for PID 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. It can cause pelvic pain and changes in menstrual cycle.

    • Treatment for endometriosis can include pain relievers, hormonal therapy, and surgery.

Please note that these are possibilities based on the information you've provided, and not a definitive diagnosis. It's important to consult with a healthcare provider for a formal evaluation.

What you can do

  1. Make an appointment with your healthcare provider. They can perform a physical examination and may order tests such as an ultrasound to help determine the cause of your symptoms.
  2. Keep track of your symptoms. Note when they occur, how long they last, and any factors that make them better or worse. This information can be helpful to your healthcare provider.
  3. If your pain becomes severe or you experience other symptoms such as heavy vaginal bleeding, dizziness, or fainting, seek immediate medical attention.

What you should look out for

  • Severe or worsening pelvic pain
  • Heavy vaginal bleeding
  • Dizziness or fainting
  • Fever or chills
  • Nausea and vomiting

These could be signs of a serious condition such as an ectopic pregnancy or ruptured ovarian cyst, which require immediate medical attention.

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10 mo ago

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People Also Ask


What are the common symptoms of an ovarian cyst?

Common symptoms of an ovarian cyst include pelvic pain, which can be sharp or dull and may come and go, bloating, and sometimes changes in menstrual cycle. Many cysts are asymptomatic and resolve on their own.


How can you differentiate between an ectopic pregnancy and a normal pregnancy?

An ectopic pregnancy often presents with sharp pelvic pain, especially on one side, vaginal bleeding, dizziness, and fainting. A normal pregnancy typically does not cause these symptoms. An ultrasound and blood tests are used to confirm the location of the pregnancy.


What are the potential causes of spotting between periods?

Spotting between periods can be caused by hormonal imbalances, stress, contraceptive use, infections, or conditions like polycystic ovary syndrome (PCOS) or endometriosis. It is important to consult a healthcare provider for an accurate diagnosis.


What are the treatment options for Pelvic Inflammatory Disease (PID)?

Treatment for PID typically involves a course of antibiotics to clear the infection. In severe cases, hospitalization or surgery may be necessary. It is important to complete the full course of antibiotics even if symptoms improve.


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