[23F] Experiencing pelvic pain and associated symptoms

What might be happening

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

• Ovarian Cyst Rupture: Given your history of ovarian cysts, the sharp, sudden pain you're experiencing could be due to a ruptured ovarian cyst. This condition occurs when a cyst on an ovary breaks open, causing fluid to spill out into the pelvic cavity. This can cause severe pain and internal bleeding.

  • Treatment typically involves pain management and monitoring. In some cases, surgery may be required to stop bleeding.

• Endometriosis: This is a condition in which tissue similar to the lining inside the uterus (called the endometrium) is found outside the uterus, where it induces a chronic inflammatory reaction. Your symptoms of pelvic pain, lower back pain, and changes in vaginal discharge could be indicative of this condition, especially given your family history.

  • Treatment often involves hormonal therapy, pain management, and in some cases, surgery.

• Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs. It's usually caused by a sexually transmitted bacteria but can also result from other infections, such as a ruptured appendix. Your symptoms of pelvic pain and changes in vaginal discharge could be indicative of PID.

  • Treatment typically involves antibiotics to clear the infection.

What you can do

Given the severity of your pain, it's important that you seek immediate medical attention. Here's what you can do:

1. Go to the emergency department: Given the severity of your pain and the possibility of conditions like a ruptured ovarian cyst or PID, it's important to get immediate medical attention.

2. Rest and hydrate: While waiting to see a doctor, try to rest and stay hydrated.

3. Over-the-counter pain relief: Non-prescription pain relievers may help alleviate your pain in the short term, but they are not a substitute for medical evaluation and treatment.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Severe pain that worsens
• Fever or chills
• Vomiting
• Fainting or dizziness
• Rapid breathing or shortness of breath

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.