[26F] Experiencing severe pelvic pain with history of ovarian cyst

What might be happening

Based on the symptoms you've described, there are a few possibilities to consider:

1. Ovarian Cyst Complications: Given your history and the presence of a 4.3 cm ovarian cyst, it's possible that the cyst has grown, ruptured, or is causing ovarian torsion. These conditions can lead to severe pain, changes in your menstrual cycle, and other symptoms like nausea, vomiting, and dizziness. A ruptured cyst can cause internal bleeding and requires immediate medical attention. Ovarian torsion, where the ovary twists around the ligaments that hold it in place, is a medical emergency and can cut off blood supply to the ovary.

2. Ectopic Pregnancy: Although you haven't mentioned being pregnant, a missed menstrual cycle and severe pelvic pain could indicate an ectopic pregnancy, where a fertilized egg implants outside the uterus. This is a serious condition that requires urgent medical care.

3. Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs and can cause severe pelvic pain, changes in menstrual cycles, and other symptoms. It often requires antibiotics and can lead to serious complications if untreated.

What you can do

Given the severity of your symptoms and the potential for serious conditions, it is crucial to seek medical attention immediately. Here are some steps you can take:

• Visit the Emergency Room: Due to the risk of complications like a ruptured cyst or ectopic pregnancy, it's important to get evaluated by a healthcare professional as soon as possible. They may perform imaging tests like an ultrasound or CT scan to determine the cause of your symptoms.

• Call 911 or Have Someone Drive You: If you are experiencing severe pain, dizziness, or any worsening symptoms, do not drive yourself. Call 911 or have someone take you to the hospital.

• Monitor Your Symptoms: Keep track of any changes in your symptoms, such as increased pain, fever, or new symptoms. This information can be helpful for healthcare providers.

Remember, while I can provide information based on your symptoms, only a healthcare professional can provide a formal diagnosis and appropriate treatment. Please prioritize your health and safety by seeking immediate medical care.