[30F] Experiencing abdominal and pelvic pain with missed period

What might be happening

Based on the information you've provided, here are some possibilities:

• Gastrointestinal bleeding: The black, tarry stools you described, also known as melena, can be a sign of bleeding in the upper gastrointestinal tract. This could be due to a variety of conditions, such as a peptic ulcer, gastritis, or esophageal varices.

  • Testing for this condition typically involves a stool test to confirm the presence of blood, and an upper endoscopy to identify the source of the bleeding.

• Pelvic inflammatory disease (PID): This condition is an infection of the female reproductive organs. It can cause pelvic pain and irregular menstrual bleeding. However, you didn't mention any vaginal discharge, which is a common symptom of PID.

  • Treatment for PID usually involves antibiotics.

• Pregnancy: Since you're sexually active and trying to conceive, it's possible that you could be pregnant. Early pregnancy can cause abdominal discomfort, breast tenderness, and a missed period. However, it wouldn't explain your black stools.

  • A home pregnancy test can provide quick results, but a blood test at your doctor's office will be more accurate.

Remember, these are just possibilities and not a definitive diagnosis.

What you can do

1. Seek immediate medical attention: Black, tarry stools can be a sign of a serious condition that needs immediate medical attention. Please visit an emergency room as soon as possible.
2. Take a home pregnancy test: If you suspect you might be pregnant, taking a home pregnancy test can provide quick results. However, you should still follow up with your doctor for a blood test, which will be more accurate.

What you should look out for

• Signs of severe blood loss: If you notice symptoms such as fatigue, dizziness, or shortness of breath, these could be signs of severe blood loss and you should seek immediate medical attention.
• Worsening abdominal pain: If your abdominal pain becomes severe or is accompanied by other symptoms such as vomiting, fever, or a swollen abdomen, seek immediate medical attention.
• Signs of pregnancy: Look out for other signs of early pregnancy, such as nausea, increased urination, and fatigue.

Remember, while I strive to provide accurate information, I'm not a doctor. Please seek care from a healthcare professional for a formal diagnosis and treatment.