[30F] With right-sided pain and menstrual changes

Patient Description

A 30-year-old female has been experiencing dull, cramp-like pain on the right side, sometimes spreading to the back and left side, occurring on and off for about two months. Episodes last a couple of hours and are somewhat relieved by a warm compress. Additionally, she reports blurred vision in the left eye when focusing, resolving when looking away. Her menstrual period was five days longer than usual, heavier, with significant clotting. She also has an ear piercing infection and notes intermittent enlargement of lymph nodes. No fever, changes in urination, nausea, vomiting, unusual vaginal discharge, weight changes, or family history of ovarian cysts or hormonal issues. Currently taking 50 mg of Zoloft daily with no known medication allergies.

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Arora's Assessment

What might be happening

Your symptoms could be related to a few different issues:

  1. Ovarian Cysts or Hormonal Imbalance: The prolonged and heavy menstrual period with clots, along with pelvic pain, could suggest ovarian cysts or a hormonal imbalance. These can cause irregular periods and pelvic discomfort.

  2. Kidney or Urinary Tract Issues: The dull, cramp-like pain on your right side that radiates to your back might be related to kidney stones or a urinary tract issue, especially if accompanied by chills.

  3. Eye Strain or Vision Changes: The blurred vision in one eye when focusing could be due to eye strain or a need for a vision check. It might not be directly related to your other symptoms.

  4. Infection: The ear piercing infection and enlarged lymph nodes could indicate an infection that might be affecting your body more broadly.

What you can do

For Side Pain and Menstrual Changes:

  • See a healthcare provider: It's important to get a proper evaluation to rule out ovarian cysts or other gynecological issues. They may recommend an ultrasound or blood tests.
  • Track your symptoms: Use MDandMe to journal your symptoms, track your menstrual cycle, and note any changes or patterns.

For Blurred Vision:

  • Schedule an eye exam: An optometrist can check for vision changes or eye strain.
  • Rest your eyes: Take regular breaks from screens and ensure good lighting when reading or working.

For Ear Infection:

  • Follow care instructions: Keep the area clean and follow any care instructions given by a healthcare provider.
  • Monitor for changes: If the infection worsens or doesn't improve, seek medical advice.

What you should look out for

  • Seek immediate care if you experience: Severe pain, fever, or any new symptoms like shortness of breath or fainting.
  • Monitor for worsening symptoms: If your pain becomes more frequent or intense, or if your vision changes persist, consult a healthcare provider.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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4 mo ago

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People Also Ask


What could be causing the dull, cramp-like pain on the right side that sometimes spreads to the back?

The dull, cramp-like pain on the right side that spreads to the back could be related to ovarian cysts, hormonal imbalances, or possibly kidney stones or a urinary tract issue. It's important to consult a healthcare provider for a proper evaluation.


Why might my menstrual period be longer and heavier with significant clotting?

A longer and heavier menstrual period with significant clotting could be due to hormonal imbalances or the presence of ovarian cysts. It's advisable to see a healthcare provider for an assessment, which may include an ultrasound or blood tests.


What could be the reason for experiencing blurred vision in one eye when focusing?

Blurred vision in one eye when focusing could be due to eye strain or a need for a vision check. It might not be directly related to other symptoms, and scheduling an eye exam with an optometrist is recommended.


How should I care for an infected ear piercing and when should I seek further medical advice?

For an infected ear piercing, keep the area clean and follow any care instructions provided by a healthcare provider. If the infection worsens or doesn't improve, or if you notice enlarged lymph nodes, seek further medical advice.


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