[32F] Experiencing cervical pressure, nausea, and lightheadedness

Patient Description

A 32-year-old female is experiencing cervical pressure described as cramping, with the onset of symptoms occurring today. The patient reports the pressure is painful but is not accompanied by heavy bleeding, fever, lower abdominal pain, or back pain. Nausea and lightheadedness are also present, which are non-constant and of uncertain severity. The nausea started a few hours ago and has not been linked to any specific activities or foods. A heated pad is being used for relief. The patient has had unprotected intercourse, which could be relevant to the symptoms. The patient has a family history suggestive of PCOS but has not been diagnosed with it. The patient stopped taking birth control on December 5, 2023. Past medical history includes shooting pain on the sides of the body post-intercourse over five years ago, which was not diagnosed. The patient is currently taking Lisdexamfetamine (40 mg daily), Wellbutrin (150 mg daily), and Benadryl (24-50 mg daily) with no reported allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Early Pregnancy: Given your recent unprotected intercourse, the symptoms you're experiencing could be early signs of pregnancy. These can include nausea, light-headedness, and abdominal discomfort or cramping.

    • Pregnancy can be confirmed with a home pregnancy test or a blood test at your doctor's office.
  • Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs. It's often caused by sexually transmitted bacteria. Symptoms can include lower abdominal pain, fever, unusual discharge, and nausea.

    • Treatment typically involves antibiotics to clear the infection.
  • Ovarian Cysts: These are fluid-filled sacs that can form in or on your ovaries. They can cause pressure, bloating, swelling, or pain in the lower abdomen, along with nausea.

    • Most ovarian cysts are harmless and go away without treatment in a few months. However, large or persistent ovarian cysts, or those that are causing symptoms, may need to be surgically removed.

What you can do

  1. Take a home pregnancy test: If there's a chance you could be pregnant, taking a home pregnancy test can help determine this. These tests are usually very accurate when taken a few days after a missed period.

  2. Rest and hydration: Ensure you're getting plenty of rest and staying hydrated, especially if you're experiencing nausea.

  3. Over-the-counter pain relief: Non-prescription pain relievers such as ibuprofen can help with cramping. However, these should be used sparingly and only as a temporary measure.

  4. Seek medical attention: Given your symptoms, it would be best to consult a healthcare professional for a formal assessment. They can order relevant tests and provide appropriate treatment.

What you should look out for

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

  • Severe or worsening abdominal pain
  • Heavy vaginal bleeding
  • High fever (temperature over 100.4°F)
  • Persistent or worsening nausea and vomiting
  • Signs of shock, such as cold and sweaty skin, irregular heart rate, or fainting

Please remember that while I strive to provide accurate and helpful information, I am not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

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People Also Ask


What are the early signs of pregnancy that I should be aware of?

Early signs of pregnancy can include missed periods, nausea (often referred to as morning sickness), breast tenderness, fatigue, and frequent urination. A home pregnancy test can help confirm pregnancy.


How can I differentiate between symptoms of ovarian cysts and other conditions like PID?

Ovarian cysts often cause pressure, bloating, or pain in the lower abdomen, while PID may present with lower abdominal pain, fever, and unusual discharge. A healthcare provider can perform tests to differentiate between these conditions.


What are the potential side effects of stopping birth control suddenly?

Stopping birth control suddenly can lead to hormonal changes that may cause irregular periods, cramping, and mood swings. It may also increase the risk of pregnancy if unprotected intercourse occurs.


When should I seek medical attention for cramping and nausea?

Seek medical attention if you experience severe or worsening abdominal pain, heavy vaginal bleeding, high fever, persistent nausea and vomiting, or signs of shock such as fainting or irregular heart rate.


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