[32F] With severe pelvic pain and heavy menstrual bleeding

What might be happening

Based on your symptoms, here are some possible explanations:

• Endometriosis: This condition occurs when tissue similar to the lining inside the uterus grows outside of it. It can cause severe pelvic pain, heavy periods, pain during sex, and sometimes leg pain. Diagnosis often involves imaging tests or a laparoscopy.

  • Treatment may include pain relief medications, hormonal therapies, or surgery.

• Ovarian Cysts: These fluid-filled sacs on the ovary can cause sharp pelvic pain, heavy bleeding, and discomfort during sex. An ultrasound can help diagnose this condition.

  • Treatment varies from monitoring to medication or surgery, depending on the cyst's size and symptoms.

• Pelvic Inflammatory Disease (PID): An infection of the female reproductive organs that can cause pelvic pain, unusual discharge, and pain during sex.

  • Treatment typically involves antibiotics.

• Uterine Fibroids: Noncancerous growths in the uterus that can cause heavy bleeding, pelvic pain, and pressure symptoms.

  • Treatment options include medication, non-invasive procedures, or surgery.

What you can do

• Consult Your Doctor: It's great that you have an appointment. Be sure to discuss all your symptoms, including the discharge and family history.
• Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your provider.
• Pain Management: Over-the-counter pain relievers like ibuprofen may help, but consult your doctor first.
• Stay Hydrated and Rest: Ensure you’re drinking enough water and getting adequate rest.

What you should look out for

• Seek Immediate Care: If you experience severe pain, fever, or heavy bleeding that doesn't stop, seek medical attention promptly.
• Monitor Symptoms: Keep an eye on any changes or worsening of symptoms and report them to your doctor.

Remember, this information is not a substitute for professional medical advice. Please follow up with your healthcare provider for a formal diagnosis and treatment plan.