[34F] Experiencing severe lower abdominal pain and heavy menstrual bleeding

What might be happening

Based on the information you've provided, possible diagnoses include:

• Endometriosis: This is a condition where tissue similar to the lining of the uterus is found outside the uterus. It can cause severe abdominal pain, especially during or after intercourse, and heavy menstrual bleeding.

  • Treatment typically involves hormonal therapies and pain management. In severe cases, surgery may be needed.

• Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs. It can cause pain in the lower abdomen and heavy menstrual bleeding. It's usually caused by sexually transmitted bacteria.

  • Treatment typically involves antibiotics.

• Uterine Fibroids: These are noncancerous growths of the uterus that can cause heavy menstrual bleeding and pelvic pain.

  • Treatment can range from medication to manage symptoms to surgical removal of the fibroids.

• Cervical or Uterine Cancer: Given your history of HPV and the presence of cancer cells 14 years ago, it's important to consider the possibility of cervical or uterine cancer. These can cause heavy menstrual bleeding and pelvic pain.

  • Treatment typically involves surgery, radiation, and/or chemotherapy.

Please note that these are possibilities and not a definitive diagnosis. It's important to see a healthcare provider for a formal diagnosis.

What you can do

1. Schedule an appointment with a healthcare provider as soon as possible. They can conduct a physical examination and order necessary tests to determine the cause of your symptoms.
2. Over-the-counter pain relievers like ibuprofen can help manage your pain in the meantime. However, these should not be used as a long-term solution.
3. Keep track of your symptoms, including when they occur, their severity, and any potential triggers. This information can be helpful to your healthcare provider.

What you should look out for

Seek immediate medical attention if:

• Your pain becomes unbearable or significantly worsens
• You experience heavy bleeding that soaks through one or more pads or tampons every hour for several hours
• You have signs of shock, such as cold and sweaty skin, irregular heart rate, or rapid breathing
• You have severe dizziness or fainting spells

Remember, I'm an AI and not a doctor. It's important to consult with a healthcare provider for a formal diagnosis and treatment.