[35F] Experiencing severe lower abdominal pain, back pain, and prolonged bleeding

What might be happening

Based on the symptoms you have described, here are a few possibilities:

• Ectopic Pregnancy: This is a pregnancy that occurs outside the uterus, usually in the fallopian tube. Symptoms can include lower abdominal pain, vaginal bleeding, and nausea. This is a medical emergency and requires immediate attention.

  • Diagnosis is typically confirmed with a pregnancy test and ultrasound. Treatment usually involves medication or surgery.

• Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs, often due to sexually transmitted bacteria. Symptoms can include lower abdominal pain, abnormal vaginal discharge, and irregular bleeding.

  • Diagnosis is usually made based on symptoms and a physical exam, and treatment typically involves antibiotics.

• Ovarian Cyst: This is a fluid-filled sac that forms on or inside an ovary. Symptoms can include lower abdominal pain, bloating, and irregular periods.

  • Diagnosis is usually made with an ultrasound. Treatment can range from monitoring to surgery, depending on the size and symptoms of the cyst.

• Endometriosis: This is a condition where tissue similar to the lining of the uterus grows outside of the uterus. Symptoms can include lower abdominal pain, heavy periods, and pain with sex.

  • Diagnosis is usually confirmed with a laparoscopy. Treatment can involve medication for pain relief, hormone therapy, or surgery.

Please note that these are just possibilities and not a definitive diagnosis. It's also possible that more than one of these conditions could be present at the same time.

What you can do

Given the severity of your symptoms, it's important that you seek medical attention as soon as possible. In the meantime, try to rest and stay hydrated. Over-the-counter pain medication may help alleviate some of your discomfort, but it's important to get a definitive diagnosis from a healthcare provider.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Severe or worsening abdominal pain
• Heavy vaginal bleeding
• Fainting or severe dizziness
• Fever or chills

Please remember that while I strive to provide accurate information, I am not a doctor and this advice should not replace a consultation with a healthcare provider.