[36F] Experiencing lower abdominal and back pain

What might be happening

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

• Dysmenorrhea: This is a medical term for painful menstrual periods. Dysmenorrhea can cause severe and frequent cramps and pain in the lower abdomen, lower back, and pelvic area. The pain often starts 1-2 days before menstruation and lasts from 2 to 4 days. Pain that is only associated with the menstrual cycle is often less concerning and can be managed with various treatments.

  • Treatment typically involves over-the-counter pain relievers, hormonal birth control, and lifestyle changes like regular exercise and a healthy diet.

• Endometriosis: This is a condition where tissue similar to the lining of the uterus is found outside the uterus. It can cause pain in the lower abdomen or back, pain during or after sex, and heavy periods. It can also cause bleeding during sex, which you mentioned.

  • Treatment typically involves hormonal therapy, pain relievers, and in severe cases, surgery.

• Uterine fibroids: These are noncancerous growths of the uterus that often appear during childbearing years. They can cause heavy menstrual bleeding, prolonged periods, and pelvic pain.

  • Treatment typically involves medication to regulate your hormones or surgery.

• Pelvic inflammatory disease (PID): This is an infection of the female reproductive organs. It can cause lower abdominal pain, pain during sex, and irregular menstrual bleeding. However, you didn't mention having a fever or abnormal vaginal discharge, which are common symptoms of PID.

  • Treatment typically involves antibiotics.

Please note that while these conditions are common causes of your symptoms, there are many possible causes and you should consult with a healthcare provider for an accurate diagnosis.

What you can do

1. Schedule an appointment with your healthcare provider: They can provide a formal assessment and order relevant tests if necessary. This might include a pelvic exam, ultrasound, or laparoscopy.

2. Keep a symptom diary: This can help you and your healthcare provider identify patterns and triggers for your pain. Note down when your pain occurs, how long it lasts, and any other symptoms you experience.

3. Try over-the-counter pain relievers: Non-prescription medications like ibuprofen can help relieve menstrual cramps and lower back pain.

4. Practice good posture: If you're sitting for long periods, make sure your back is straight and your shoulders are back. Use a chair with good lower back support. Take regular breaks to stand up and stretch.

5. Apply heat: A warm bath or a heating pad can help soothe stiff, sore backs and relieve menstrual cramps.

6. Stay hydrated and maintain a balanced diet: Some women find that certain foods can trigger or worsen their symptoms. Try to maintain a balanced diet with plenty of fruits, vegetables, lean proteins, and whole grains.

What you should look out for

Seek immediate medical attention if you experience:

• Severe or worsening pain
• Sudden onset of severe pain
• Fever or chills
• Nausea or vomiting
• Difficulty or pain during urination
• Unusual vaginal discharge
• Heavy or prolonged menstrual bleeding

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare provider for an accurate diagnosis and treatment.