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Dr. Khaled Tantawi
Licensed Physician
الأسئلة المجابة 10424 | نسبة الرضا 98.1%
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I am having constant pain every month, about 10...
I am having constant pain every month, about 10 days before the start of my period. The pain comes every 2-3 hours and lasts for 10-15 mins. It is very strong, I feel it very sharp in my pelvic area and it radiates towards my spine and back, hips and knees. It doesn’t go away with painkillers, it affects my daily life and activities such as working out or intercourse. I went to two doctors since I suspected endometriosis, none of them wanted to run further tests after I told them that the pain stops 2-3 days before period and no pain at all during it. So they ruled out endometriosis. I don’t know what else could it be, I don’t know what other tests to run and I don’t know how to function normally, since my mood is affected by the pain as well
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إجابة الخبير: Dr. Khaled Tantawi

Dr. Khaled Tantawi
Licensed Physician
الأسئلة المجابة 10424 | نسبة الرضا 98.1%
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what are the treatment of post menstrual cramps?
- conservative management as one of the causes is ovulation at day 14
- and analgesia in case of remaining uterine cramp as diclogesis or ibuprufen
- progesteron Pills in case of endometeriosis or adenomyosis
- Antibiotics in case of pelvic inflammatory disease
- surgery in case of torted ovarian cyst
what are the causes?
- ovulation
- ovarian cyst torsion
- fibroid
- endometeriosis and adenomyosis
- pelvic inflammatory disease
what are the associated symptoms for these cramps?
- underwear spottin
- vaginal discharge
- fever
- and weakness
- feeling of mass in the abdomen
what are the investigations used for diagnosis?
- clinical examination
- abdominal ultra sound
- CBC
- Culture any abnormal discharge
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إسأل Licensed Physician

Dr. Khaled Tantawi
Licensed Physician
الأسئلة المجابة 10424 | نسبة الرضا 98.1%
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