Should I Change My Doctor? Ovarian Pain and Treatment Options

Should I change my doctor?

I have been taking Nina coated tablets to manage polycystic ovary syndrome, which has stabilized my menstrual cycle.
Since the end of March, I have been experiencing intermittent pain in my lower left abdomen.
I have seen Dr.
A several times, who diagnosed me with ovarian inflammation based on ultrasound findings and prescribed the following medications: CEFALEXIN CAPSULES S.T.
for inflammation and NAPTON F.C.
TABLETS 27MG.
On Thursday night, June 24, I experienced pain again in my lower left abdomen, so I visited Dr.
B on Friday.
However, on that day, I did not have any pain in my lower left abdomen or lower back.
After Dr.
B performed an ultrasound and a pelvic exam (pressing on the vagina and asking if I felt pain in several areas), he diagnosed me with vestibulitis and administered five injections, seemingly into the vaginal area.
After the injections, the doctor asked if I still felt pain in my lower back or abdomen.
Initially, I did not have pain, but afterward, my lower abdomen felt somewhat bloated.
The doctor advised me to finish my medication and then receive four more injections in the vulvar area.
Currently, I have not taken the antibiotic medication prescribed by the doctor last night.
However, this morning at 3 AM, I experienced pain in my lower left abdomen and lower back again.
I have looked up the symptoms of vestibulitis online, which include dyspareunia and burning at the vaginal opening, but I do not have these symptoms; my main issue is the pain in my lower left abdomen.

I would like to ask: Am I really experiencing vestibulitis? Should I continue with the injections, or could this simply be pelvic inflammatory disease? Should I consider seeing another doctor? Do I need to take medication? Thank you for your patience and for providing a professional response.

Yinwei tengtong er juede wuzhu de nvxing, 20~29 year old female. Ask Date: 2020/06/27

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
Abnormal discharge, itching, fever, and lower abdominal pain are among the most common symptoms of genital infections in women.
The causes are varied, and treatment requires comprehensive health education.
It is recommended to consult a specialist in obstetrics and gynecology for evaluation in an outpatient setting.
2.
You may also seek a second opinion at other medical facilities.

Reply Date: 2020/06/27

More Info

When it comes to persistent pelvic pain and the decision to change doctors, it's essential to consider several factors. Based on your description, you have been experiencing ongoing left lower abdominal pain, which has been diagnosed variably as ovarian inflammation and vestibulitis by different doctors. This inconsistency in diagnosis can understandably lead to confusion and concern about whether you are receiving the appropriate treatment.

Firstly, let's address the symptoms you are experiencing. Ovarian pain can stem from various conditions, including ovarian cysts, pelvic inflammatory disease (PID), or endometriosis. The fact that you have been on medication for polycystic ovary syndrome (PCOS) and have stable menstrual cycles is a positive sign, but it does not rule out other underlying issues. The pain you describe, particularly if it is persistent and not responding to treatment, warrants further investigation.

The diagnosis of vestibulitis (or vestibular vaginitis) typically involves symptoms such as pain during intercourse, burning sensations at the vaginal opening, and discomfort during gynecological exams. Since you mentioned that you do not experience these symptoms, it raises questions about whether this diagnosis is accurate in your case. The treatment for vestibulitis often includes topical anesthetics, steroid creams, or physical therapy, but if your primary symptom is lower abdominal pain, it may not be the correct diagnosis.

Given that you have seen two different doctors with differing opinions, it may be beneficial to seek a third opinion, particularly from a gynecologist who specializes in pelvic pain or endometriosis. A specialist can provide a more comprehensive evaluation, which may include advanced imaging techniques like an MRI or laparoscopy if necessary. These methods can help visualize any potential issues that may not be apparent on a standard ultrasound.

In terms of treatment, if you are still experiencing pain after receiving injections and taking antibiotics, it may be time to reassess your treatment plan. It is crucial to communicate openly with your healthcare provider about your ongoing symptoms and any concerns you have regarding the effectiveness of the current treatment. If you feel that your concerns are not being adequately addressed, it is entirely reasonable to seek care from another physician.

Moreover, consider discussing the possibility of a referral to a pain management specialist or a pelvic floor physical therapist. These professionals can offer additional strategies for managing chronic pain, which may include physical therapy, lifestyle modifications, and alternative therapies.

In summary, while it can be challenging to navigate the complexities of pelvic pain and varying diagnoses, it is essential to advocate for your health. If you feel uncertain about your current treatment or diagnosis, seeking a second or even third opinion from a specialist can provide clarity and potentially lead to a more effective treatment plan. Remember, your comfort and understanding of your health condition are paramount, and you deserve a healthcare provider who listens to your concerns and works collaboratively with you to find a solution.

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