Abdominal Pain and Irregular Periods After Diagnosis

Abdominal menstrual pain?

Hello Doctor, I was diagnosed in early November.
At the end of that month, my menstrual flow was slightly less than usual.
A week before my period in December, I experienced some light bleeding.
I had an ultrasound, and since I have fibroids and adenomyosis, which are being monitored, the doctor said he would regulate my cycle to have my period start on January 1st.
After taking the medication to regulate my cycle, my period did indeed start on the 1st, and the flow was normal.
However, I have been experiencing abdominal discomfort and pain, which only alleviates slightly with pain medication.
Previously, I would have discomfort and pain but did not need to take painkillers.
I would like to ask if this could be a post-diagnosis symptom.
The doctor performed an ultrasound before regulating my cycle and said my ovaries were fine, and my uterus was in its usual condition, requiring no further action.
Should I schedule a follow-up appointment, or should I wait until my period ends to return? Today is the second day of pain.

Xiao Xun, 40~49 year old female. Ask Date: 2023/01/03

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, for your symptoms, observation is sufficient for treatment.
Wishing you good health.

Reply Date: 2023/01/03

More Info

Understanding abdominal pain and irregular periods after a diagnosis can be quite complex, especially when there are underlying conditions such as uterine fibroids and adenomyosis. Based on your description, it seems that you have been experiencing changes in your menstrual cycle and abdominal discomfort following a recent diagnosis, which may be contributing to your current symptoms.

Firstly, it's important to recognize that hormonal fluctuations can significantly impact menstrual cycles and abdominal pain. The fact that you experienced lighter menstrual flow and some irregular bleeding could be attributed to hormonal changes, especially after starting medication to regulate your cycle. The adjustment period after starting hormonal treatment can sometimes lead to increased discomfort, including cramping and a feeling of heaviness in the abdomen.

The abdominal pain you are experiencing could be related to several factors:
1. Uterine Conditions: Given your history of uterine fibroids and adenomyosis, these conditions can cause significant pain and discomfort, especially during menstruation. Fibroids can lead to increased menstrual bleeding and cramping, while adenomyosis often results in painful periods and chronic pelvic pain.

2. Hormonal Changes: The medications prescribed to regulate your menstrual cycle may also be influencing your symptoms. Hormonal treatments can sometimes lead to side effects such as abdominal pain, bloating, and changes in menstrual flow.
3. Post-Diagnosis Effects: If you were recently diagnosed with a condition that required treatment, the stress and physical changes associated with that diagnosis can also contribute to abdominal discomfort. The body may react to stress in various ways, including muscle tension and gastrointestinal disturbances.

4. Other Factors: It's also essential to consider other potential causes of abdominal pain, such as gastrointestinal issues, urinary tract infections, or even stress-related muscle tension.
Regarding your question about whether to return for a follow-up appointment, it is advisable to consult your healthcare provider, especially since you are experiencing persistent pain that requires medication for relief. While it may be tempting to wait until after your menstrual period, it is crucial to address any new or worsening symptoms promptly. Your doctor may want to perform additional evaluations, such as imaging studies or blood tests, to rule out any complications or changes in your condition.

In summary, while some abdominal discomfort can be expected with your medical history and recent treatment, it is essential to communicate any ongoing or severe symptoms to your healthcare provider. They can provide guidance on whether further evaluation is necessary and help manage your symptoms effectively. If the pain persists or worsens, do not hesitate to seek medical attention sooner rather than later. Your health and well-being are paramount, and timely intervention can often lead to better outcomes.

Similar Q&A

Understanding Endometriosis: Symptoms, Diagnosis, and Treatment Options

I have been experiencing irregular menstruation since the second half of last year. In March of this year, I consulted a doctor due to lower abdominal pain and was found to have an endometrial polyp. I underwent a removal procedure in June, and in early August, I had a blood test...

Dr. Huang Jianzhong reply Obstetrics and Gynecology
Since the second half of last year, I have been experiencing irregular menstruation. In March of this year, I consulted a doctor due to lower abdominal pain and was found to have an endometrial polyp, which was removed in June. In early August, I had a blood test for CA125, which...

Understanding Abdominal Pain and Abnormal Bleeding in Women

Hello, doctor. I am 38 years old and unmarried. Recently, I have experienced bleeding during my ovulation period for two consecutive months (the bleeding lasts until my period starts). When my period came recently, I had left lower abdominal discomfort and cramping for about a we...

Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: The treatment provided by your current physician is very reasonable and appropriate. I recommend that you follow the doctor's orders and patiently await the fin...

Understanding Abnormal Menstrual Symptoms: Causes and Concerns

Hello Doctor: Seven years ago, I experienced abnormal menstruation, lower abdominal pain, and vaginal itching, and I underwent an abdominal ultrasound which revealed an ovarian cyst. At that time, I had a habit of masturbation and was unaware that the cervix lacks pain receptors,...

Dr. Lin Manying reply Obstetrics and Gynecology
1. Irregular menstruation requires a clinic visit to check for persistent ovarian cysts or other organic lesions. 2. If there is frequent lower abdominal pain accompanied by foul-smelling or increased yellow-green discharge, it may indicate pelvic inflammatory disease. It is reco...

Understanding Irregular Menstruation: Causes, Symptoms, and Management

Hello Doctor: Since mid-July, I have been experiencing abnormal bleeding. I went to the hospital for an abdominal ultrasound and a pelvic exam, both of which showed no issues. The doctor diagnosed me with irregular menstruation and prescribed hemostatic medication. However, as I ...

Dr. Huang Jianzhong reply Obstetrics and Gynecology
Since mid-July, I have been experiencing abnormal bleeding. I went to the hospital for an abdominal ultrasound and a pelvic examination, both of which showed no issues. The doctor diagnosed me with irregular menstruation and prescribed hemostatic medication. However, as I approac...