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Lower abdominal pain when menstruation is absent

Hello,

I am 40 years old, have two children, am healthy, and not particularly prone to psychosomatic manifestations. My menstrual cycle is usually regular at 28-29 days, with the last one starting on 05.10. Over the past few months, I have had a slightly shortened second phase of my cycle, resulting in a prolonged menstrual period. As a result, I have started taking Chaste tree berries for the first time in this cycle, due to a history of LH deficiency.

For the past 1.5 weeks, I have had a constant, persistent pain on the left side of my lower abdomen, which I generally do not experience with the same intensity and persistence during PMS. It can be compared to a squeaky, uniform, medium-light tone. I feel slightly nauseous, but there are no other potential signs of pregnancy. I took a test yesterday and today (at +4-5 days), both of which were negative. There are no signs of an impending period, which I would normally experience. My doctor is on vacation, and it is Friday after 12. The symptoms bother me significantly, but not enough to seek emergency care. Do you have any ideas? It may be worth noting that 1-2 days after the assumed middle of my cycle (5 days after ovulation), I had a minimal light bleeding (in contrast to the normal bleeding).

Looking forward to hearing from you!

Dr. med. Kathrin Hamann

Good day, I am happy to help you further.

A pregnancy could definitely be possible, but it could also be the result of an ovarian cyst. This can only be determined through an ultrasound. Whether a pregnancy is present can be shown by a standard test at the time of the expected period.

However, left-sided pulling could also indicate a problem with the intestines. Have you experienced any discomfort during bowel movements or noticed any abnormalities that would confirm this suspicion?

I am happy to help you further.

Kind regards,

Dr. K. Hamann

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Dr. med. Kathrin Hamann

Dr. med. Kathrin Hamann

München

Seit mehr als 20 Jahren bin ich in der Medizin tätig. Als Fachärztin für Allgemeinmedizin helfe ich in meiner Praxis meinen Patienten.

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