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Dull pain lower right pelvis

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Each month starting about time of my period I have this persistent, but dull pain just in my right lower abdomen - it is bad enough to wake me up but pain killers do help to lessen it - I am sure it is related to my monthly cycle but I have never had bad monthly pains and at 45 years old it seems a bit late to start. Do I need to see my Doctor or should I just keep taking the pain killers?
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