Hello, I am 26, F and I have a child who is 2 years old. I recently got married and have started having sex again (I use Depo-Provera shot for Birth control) and yesterday I woke up with a sharp stabbing pain in my lower right abdomen right along the scar line from my C-Section that comes and goes all day long. (Its better when I lay down or stand up, sitting is painful and makes the waves of pain come and go faster) I have had Kidney Stones since I was 7 years old so I know its not that kind of pain and my period just ended five days ago. My bowl movements are normal and it dose not hurt to urinate. I have no fever or Bleeding/Discharge. It's just a sharp stabbing pain that comes in waves, if I press hard on the area it stops the pain for a few moments but as soon as I let up the pain comes back. The same thing happens when I bear down on my muscles like when I have pms cramps or am doing Kegels. I do not have insurance yet (Have to wait till Feburary 18th for it to go into effect)
Lower abdominal pain can be due to various causes as pelvic infection, ovarian cause as cyst, uterine causes as endometritis, due to depo shot which might be causing hormonal changes and may present as abdominal cramps etc. It is difficult to give an exact diagnosis here without a physical examination and evaluation.
If you have started using the Depo vera recently and there is no other abnormal symptom as heavy bleeding, fever, persistent pain increasing in intensity then probability of pain due to hormonal changes is more. A USG scan would be the best investigation to rule out any underlying abnormality. Kindly visit a Gynaecologist for evaluation. Meanwhile you can consider taking OTC available painkillers as Tylenol or Ibugesic for pain relief. Applying hot water bag also might help in relieving the symptoms.
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