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Upper/ Lower Abdominal Pain, switched from Yaz to Beyaz

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It all started about six months ago when I switched from Yaz to Beyaz. Almost the day after I switched, I developed what I assumed what a really bad UTI. Since I couldn't reach a doctor (this was a day before Christmas eve), I spoke to a nurse practicioner who gave me a perscription for uti pain meds. Therefore, it was never officailly diagnosed as a UTI. However, after I took the pill, I felt a little better, but still not great. Thinking it was still there, I went to the gynocologist, who diagnosed me with a yeast infection. After taking diflucan, I started to develop this nasty throbbing pain in my upper abdominal area, as well as a weird pain in my lower abdomen after having sex. I went back to the doctor several times afterwards, and everytime was re-diagnosed with a yeast infection. I had a transvaginal ultrasound done in the meantime, nothing found. I had a blood test done, everything was normal. Had several urinalysis, urine cultures, and vaginal cultures, nothing found out of the ordinary. I also had an abdominal ultrasound and nothing was out of the ordinary. However, I still am having a god-awful throbbing pain in my lower abdomen that comes and goes (that's less frequent) then the upper abdominal pain that also comes and goes and varies between a really awful pulling sensation and a burning sensation. I'm at a loss as to what to do. I set up another appointment with my general practictioner, who is going to set-up a cat scan for me of my upper abdominal, while my gynecologist is suggesting laparoscopy surgery. I don't know what it could be..
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replied June 23rd, 2012
Hi,
Welcome to ehealthforum,
The symptoms that you describe suggest vaginal infection, PID, endometriosis etc. If your partner was not treated simultaneously for infection, you can have repeat or re-infection. The recurrent symptoms that you describe could also suggest opportunistic infection that could have started due to prior antibiotic/medication use (due to elimination of the natural bacteria/flora as well as infective ones leading to opportunistic infections). Do not delay in visiting your doctor/gynecologist for examination and vaginal swab/smear test to identify the causative agent. Get started on treatment as appropriate (based on examination and investigations results) to help you control the symptoms. Consider requesting for prescription of a Probiotic (to be used after you finish with taking the other medications) to restore the normal vaginal flora to minimize re-infection/repeat infections. If infective causes are ruled out, then laparoscopic evaluation might be required to rule out (and treat) PID, pelvic adhesions and endometriosis. Be in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately. Drink plenty of water. Take adequate rest. Maintain healthy diet and lifestyle. Avoid vaginal douching, use of harsh soap or perfumes in the area. Use loose cotton undergarments and avoid use of tight fitting clothes. Avoid sweat accumulation in the area. If infective cause is detected, and if you are sexually active, it is important to get your partner also treated simultaneously to prevent chances of re-infection, and avoid having intercourse while being on treatment.
Take care.



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replied June 23rd, 2012
Thank you!
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