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chronic pelvic pain, bad pain before and during menstruation

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I have chronic pelvic pain, bad pain before and during menstruation and very heavy periods, pain and bleeding during intercourse,low back pain, pain during bowel movement and uranation, frequent uranation, pelvic examination by a doctor are painful,constipation and diarrhoea pain in my legs and fatigue. I have had trancvaginal scans and nothing abnormal was seen. What can this be?

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replied June 20th, 2012
Womens Conditions Answer A36237
Welcome to ehealthforum,
The symptoms that you describe suggest possibility of endometriosis. Common imaging techniques can fail to detect endometriosis changes. A laparoscopic examination done is more helpful, and if endometriosis is detected, these can be removed at the same session. The presence of pelvic adhesions can also be a cause for severe symptoms and these too can be treated at time of laparoscopic evaluation. Post-surgery, women have better recovery and long term relief if treatment is combined with regression therapy with use of hormones. Endometriosis symptoms can persist or recur if estrogen production or supplementation is present. Symptoms can also persist if there has been deep retroperitoneal endometriosis (as these places are not easily reachable with conventional laparoscopy). Discuss your symptoms in detail with your treating doctor/gynecologist. Consider being 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.
Take care.

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