I am a girl aged 18 years and I have been married for a year. I have severe dysmenorrhea. I am not getting pregnant but I do not take contraceptives or use protection. Why?
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For your gynecological problem detail evaluation should be done. For that per speculum and pelvic examination done and transvaginal USG should be done. In USG report if any underlying cause present than it will be clear like for example fibroid, endometriosis, ovarian cause, etc. For infertility serum TSH (thyroid stimulating hormone) estimation, serum prolactin, FSH (follicular-stimulating hormone), LH (luteinizing hormone) estimation, serum DHEA (dehydroepiandrosterone) estimation done along with USG. If needed for further work-up diagnostic hysteroscopy or laparoscopy can be done.
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