Dr. Chibitam Hope Obia
General Practitioner
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
Today, after intercourse, I felt continuous bleeding and pain in the lower right abdomen area. It has not happened ever before. What is the reason behind it? I had taken contraceptive pills five days ago. I was diagnosed with a cyst in my right ovary two months ago through ultrasound. Please help.
Thank you.
Hello,
Welcome to icliniq.com.
I have read the query, and I can understand your concern.
I am very sorry about your medical condition. I am here to take care of you. Regarding your symptoms of right lower quadrant pain and bleeding after sex following a five-day history of contraceptives, I propose you have developed a possible differential diagnosis. The possibility could be a ruptured ovarian cyst, tubo-ovarian abscess, and ectopic pregnancy. Do you have any fever, vaginal discharge, vomiting? Please do a pelvic scan and schedule another appointment. Meanwhile, take the following medication:
Tablet Acetaminophen 500 mg thrice daily after food.
Tablet Metronidazole 400 mg thrice daily after food.
Capsule Piroxicam 40 mg once daily.
Capsule Co-Amoxiclav (Amoxicillin and Clavulanic acid) 625 mg twice daily after food.
Tablet Medroxyprogesterone 10 mg once daily.
Tablet Norethisterone 5 mg taken after food.
Tablet Ketoconazole 200 mg once daily after food.
Consult a specialist doctor, talk to them, and then take the medication. If your symptoms persist, schedule another appointment.
I hope this will help you.
Thank you.
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General Practitioner
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