What are the possible causes of dysuria, dysmenorrhea, and the presence of dark clots during menstruation?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

It would be best if you had some investigations to reach the cause of the pain. Pain during menstruation could be premenstrual syndrome, but heaviness, painful micturition, and previous history of inflamed Pap smear need attention. It is better to have a few tests like a high vaginal swab for pelvic infection, urinalysis, urine culture, and cervical smear.

1. Go for a urinalysis if you are able to get an urgent result.

2. I suggest the following medication:

Tablet Augmentin (Amoxicillin and Clavulanate) 625 mg 8 hourly for seven days. Tablet of Paracetamol 500 mg 8 hourly from day two to five in case of period pain. Tablet Doxycycline 100 mg 12 hourly for seven days if the urine report comes normal.

3. Follow all the laboratory results and have plenty of water and cranberry juice.

4. I suggest consulting a gynecologist for a local examination to exclude any prolapse, polyp, inflammatory lesion, or other pathology.

5. One transvaginal scan is also needed to exclude pelvic pathology like fibroid, adenomyosis, or endometriosis. In addition, MRI (magnetic resonance scan) may be needed if any of these conditions are suspected in the scan.

6. Discuss all laboratory results with a gynecologist if the cervical smear comes positive.

7. Sit in warm water twice or thrice daily to relieve the urinary infection.

However, please consult a physician, discuss with them and start taking the medications with their consent.

Hope this helps.

Thanks and take care.