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I have a very painful period, facial hair, and pimples on my armpit. What shall I do?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I had an irregular period ever since I was in college, and when it comes, my period usually lasts for four days (abdomen pain is just usual, not much). However, just this month, I had a very painful experience. I do not know if it was caused by air cause I had the fan turned on while sleeping. The pain was coming from my lower left abdomen. It was the first time I felt it, so I took Revalan, and it was gone within the day. I still have my period going on, a week now, probably longer than usual, but not painful. For years now, I have had facial hair. And I also get big pimples on my armpits or butt area, or neck area (nape), especially when my period is coming. They are so active. What shall I do?

Hi,

Welcome to icliniq.com.

I am sorry to hear about your problem.

You could be having PCOD (polycystic ovarian disease), in which there is ovarian dysfunction due to multiple cysts in the ovary. You might also be having pain due to some infection in the uterus, tubes, or ovaries. Get an ultrasound of the abdomen and pelvis. Also, get a few blood tests like thyroid function tests, prolactin levels, testosterone levels, FSH (follicle-stimulating hormone), and LH (luteinizing hormone). For your acne, take the tablet Azithromycin 250 mg twice a day for five days and apply the Acnesol (Clindamycin phosphate gel) gel twice a day. After the investigations, if it is PCOD, we might have to put you on hormonal treatment, so get back to me. Periods also are irregular because of this. For abdominal pain, take the tablet Ceftum (Cefuroxime) 250 mg twice a day for seven days, along with the tablet Chymoral-AP (Aceclofenac and Paracetamol) twice a day for a week. If pain is severe, take tablet Drotin-M (Drotaverine and Mefenamic acid) as and when required.

Hope this answers your query.

Kind regards.

Patient's Query

Hi doctor,

Thank you.

Can you send me an ultrasound prescription here so I can go to diagnostic centers and get it done? Most likely, they would perform the ultrasound but would ask for a specific prescription or request from the doctor.

Hi,

Welcome back to icliniq.com.

I understand your concern.

Sure, I would be happy to do so. Can you confirm if an online prescription from a practicing doctor works for you? Let me know.

Regards.

Medically reviewed byDr. Preetha. J

Published At November 6, 2020
Reviewed AtSeptember 12, 2023

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sangeeta Milap
Dr. Sangeeta Milap

Obstetrics and Gynecology

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