Q. I was diagnosed with POF, but I have pelvic pains for 3 to 4 days every month. Am I ovulating?

Answered by
Dr. Purushottam Sah
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 11, 2017

Hi doctor,

I am a 42 year old female, and I was diagnosed with POF, a year after I had my first child. I took HRT for about two years, and I gave up all hopes of conceiving. However, from the past 6 to 7 months, I am having pelvic pains with migraines and back pains for 3 to 4 days. Sometimes, it lasts longer from the 15th to 20th of each month. Could I have been ovulating or am I sick?

 

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Dr. Purushottam Sah

Andrology Infertility Obstetrics And Gynaecology Sexology
#

Hi,

Welcome to icliniq.com.

  • If you have cyclical pain, then the chances are that you are ovulating, but then you would have menstruation. The most likely possibility is of ovarian cyst or chocolate cyst. You should get an ultrasound examination of the pelvis, to exclude ovarian cysts.

For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist


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Thank you doctor,

I actually got an ultrasound when it first started a few months back, and the doctor did not detect anything. That is why I do not understand these symptoms lately.

Dr. Purushottam Sah

Andrology Infertility Obstetrics And Gynaecology Sexology
#

Hi,

Welcome back to icliniq.com.

  • It would be better if you repeat the ultrasound. As you also have a fever, it could be chronic pelvic inflammation giving the symptoms.

For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist


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Thank you doctor,

Is this an STD? Can it happen even if I had no sexual activity in years?

Dr. Purushottam Sah

Andrology Infertility Obstetrics And Gynaecology Sexology
#

Hi,

Welcome back to icliniq.com.

  • I do not think it to be STD (sexually transmitted disease). It is a common bacterial infection that becomes chronic.
  • It is often diagnosed by clinical vaginal examination, ultrasound, and blood tests like TC (total count), DC (differential count), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), etc., and is treatable with antibiotics and anti-inflammatory drugs.

For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist


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