I have pelvic pains with migraines. Am I ovulating?

Question

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?

Answer 1

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.

Answer 2

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.

Answer 3

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.