HomeAnswersObstetrics and Gynecologypremature ovarian failureCan pelvic pains with migraines or back pain be a sign of ovulating?

I have pelvic pains with migraines. Am I ovulating?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At October 11, 2017
Reviewed AtApril 16, 2024

Patient's Query

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?

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.

Patient's Query

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.

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.

Patient's Query

Thank you doctor,

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

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.

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

Dr. Purushottam Sah
Dr. Purushottam Sah

Obstetrics and Gynecology

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