20 yo female Colicky pain l and r lower abdomin More on the left, sometimes it becomes like stapping Left side feels like heavy while standing Pain increases by bending, drinking coffe, pushing against the pain area Pt mentioned irregular period, she was afraid of having pcos.. Dx?
maybe PID so, I recommended a period of bacterial vaginosis treatment with azithromycin and cephalexin and/ for candida >fluconazole 150 mg stat/; and use of laxative for constipation. if the symptoms, check TSH, PRL and Bhcg.
No fever, vaginal discharge yes, had previous and recurrent candidiasis episodes, history of bleeding btwn periods, bowl hapit bcm less frequent than bfr, difficulty.