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Severe back pain, 2 month late period, P
Hello Doctor, consulting for my partner (severe clinic anxiety; no video/visits). She has PCOS but cycles are usually regular (5-10 days variation). She took 4-5 i-Pills in the last 5-6 months; last on Aug 21. Period is now 2 months late. 3 home pregnancy tests are negative.
This morning, she developed sudden, severe lower back pain above hips and cannot sit up due to intensity. No fever, vomiting, or bleeding. She refuses blood tests or ultrasound scans right now due to extreme phobia.
Doctor, please provide:
1. Your symptomatic diagnosis for this severe pain and delay given her frequent i-Pill history.
2. Specific safe pain-relief medicine to stop these intense lower back/uterine spasms tonight.
3. A digital prescription for a standard progesterone course to safely induce her period and reset her cycle without immediate lab tests.
Answers (6)
Pls connect for online consultation and advice
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Dr. Prateeksha B S
Obstetrician
7 yrs exp
Bangalore
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Dr. Kinnari Amin
Gynecologist
14 yrs exp
Ahmedabad
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Dr. Neha Vashisth
Obstetrician
14 yrs exp
Jaipur
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Dr. Vijaya Gupta
Gynecologist
23 yrs exp
Chandigarh
The sudden severe pain such severe that the patient cannot set up definitely requires investigations and examination
The reason for the delay if the pregnancy test is negative is emergency pill in take
For a prescription you will have to connect online understanding that prescriptions are not provided in the free question answer section
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Taking several emergency contraceptive pills over a few months commonly delays or disrupts your periods, so a two month gap with three negative pregnancy tests isn't alarming on its own. But pain severe enough that you can't sit up is unusual for this and could point to something like an ovarian cyst, which needs same day evaluation rather than a guess.
Next Steps
A pain medicine or a course to bring on your period can't be chosen safely without knowing what's causing pain this intense. Please get seen today, a video consult works if an in-person visit feels like too much right now, so a gynaecologist can examine you and decide the right treatment.
Health Tips
Go to an emergency department right away if the pain gets worse, you feel faint, develop fever, or notice any bleeding.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.