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About Charles Cusumano, PA-C, DFAAPA
Expertise
I`m a Physician Assistant in medical practice since 1975. I`m a nationally certified Physician Assistant and am a nationally credentialed Family Medicine Practitioner. I was also honored as a Distinguished Fellow in the AAPA.

Experience
Radiologic Technologist 1963-1973; Training in Hand and Upper Extremity Microvascular Surgery at the Mayo Clinic; and injury of the hand and upper extremity. I have taught pediatric ambulatory trauma. I'm ACLS certified. I serve as Honorary Chairman from Kentucky to the Republican National Congressional Committee Physician Advisory Board.

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AAPA, KAPA

Awards and Honors
Distinguished Fellow American Academy of Physician Assistants

 
   

You are here:  Experts > Health/Fitness > Women's Health > Family, Internal Medicine, General Medical Questions > Health problems

Family, Internal Medicine, General Medical Questions - Health problems


Expert: Charles Cusumano, PA-C, DFAAPA - 7/3/2009

Question
Hello, my daughter is 22. She had a horrible pain 10-15 minutes after intercourse twice last year. We went to gynecologist, but she didn't find anything. A few months ago she took a morning pill once after the condom was broken. But last month she is having her period three times. The first one lasted 10 days and was very heavy, the second one in two weeks was for 3 days and not heavy. She took a pregnancy test and she is not pregnant. And now in another two weeks she is having another period and she is feeling lightheaded and extremely tired. We called the doctor, but she was not concerned and told us to come in for the check-up in a month. I worry about what's going on though and would appreciate any suggestions/recommendations. Thanks.

Answer
Hi Alex,
Pain with intecourse is not normal. I am assuming that the pain was pelvic and not vaginal. If the pain came from deep thrust, it may mean that she has ovarian cysts that are painful. Provided she has no discharge, fever, nausea or vomiting, it is probably OK to wait for the follow up appointment. If she’s not on birth control pills, she may need to start in order to re-regulate her periods.

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