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ObGyn/Pregnancy issues/Lower back pain and brown discharge

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Question
"Hello,
I've been having pretty severe lower back pain for about 6 days. It keeps shifting too. It started in the area of left dimple then moved to the middle, then to both dimples and now it's back to the left back dimple. On top of that its time of my ovulation. However, I'm having a very dark brown, almost black discharge (together with egg white like). It doesn't have any smell. But I've never had this kind of discharge in my life mid cycle. It's always clear or white. And together with the prolonged and severe lower back pain it got me really worried. What might this be? The back pain keeps pulsating and doesn't ease up at all.
I've used a little bit of Natural Progesterone Cream for about 6 days in hopes to stop the ovulation due to an ovarian cyst. But then I developed this lower back pain that I've never had in my life. So, I stopped using NPC and now my body is ovulating. However, I'm afraid that I messed something up with NPC.

I'm 28 years old. Recently been to OBGYN. Everything was fine besides the small ovarian cyst on my right ovary. I ovulate regularly and my periods are regular as well. I'm kind of scared right now. And I just lost my insurance. I'm gonna have a new one only in April. What should I do? Does it sound like something serious?"

Answer
Anastasia

The first thing I would like to exclude is an ectopic pregnancy. Second will be rupture of the ovarian cyst that you said you have. Ultrasound is the clue for diagnosis of both. I hope you can afford it without your insurance. other possibilities may include some type of severe infection as a pelvic inflammatory disease especially if you have an IUD in place.
Under all circumstances, ectopic should be ecluded as it is a serious condition.

Good Luck

ObGyn/Pregnancy issues

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Volunteer


Mohamed Kandeel

Expertise

I can answer questions about antenatal care, medical problems associated with pregnancy, labor and delivery and postpartum care.

Experience

Currently I am working as a Professor of Obstetrics gynecology, Menofyia University, Egypt. Since 1987, I worked in many university and private hospitals with a high load of pregnant population averaging 7-9,000 deliveries/year. This exposed me to all problems associated with pregnancy, labor and delivery. I had my doctorate degree in Obstetrics and Gynecology in 1996 in the use of Doppler ultrasound in high risk pregnancies.

Organizations
Menofyia University, Egypt

Publications
-British Journal of Obstetrics and Gynecology (Kandil M) -Egyptian Journal of Obstetrics and Gynecology (Kandil M) -Ain Shams Journal of Medicine (Kandil M)

Education/Credentials
-Master's degree in obstetrics and Gynecology 1989 -Doctorate degree in Obstetrics and Gynecology 1996

Awards and Honors
Editorial advisor: Fetal monitoring section of the international website www.obgyn.net

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