Conversation: The conversation between human and AI assistant.
[|Human|] Good evening.  I am on my 6th day of my period and two days before it started I began to get sharp pains in my lower abdomen and my uterus became very tender.  It would hurt a little to put in a tampon and I could feel the tenderness by simply pushing on my lower abdomen.  I am 48 and still getting my period on a regular cycle.  I am slender and fit.  I usually only have a dull aching lower abdomen pain for the first two days of my period and this is the first time I have ever had these symptoms.
[|AI|]  Hello thanks for your health query. You could be having abnormally heavy pre menstrual symptoms. Also, a pelvic infection, specifically, a uterine infection (endometriosis) could also cause such a picture. Women who have endometriosis also experience such symptoms. I would ask you to wait for your next cycle, and if the same amount of pain and tenderness recurs, then definitely consult your gynecologist for internal examination (per magnum and per spectrum) and pelvic ultrasound scan. All the best.