Conversation: The conversation between human and AI assistant.
[|Human|] Hi I have been having severe lower abdomen pain for the past 3 months with fainting - dizziness. This happens exactly once each month after 10 - 13 days after my first day of period. Im an unmarried woman, 41 years. No children. Have history of ovarian cysts, endometriosis, polycyctic ovaries.
[|AI|]  Hi. Thanks for your query. Read the history and understood the problems. Your history of IBS, Ovarian Cysts and endometriosis is self-explanatory and these are the reasons for your pain in lower abdomen. More pain 10 to 13 days after the first date of the menstrual periods is more suggestive of Endometriosis or Ovarian problems and occurs due to hormonal changes. I would suggest you the following;:Get a CT scan of the abdomen during the periods of pains to get a better idea. The best way is to have a diagnosis and treatment is Laparoscopic exploration, removal of any disease and send it for Histopathology.