Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I am a 21 year old female. I have been experience slight pressure sensation in lower left pelvic region for a while (maybe two months). my menstrual cycle was on time and i started to experience severe back stiffness in the same side LLQ, my dr ordered a cbc, pregnancy test, and urinal analysis all whicChatDoctore out normal. He also order an ultrasound which i have not had yet, apt in one week. i am wondering what is the likelihood of ovarian cancer or cysts? and how can they tell the difference. My cramps were worse this month but i have not had "severe" abdominal pain/cramping outside of my period. thank you
[|AI|]  Dear lady, Thanks for seeking my advice on clinic. Your doctor is right in advising an ultrasound (perhaps to exclude/confirm inflammation in the pelvic region, which will require a few weeks of antibiotics for cure. There is also a possibility of a small lump in the uterus, which will be manifested in the ultrasound. However, your symptoms can also be indicative of involvement of pelvic joint and lower part of spine. This condition is called Ankylosing Spondylitis and is frequently manifested in early adulthood.in case your ultrasound report is found to be normal, please get the following investigations done :-- X-ray Sacroiliac joints to start with. Please feel free to revert to me with your ultrasound report. Have a nice day