Conversation: The conversation between human and AI assistant.
[|Human|] I started on the combined pill last wednesday and have been taking it regularly every day at the same time. however yesterday and today I have had painful abdominal cramps and it hurts especially during sex. I was wondering if this was a common side effect or if it could be something more serious. any help or information would be appreciated.thanks,Laura
[|AI|]  Hi. Thanks for your query and an elucidated history. IT is not common to have such a problem after taking combined pill, although these being hormones can cause a change in the ovary and uterus, but pain during sex after such tablets is not common. This is called Dyspareunia meaning painful sex or pain during sex. The causes are as follows:PID, Pelvic inflammatory disease/SalpingitisOvarian cyst, torsionPsycho-somaticI would advise in such a patient the following:Ask the Gynecologist to have an internal examination by doing per-vaginal examination, this can elicit many a thing. Urgent ultrasonography, per abdomen and per-vaginal. Routine examination of the blood, urine and stool. The final diagnosis hence made will help us to get a proper line of medical or surgical treatment.