Conversation: The conversation between human and AI assistant.
[|Human|] Hello. I am a 19 year old female. I have been experienceing alot of discomfort in my lower left abdomen for the past few months or so. I have been to the doctors numerous times and I am being told that it s due to constipation/Lack of bowel movement, however I have been able to open my bowels quite easily and I still suffer from the pain. When it s the time of the month, I use both tampons and pads which have never been a problem, but this month I am experienceing discomfort and sharp pains in my lower abdomen when I have inserted a tampon and when I have taken it out. Please could you give me some advice?
[|AI|]  Hi. Thanks for your query. Read about your history of pain in the lower abdomen for months and visits to May Doctor, who say this is due to constipation, which you do not have. Noe your problem is pain even on inserting or removing the tampon during the menstrual cycle. The probable causes are. Colitis and IBS.PID, pelvic inflammatory diseaseEndometriosis as a rare possibility would advise you the following :Ultrasonography of the abdomen Colonoscopy CT scan of the abdomen if needed. Diagnostic laparoscopy if other investigations are normal.