Conversation: The conversation between human and AI assistant.
[|Human|] I have been having severe abdominal pain w/ my period. nausea and diarrhea.  This has happened the last two time, yet never before.  what could be going on?  I also feel a pinching near my ovaries. Could cysts be causing this? I have had a few ovarian cysts. I am 29 y/o one positive pap for hpv 5 years ago, all negative since, every 6 months.  currently i do not have insurance and am a full time student and do not know what to do.
[|AI|]  Hi dear, Most patients with ovarian cysts are asymptomatic but in some patients they can cause abdominal pain, nausea, vomiting, bowel disturbance, frequent urination, indigestion etc. depending upon the size of the cysts and the pressure that the cyst impose on the adjacent organ. Another chances for your problem is ovarian portion and cyst rupture as you have cysts diagnosed. Tortion is the twisting of ovarian medical which cause to decrease or obstruct the vascular supply to ovary and cause infarction. Cyst rupture is another condition: it is characterized by sudden sharp pelvic pain, usually specific to one side. Abdominal trauma and anticoagulation medicine are the risk factors for this, so if you had history of abdominal trauma we can suspect this. All the above can be diagnosed using appropriate imaging studies. So if you have severe pain you can discuss with your doctor, from there you will be guided after a final diagnosis. You should continue the HPV monitoring as you are doing now. With thanks