Conversation: The conversation between human and AI assistant.
[|Human|] i am 24,female with no medical complications.i take no medicines at present.i have good general health.i have been having abdominal cramp when i ovulate ever since my periods started.i have had it checked by a doctor and she said it is normal.i have seen that from the day of ovulation i have my next periods after 16 days.that is when i ovulate on the 11th day of my cycle i have my next period on the 28th day and when i ovulate on the 15th day then my periods start on the 31st day.in February i had my periods 7th feb but i had my next ovulation on 26th feb that is the 20th day of my cycle.therefore my periods started on the 13th march instead of on 6th march which was the 28th day.however i had a normal to heavy flow like usual with usual cramps for 4 days.i am very worried about this sudden delay.can i be pregnant even after having my period?i have tested with a home pregnancy kit and every time it has been negative.now i am having nipple tenderness(which i often get a week before my periods) and i am expecting my periods on 12th of april since i had my ovulation on 27th march(the ovulation cramp).please help me at the earliest.i am very worried and scared.thank you
[|AI|]  Hi, How are you doing ? At this young age with no complications, I can think of 2 possibilities.1. Pelvic Inflammatory Disease (PID) - infection arising from vagina, after sex. this infection can affect all the structures around uterus - this includes the tubes, ovaries & adnexa. 2. Endometriosis - can occur at any age. Bleeding from the uterus during periods is to the exterior, but a small amount of blood enters into the abdomen, through the tube. This blood forms clots & adhesions around the uterus. Both these conditions around uterus cause increase of blood flow to structures like ovaries, tubes, muscles & ligaments around uterus. So when ovulation approaches, this cause congestion & pain around the lower abdomen, thighs, lower back. Both need evaluation by gynecologist. PID needs treatment with antibiotics & antifungals, both husband & wife endometriosis- have Combined oral contraceptive pills cyclically will stop ovulation & will stop pain & progress of endometriosis. If you are seriously trying for pregnancy, do have tubal patency evaluated - HSG or SSG or Laparoscopy, do rule out tube block, which can hinder your chance of pregnancy. Hope I have cleared your overall the best