Conversation: The conversation between human and AI assistant.
[|Human|] I get abdominal pain for about 7-10 days around the time I would be ovulating every month.  This used to be controlled by birth control pills.  For the last 3 months, while still on the pill (Natazia), those same symptoms came back and ADDITIONALLY, i get flu-like symptoms, mainly body aches.  I am 39.    The pain in the abdomen is on both sides, often times starts as "burning/inflamation" sensation and then results in general pain, feeling bloated, difficulty when sitting down or riding a car.... Can this be hormonal imbalance?  Any other suggestions what may be causing this?  What test would you suggest?Thank you.
[|AI|]  Hi. Thanks for your query and an elucidated history. Obviously you have to undergo ultrasonography - routine ; at the time of pain and at the time of expected date of ovulation. Also, other tests as may be required to rule out other problems like pelvic inflammatory disease, gastroenteritis and so on depending upon the other symptoms a Doctor would ask after a clinical examination. Also go for hormonal tests. The treatment will depend upon the results.