Conversation: The conversation between human and AI assistant.
[|Human|] my wife has crippling pain in her stomach, she had Endemetriosis when she was younger and had the surgery to remove it, she has had two children since and has recently begun the contraceptive pill.  however she had missed two days this last month.  could missing the pill cause such cramps or could the Endemetriosis return?
[|AI|]  Hi. Thanks for your query and an elucidated history. Missing the pill may not cause cramps;The return of Endometriosis can cause pains. But there are other reasons which have to be considered, such as:Ovarian cyst as you have correctly suspected. SalpingitisPID- Pelvis Inflammatory DiseaseSevere enteritis Appendicitis I would suggest you the following:Take your wife to the Gynecologist who would examine her internally by per-abdominal and per-vaginal examination; this give a clinical diagnosis and to be supplemented by ultrasonography or a CT scan of abdomen. A diagnostic laparoscopy and procedure as needed can help a diagnosis and a proper treatment as well.