Conversation: The conversation between human and AI assistant.
[|Human|] Hello Doctor i came to usa in end of april from india. i got my ultrasound done in India which says i have a bulky uterus.I got it done as i was having my periods very irregular 20,22,25 mostly near 20 and my normal cycle was of 27 days exact. now last period of May was at 22 days on 20 May. but then i goe period for 1 day on12 june and since then no period. i tested for pregnancy today and it was negative. Then in the evening my having cramps. it stated then it stopped and am having pain in lower abdomen.am not sure what is his. can u guide me please
[|AI|]  Hi! Good afternoon. I am Chat Doctor answering your query. All the precautions including birth control pills are not 100% foolproof in protection against a pregnancy if you are sexually active. If I were your doctor, I would go for a serum Chat Doctor determination to rule this out as urine PT test might not be always positive. An ultrasound of the pelvic organs might aid in the diagnosis. This would also rule out any other intra-abdominal pathology. In addition, I would also advise you for a urine routine/microscopic/culture sensitivity test to rule out a silent UTI, and a gynecology assessment to rule out a PID (pelvic inflammatory disease). Till then, I would advise you for an anti-spasmodic Chat Doctor.