Conversation: The conversation between human and AI assistant.
[|Human|] I am 22 years old and for 7 years now I have been struggling with lower abdomen pains. The way I usually explain it is that my ovaries are trying to rip themselves out of my body. I have been to multiple doctors and I have heard everything from growing pains to cervical cancer, and it is none of the above. Most of the time it is just a discomfort, but when its bad I get physically sick, the pain shoots down my cervix, into my legs and behind. My periods, if Im not on birth control, will last for months and be a heavy flow the whole time. Medications dont help, if anything just make me sick. Nothing helps. I have done some research of my own and came to the conclusion that it is endometriosis, but every doctor brushes it off. Im at a loss of what to do. I hate being in so much pain, and being tired all the time. When it gets bad, I cant even get out of bed. So I generally will camp out in the bathroom in case I have to throw up. Where do I go from here if I cant get a doctor to listen to me?
[|AI|]  Hi. Thanks for your query and an elucidated history. I can understand the plight a young woman of 22 years is going through for the last 7 years in spite of the continued consultation with Doctors. After reading your history I would advise you the following:Take a Second opinion of a very senior Gynecologist and a General Surgeon in combination so that they can examine you in person, get detailed history, advise you investigations and then come to a particular conclusion in consultation with each other. I would advise you the following:Blood-Hormonal studiesUrine and stool tests;Ct scan of the abdomen. Most important Hysteroscopy and Diagnostic Laparoscopy and procedure as may be warranted. This approach only can help you get a proper diagnosis and treatment. Evaluation by a Psychiatrist certainly helps in many such patients with similar problems that you have.