Conversation: The conversation between human and AI assistant.
[|Human|] Dear Dr. Jain,I suffered an ectopic in 2006 and subsequently underwent and right salpingectomy. I recently got married and I went to see a gynaecologist as I was beginning to experience excruciating pain during my menstrual period. He therefore did a biopsy which was fine and suggested I get pregnant in the near future. My gynaecologist put me on Primolut. A day after I started spotting. I went back to him and he has now prescribed Primolut N. I am not sure why I am spotting...and he has not explained that. What are these drugs for? He seems to be treating me but i am not sure what for and how it works. Can you help?ThanksTamara
[|AI|]  Hi there,Pain during menstrual period could be due to a condition called endometriosis. It can't be diagnosed with a biopsy, you may require a laparoscopy to know exactly what is the cause of this pain, especially if it persists. The primal is a progesterone hormone tablet and may help with spotting, but again you need to know the cause of spotting. As long as you are taking the primal you will not get pregnant. Its best that you get evaluated thoroughly with a laparoscopy and hysteroscopy which will give a cause for the spotting and pain that you have. Hope this helps. Regards.