Conversation: The conversation between human and AI assistant.
[|Human|] I have recently noticed this shooting pain in my lower abdomen. My menstruation is normally very regular and lasts for almost 6 days with first two days heavy flow. but this month, i got the pain but no menstruation. also i get this feeling sometimes as though my uterus is coning down?Im 45 years old.
[|AI|]  Hi. Thanks for your query. Your history is very much suggestive of a uterine prolapse. I would advise you to have an examination by the gynecologist, wherein she should examine by per-speculum examination while straining to see if there is descent of uterus with / without that of urinary bladder and / or rectum. She would also find a cause for the pain without actual menses. Ultrasonography and other blood and urine test will help in proper diagnosis by ruling out other causes of your feeling and problems.