The conversation between human and AI assistant.
[|Human|] I have terrible lower abdominal pain. When I am on my period I m perfectly fine but within a few days it starts up again. It will wake me up 4 or 5 times a night and last a good 7-10 minutes. Sometimes if I poop it relieves it, sometimes it is what starts it. It happens after masturbation as well, that is when it is at its worst. I am a virgin but im assuming it will happen during sexual intercourse. It is really affecting my day to day life and I really dont want to go see a doctor. What is wrong with my stomach? also i have some vaginal discharge and it pains.
[|AI|]  Hi. Thanks for your query. To recapitulate: young unmarried virgin girl with painful vaginal discharge - pains 3 days after the periods - relief or start with poop - wakes up 4 or 5 times in the night - lasts 7 to 10 minutes - worst with masturbation and now worried about pain during sex in the future. The most probable cause is severe PID-pelvic inflammatory disease / salpingitis / IBS. I would advise you the following:Gynecologists opinion. Per-rectal examination by a Gynecologist or a General Surgeon for see for pelvic tenderness. Ultrasonography and CT scan of the abdomenColonoscopyTests of blood, urine and stool.-Therapeutic trial of a 5-day course of an antibiotic and metronidazole. All the tests and clinical examination will lead to a diagnosis and gives a plan for further treatment.
