### Patient: Doctor, I have been experiencing cramps and spasms along with heavy menstrual flow. I am also feeling a lower abdominal pain and I am pregnant, which is causing me a lot of pain.
### Doctor: Based on your symptoms, it seems that you might have a vaginal cyst. The cyst can cause cramps and spasms, as well as heavy menstrual flow and lower abdominal pain. It is also common for the cyst to cause pain during pregnancy. I will have to do a physical examination to confirm the diagnosis.