What could be the cause of my right-sided pain from the shoulder to the leg that increases before my periods and decreases afterwards, yet remains constant? Scans of the uterus, MRI, and orthopaedic and neurological assessments show no abnormal findings.

This type of widespread, cyclical pain may be related to hormonal changes, musculoskeletal strain, nerve sensitivity, or conditions such as pelvic congestion syndrome or endometriosis, which do not always appear on routine scans. A gynaecologist or pain specialist should reassess you to help identify the underlying cause. Further targeted investigations, symptom-based treatment, or tailored physiotherapy may be needed if the pain persists.

I have been diagnosed with cystitis and a simple cyst in my right ovary for the past two years. What should I do about this ongoing issue?

Persistent cystitis should be reassessed by your doctor to rule out any ongoing infection, bladder inflammation, or other underlying causes. Simple ovarian cysts are usually harmless, but long-standing or symptomatic cysts may require repeat scans to monitor their size. It is advisable to see your doctor for a complete gynaecological and urinary assessment to determine whether you need treatment, lifestyle changes, or regular monitoring to manage both conditions safely.

I am two months pregnant and experiencing stomach pain. Can you please advise me on this?

Mild abdominal pain can be normal in early pregnancy due to stretching of the uterus, gas, or constipation. However, severe, persistent, one-sided, or cramping pain may indicate complications such as a miscarriage, a urinary tract infection, or an ectopic pregnancy (where the foetus grows outside the womb). It is important to consult your obstetrician promptly for proper evaluation. Avoid taking any medication without your doctor?s guidance.

I experience prolonged bleeding and feel weak during menstruation. Can I take Dydrosure 10 Tablet to manage my condition?

Prolonged menstrual bleeding and weakness may indicate anaemia or an underlying hormonal imbalance. Dydrosure 10 Tablet (Dydrogesterone) is a synthetic progesterone that can help regulate menstrual cycles and reduce excessive bleeding in some cases. However, its suitability depends on the underlying cause of your bleeding. You should consult a gynaecologist for a proper evaluation before taking this medication.

Can you provide information about uterine fibroids?

Uterine fibroids are benign (noncancerous) tumours that develop in the muscular wall of the uterus and are common in women of reproductive age. Their exact cause is unknown, but hormonal and genetic factors play a significant role. Symptoms may include heavy or painful periods, pelvic pain or pressure, bloating, bleeding between periods, and frequent urination. Treatment depends on the size of the fibroids and the severity of symptoms and may include medications to control bleeding and pain (such as progestins and NSAIDs), minimally invasive procedures (like uterine artery embolisation), or surgical removal of the uterus (hysterectomy) in severe cases.

I have a 5.6 mm intramural uterine fibroid. What further management do you suggest?

A uterine fibroid of 5.6 mm is very small and usually does not require any active treatment unless it causes symptoms such as heavy bleeding, pelvic pain, or discomfort. Regular ultrasound monitoring is generally advised to check for any increase in size. If you develop symptoms or the fibroid grows, consult your gynaecologist for further assessment and treatment.