<human>: Im 32 years.My last Periods date was 4 Jan.Now its 15 feb.I have too much pain in lower abdoman,back & in breast also.But No periods.Last year in Feb/March same situation was but not much pain at that time?I used pain killers last month for back pain and antibiotics for sore throat as awell.
<bot>: Hi. Thanks for your query. The most probable cause of pain in a female patient of 32 years in lower abdomen with the history of missed period can be related to the Gynecological / obstetric problems such as :-Tubal pregnancy-Ovarian disease like twisted cyst, -Salpingitis-PID Pelvic Inflammatory Disease-Other causes can be enteritis, lymph node mass, appendicitis and so on. I would suggest you the following:Get a consultation and a direct internal examination done by a Gynecologist. Get blood, urine and stool tests done. Ultrasonography can really help us a lot. Once the diagnosis is made the treatment will be according to the cause.