instruction: hi doctor for the past couple of days I have been having left side pelvic tenderness it does not hurt very much when I lay down or stand up but hurts when touched especially if pushed down or put any pressure on that area the pain is right in the area next to my left hip bone I do not know why this pain is happening and I have never experienced anything like it before my period was due and I am a few days late this time I have not tested for pregnancy yet today I started spotting some pink discharge and a very small amount red blood it was not in the underwear and I found it only when I wipe I am getting concerned and do not know what is going on could this just be early pregnancy or is it something worse
output: hi well firstly I would like you to get a blood test done to rule out pregnancy it is serum beta hug you must also get a vaginal ultrasound done urgently the reason I am asking for these tests is either you could be having these symptoms because of an ectopic pregnancy or an ovarian cyst the pain may be an indication of the process of either expelling out from one side of the tube or rupturing and thinning of the tube the more serious of the two situations is the possibility of ectopic pregnancy which can be ruled out by the tests if it is a cyst then it can usually be made out by an ultrasound I urge you to take these steps and let me know revert back with the reports to an obstetrician and gynaecologist online