55yr old female c/o low abdominal pain, intermittent constipation, bloating, low backache, thought entered menopause but started cycles tht are different than before, palpable ovary.
Next step will be:
keep symptom diary for constipation and NSAIDS for backache
normal aging sign and OTC stool softner and NSAIDS for backache
Intravaginal US and CA125
Abdominal US and CA 125
Intravaginal ultrasound and CA 125 is recommended to the patient with the above complaints to monitor for cancer.
55yr old female c/o low abdominal pain, intermittent constipation, bloating, low backache, thought entered menopause but...