I am a 39 year-old active, slim, mother of two. I've had a mirena IUD for 3 years. For about 7-8 years I've had bladder pressure and frequent urination and sometimes slow flow, low back discomfort, pelvic pressure (esp when my bowels are full), IBS symptoms (frequent, loose-ish movements) and tiredness that occur cyclically. With the use of a cycle tracking app, I've realized that these symptoms seem to occur a few days before ovulation and dissipate after I ovulate. Sometimes I'll have a little spotting and or cloudy vaginal discharge without itching also. I suffer from a lack of lubrication also, and even using astroglide, I get a bit sore after intercourse sometimes. I just had an abdominal and vag ultrasound and they found no cysts, but I'm due to start my period tomorrow. Is it possible that all these symptoms are just due to functional cysts developing and leaking? My pain isn't usually sharp, but dull and pesistent, but it still wears on me quite a bit and makes me feel tired and edgy. Thank you in advance for any help you can offer. Oh, also, I cannot take oral estrogen because I had a central retinal vein occlusion three years ago.
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