In this case, is it pregnancy or a gynecological disease?

Patient's question:

I don't know how it got delayed. By noon on the 5th, there was a discharge in my shorts that looked like menstruation, but it was just a little bit. It didn't arrive at night either. Today, there's a bit more again. I have lower abdominal pain, but it's not very severe. What should I do? What could be the reason? Am I pregnant? Is this situation pregnancy or a gynecological disease?

Doctor's answer:

Several days before menstruation, due to hormonal changes in the body, breast tenderness and pain may occur, which is normal. Endocrine disorders and some gynecological diseases may also cause this. You can perform a self-examination of the breasts to check for any lumps. If the pain before menstruation is only mild, it is normal. You can adjust your diet to be lighter before menstruation. Always maintain a good mood. Some gynecological diseases can also cause breast pain. You can visit a hospital for a specific breast examination. When patients face gynecological problems, we should actively take treatment measures and not avoid seeking medical attention. If gynecological diseases do not improve with treatment, it is important to change the treatment plan promptly.

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