### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi Im 16 years old and I fearful of something. I have been having sharp pains in my lower abdominal area (a little left of center) for the last three days. they are quite horrible and hurt when I move/sit/walk/or laydown. I have also been having blood bowel movements for the last three days that horribly painful (like 8 on a ten scale). Just about two hours ago I had another and realized this bleeding was from my vagina. But I just finished my period less then a week ago and this is some really heavy bleeding and its very painful. I am worried because a lot of the women in my family have had ovarian cancer and reproductive/hormone problems as far back as my great great great grandma and they seem to be happening sooner and sooner in each generation and I want to have kids some day. So I started researching and someone else having these pains mentioned said that they had something wrong with one of their ovaries and it died. Should I be worried? Could this be the same thing? Or could it be something else?

### output:

HelloThanks for writing to us with your health concern.First, calm down. You are just 16, and while it is a valid fear you have , on account of a family history of tumors and hormonal problems, reading up on the internet randomly often causes more panic than needed, and does not add to any real knowledge. Yes, most reproductive organ cancers run in families, so you should be vigilant. If you are sexually active, you should start having regular pelvic screenings and Pap smears. If you are not yet sexually active, go for vaccination against HPV. Regarding the abnormal bleeding, it does not indicate anything particular. It could mean an abortion or miscarriage (again if you are sexually active). It could just indicate a cervical polyp or growth, or endometrial hyperplasia. Please have a gynecological evaluation - per magnum and spectrum.Also, get your TSH levels checkedStress, anxiety, weight gain, late nights - all can lead to such bleeding. Take care.