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

### input:
I have been experiencing mild lower abdominal cramps that tend to go from right to left throughout the day, back pain, nausea, lightheaded ness, and flutters. The pain is generally mild it s never unbearable. It began in June about 3 weeks before my menstruation with extremely sore breast, and fatigue. After my period came all the symptoms subsided, and came back mildly (not as extreme as the first time) each month about 2 weeks before my menstruation, so I just attributed it to possibly being functional cyst. All the symptoms came back in September during ovulation time, but they did not subside after my menstruation ended about a week ago. Now I am experiencing mild abdominal cramps mostly on the right, but sometimes in the middle and on the left. Also right side lower back pain, lightheadedness and nausea. What could be causing these symptoms?

### output:

Hi! Good evening. I am Chat Doctor answering your query. This chronic pain could be due to a PID (pelvic inflammatory disease) or due to endometriosis anywhere in the pelvic adnexa. If I were your doctor, I would advise you for an ultrasound of abdomen with special attention to the pelvic organs, followed by a gynecological examination by a gynecologist. Further treatment would depend on the clinical finding and investigation reports. Till then, you could go for an anti-spasmodic, and an anti-emetic for a symptomatic relief. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.