<s>[INST] i have not have my period for a year and i have started to have my periods now and i have pain around lower abdominal i have been to adoctor and after blood test he said am due for monopouse and my persmier was normal please advise why i have pain please [/INST] Hi! Good evening. I am Chat Doctor answering your query. If I were your doctor, I would clinically assess your abdomen, followed by some investigations like a urine routine/microscopic/culture and sensitivity test, a serum Chat Doctor test, and an ultrasound abdomen to rule out any pathology in the intrapelvic organs, apart from a gynecological check-up by a gynecologist in your area. Till then, I would advise you for an antispasmodic along with a proton pump inhibitor Chat Doctor.  Further management would depend on the clinical assessment and related investigation reports. 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. </s>