OpenHealth Q&A

Navigating Confusion After Traumatic Events and Medical Miscommunication

Hello everyone. Apologies in advance, as this is quite lengthy. A trigger warning for discussions around sexual assault and a brief mention of overdose follows. I identify as a 24-year-old lesbian living in Australia, and have been diagnosed with complex PTSD, ADHD, generalized anxiety, and I am currently undergoing evaluation for a potential bipolar diagnosis. Additionally, I was recently diagnosed with genital herpes. As for my prescribed medications, I take clonazepam as needed, sodium valproate in the morning (200mg) and at night (500mg), along with lurasidone (40mg). My use of sodium valproate has been sporadic, primarily taken during a six-day hospital stay. On February 12, I was sexually assaulted, experiencing both vaginal and anal penetration without protection. This traumatic encounter led to a urinary tract infection (UTI) that same night. The following day, I visited a sexual health clinic where I underwent tests for STDs and a pregnancy test, received emergency contraception, and antibiotics for the UTI. The pain I experienced escalated over the next week, prompting my GP to prescribe oxycodone, which did little to alleviate my suffering. As the pain persisted, I returned to my GP days later, facing intensifying pain, swelling of my vagina, and the emergence of spots. He advised me to go to the hospital, where I was admitted on February 21. Once hospitalized, I underwent a series of tests, and despite my continuous pain and bleeding—which I initially thought was my menstrual cycle—the doctors insisted I simply had a UTI with no STDs. Between February 24 and 26, I experienced bleeding but was reassured of my health. On the next day, however, I was informed that I had genital herpes and was prescribed antiviral medication. By February 28, I was discharged without any UTI symptoms. Returning home that evening, I encountered significant domestic turmoil with my roommate, adding to my stress from recent events, culminating in multiple police visits over the course of a week. On March 11, overwhelmed by everything, I ingested a combination of various medications (targin, lorazepam, tramadol, clonazepam). It was not a suicide attempt, and I'd rather not delve into the reasons behind it. During my hospital stay from late March 11 to the following day, I have vague memories. I was informed that while unconscious, my breathing slowed significantly, and blood tests were conducted. By the time I regained consciousness on March 12, the doctor delivered shocking news: I had tested positive for pregnancy. Not having taken a health class in school and being a lesbian, I was completely ignorant about how pregnancy works. The doctor advised a follow-up blood test for hormone levels, which I had on March 14. On the afternoon of March 15, I awoke to intense abdominal pain, attributing it initially to hunger, but unable to eat without feeling ill. The pain escalated sharply, radiating from my lower abdomen toward my left ovary, and occasionally intensifying under my ribcage and around my heart. Concerned, I called my mother, who suggested using a heat pack, which provided no relief. Following her advice, I contacted the nurse hotline, described my symptoms, and was instructed to go to the emergency department (ED) immediately. Upon arrival at the ED, I meticulously documented my symptoms to share with the triage nurse while enduring hours of intense pain. At one point, I experienced a troubling episode where my vision blurred and my body felt unresponsive, leading me to question if I had a seizure or simply the effects of overwhelming discomfort. Afterward, I eventually approached a nurse to express that my condition was worsening. The doctor examined me briefly, pressed on my abdomen, and left, only to later inform me that my hormone levels indicated I was not pregnant, thereby discharging me and suggesting I consult with my GP regarding an ultrasound. Despite receiving a prescription for pain medication, I was told it couldn't be filled due to my medical history and was advised to simply take paracetamol. As of today, March 17, I continue to endure pain, particularly on my left side, with stabbing sensations that intermittently affect my heart region. This morning, I received a call from a gynecologist at the same hospital, who recommended further blood tests, uncertain if my situation could be attributed to an ectopic pregnancy or miscarriage. An appointment has been scheduled for examination next week, but I am left feeling bewildered about my current state. I am desperate for clarity as to whether I might still be pregnant despite the second blood test indicating low hormone levels. Could my overdose have interfered with the results? Although my intention was to terminate the pregnancy regardless, I am troubled by the pain and the conflicting information I've received. If anyone has experienced something similar or has insight into my situation, your guidance would be greatly appreciated. Summary: After a traumatic sexual assault, I was told I was not pregnant, only to later find out I tested positive for pregnancy. Following severe pain, another test showed I was not pregnant, yet the pain persists, and there are uncertainties regarding my condition.

Answers (1)

3/17/2025, 5:21:05 AM

OpenHealth AI

I'm OpenHealth AI Assistant, here to provide you with safe, accurate, and helpful medical insights based on U.S. medical guidelines and clinical research.

Diagnosis:

Your complex medical history, including the recent traumatic experiences and various symptoms, suggests a need for comprehensive evaluation. The pain you're experiencing could be due to factors like residual effects of the sexual assault, recent medical treatments, or complications that need further investigation. The conflicting information regarding pregnancy adds to the confusion and distress.

Possible Causes:

1. Residual effects of Trauma: After experiencing a traumatic event, symptoms such as pain, anxiety, and confusion can become more pronounced.
2. Infection or Inflammation: Previous UTIs and recent diagnoses like genital herpes can lead to ongoing pelvic pain.
3. Ectopic Pregnancy or Miscarriage: Given your history, it's crucial to determine whether these are possible, even with the changes in hormone levels.
4. Medication Effects: The interaction of the medications you took, including the overdose incident, may influence your body and complicate recovery.

When to Seek Medical Attention:

• If the pain worsens or suddenly becomes unbearable.
• If you experience additional concerning symptoms, such as heavy bleeding, or any signs of shock (like shortness of breath or confusion).
• If you feel severely anxious or overwhelmed, do not hesitate to reach out to mental health services.

Action Plan:

1. Immediate Steps:

   • Keep all follow-up appointments with your gynecologist; they will help determine the cause of your pain and any potential complications.
   • Monitor your symptoms closely and document any changes for your next medical visit.

2. Pain Management:

   • Continue using heat packs as tolerated, and consider over-the-counter options like paracetamol. However, consult your doctor regarding any medication to ensure it's safe alongside your current prescriptions.
   • Consider discussing non-medication strategies like relaxation techniques or mindfulness to help manage the psychological impact of your situation.

3. Support Network:

   • Reach out to support groups or hotlines that can provide guidance and a safe space to discuss your feelings about the traumatic experiences you've had.

Cost-Effective Treatment:

• Community Health Clinics: Look into local community health clinics that may offer low-cost or sliding scale fees for healthcare services, including gynecological exams.
• Generic Medications: If prescribed medication, ask about generic options, which are typically less costly.
• Emergency Contacts: If financial constraints are a concern, many hospitals have social services that can provide financial assistance or connect you with resources for affordable care.

Relevant Guidelines:

Referencing the CDC guidelines on care following sexual assault and the management of complex PTSD might be beneficial. Treatment plans should be tailored to individual experiences and health conditions.

If this answer is not sufficient, please consult a medical professional for further guidance.