The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.
I am Mysticdoc, experienced Internal Medicine Specialist.
I am here to help you with your concerns.
Tiredness can be experienced following a change in diet.
However, there are other possibilities.
Thyroid disorder, diabetes, vitamin deficiencies, iron deficiency should be ruled out.
now, do you see any blood in the stool?
impending ovulation can cause pain.
ovarian cancer is less likely at your age.
And there is no specific sign in early stages.
Tumor markers like CA 125 can be used.
also a pelvic ultrasound will be better.
did you have any colonoscopy or scan?
pelvic pain in most cases are benign.
however persistent pain does warrant a pelvic ultrasound.
ok then you are up to date
no need to worry
Hormone changes are the likely cause.
This should not be long lasting.
And you can consider using progesterone 10% cream 1/4 tablespoon twice daily.
This is often helpful.
Or you can consider any low dose combination contraceptive pill.
symptoms should dictate the treatment as the blood or saliva levels may not correlate well with your symptoms.
Gynecologist will be better
what is the absolute count?
Yes I think so.
they are likely related.
and total white cell count?
WBC count or leucocyte count
ok then nothing to worry about.
Still your lympho count above 600
so it is increasing which is not concerning.
very welcome Caroline