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Teresa, a 38-year old mother of seven children, visited her physician complaining of a "bearing down" pain feeling in her pelvis, low backache, and urinary incontinence. Teresa also complained that recently, she also suffered from severe abdominal pain, vaginal discharge, and a low-grade fever. A vaginal examination showed that the external os of her cervix was just inside the vaginal orifice. She also had keloids in her perineum. Her history revealed that she was a member of a commune that shunned hospital births, if possible.
a) Use correct and anatomical terminology to help Teresa understand her medical problems related to the "bearing down" pain.
b) Explain to Teresa what caused her to have the symptoms of low backache & "bearing down" pain
c) Teresa wants to know if her recent fever and vaginal discharge are related to her first set of symptoms. If so, what is the connection between the two sets of symptoms?

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