What causes lower abdominal pain when urinating?

Due to the physiological structure of women, women have reproductive organs such as the uterus and ovaries in their abdomen, so abdominal pain becomes very common, with lower abdominal pain being the most common. If a woman has abdominal pain during her menstrual period due to uterine contractions or before childbirth, it is a physiological abdominal pain and generally does not require treatment. However, women may also experience lower abdominal pain when urinating. Let's analyze what causes lower abdominal pain when urinating.

Abdominal pain is the most common thing for women, and lower abdominal pain is more common. At this time, female friends will first be alert: Is the menstruation coming? If the lower abdominal pain is not caused by dysmenorrhea, other causes need to be considered.

Gynecologists say that even if women experience lower abdominal pain, the causes of left lower abdominal pain and right lower abdominal pain are different. In addition to screening for surgical diseases and intestinal diseases such as appendicitis, ureteral stones, and intestinal tumors, the focus is on screening for gynecological diseases.

Pain in the left lower abdomen may be caused by the following gynecological diseases:

1. Dull pain in the left lower abdomen caused by acute inflammation: including acute endometritis, acute salpingo-oophoritis, pelvic peritonitis and acute pelvic cellulitis. It is also seen in sexually transmitted diseases such as gonorrhea. This type of sexually transmitted disease includes gonococcal infection and chlamydia infection, which often recur and can cause fallopian tube pyosalpinx in severe cases.

2. Chronic inflammation of the genitals: Women suffer from long-term lumbar pain and lower abdominal pain, which worsens after sex and during menstruation. It is often accompanied by increased leucorrhea, which is mostly caused by chronic cervicitis. If you experience long-term lower abdominal distension, pain, and lumbar pain that worsens after fatigue, sex, or before and after menstruation, and are often accompanied by menstrual disorders and fatigue, it is mostly caused by chronic pelvic inflammation.

3. Acute dull pain in the left lower abdomen caused by other reasons: Acute dull pain in the left lower abdomen may occur when uterine perforation occurs during artificial abortion or IUD insertion. Ovarian endometrial cysts (chocolate cysts) may grow larger and rupture during menstruation, and the cyst contents may irritate the peritoneum and cause severe abdominal pain.

Pain in the right lower abdomen may be caused by the following gynecological diseases:

1. Gynecological ovarian cyst: It manifests as right lower abdominal pelvic pain. If it occurs on the right side, it is quite similar to appendicitis. CT shows a clearly defined ring structure with a higher density than simple liquid. When the cyst ruptures, free fluid or fat cords appear in the pelvic cavity. Experts explain that this is because the pedicle of the cyst is long and large, has no adhesions to the surrounding area, is highly mobile, and twists when affected by intestinal peristalsis or changes in body position. When the pedicle of an ovarian tumor is twisted, pain suddenly occurs on one side of the lower abdomen, which is persistent colic, often accompanied by nausea and vomiting; there may be obvious tenderness and muscle tension in the abdomen; digital rectal examination may reveal swollen and tender appendages. Ovarian cysts may also rupture, and the contents of the cysts may irritate the peritoneum and cause severe pain. B-ultrasound examination can confirm the diagnosis. Emergency surgery is usually required.

2. Pelvic inflammatory disease: When hydrosalpinx occurs on the right side, it may be confused with a dilated appendix. The inflammation around the tubo-ovarian abscess, if near the appendix, can cause edema of the appendix serosa and thickening of the tube wall. CT shows that the inflammation is located near the appendix rather than the appendix.

In addition, another gynecological emergency that women with lower abdominal pain should check for is ovarian corpus luteum rupture. This is caused by excessive bleeding in the corpus luteum, accompanied by sudden onset of abdominal pain in the lower abdomen or one side, and in severe cases, shock may occur. Most cases of ovarian corpus luteum rupture occur between the 20th and 26th days of the menstrual cycle, and lower abdominal pain may occur with varying degrees of severity.

Experts remind: Female patients with lower abdominal pain should understand whether they have a history of amenorrhea, vaginal bleeding, the location, nature, radiating pain and anemia of the abdominal pain. Do not abuse painkillers on your own if you have abdominal pain, so as not to mask the symptoms. You should go to a regular hospital for examination in time, and make a diagnosis through internal examination, B-ultrasound, pregnancy test, etc. Laparoscopy or laparotomy should be performed when necessary.

The above is an explanation of the relevant issues about abdominal pain when women urinate. It can be seen that if women have abdominal pain, after excluding physiological reasons, we should pay attention to whether there are major problems with their health, such as pelvic inflammatory disease or ovarian cysts and other lesions. Therefore, abdominal pain in women should not be underestimated and must be taken seriously.