I have lower abdominal pain before my period. What is going on?

When a person starts to experience some pain in the body, it may be a sign that some changes are happening in the body. Some women do not have their periods but still experience lower abdominal pain. What is going on?

1. Ectopic pregnancy rupture

Pain Keywords: Severe, tearing abdominal pain

Pain tolerance: ★★★★★

Ectopic pregnancy refers to the combination of sperm and egg and the implantation of the embryo in an area where it should not implant (a location outside the uterine cavity). Ectopic pregnancy rupture is one of the most common causes of gynecological acute abdomen.

As women pay more attention to their own health, they will go to the hospital immediately if they find any abnormalities. As a result, the number of patients with ectopic pregnancy rupture is decreasing. However, if the ectopic pregnancy is not treated in time, the gestational sac will grow in the fallopian tubes and penetrate the thick wall of the fallopian tubes, which will cause ectopic pregnancy rupture.

Clinical symptoms

When an ectopic pregnancy has not ruptured, there is usually no obvious abdominal pain, or there is only a dull pain in the lower abdomen, which is manifested as amenorrhea or irregular vaginal bleeding. Relevant pregnancy tests indicate pregnancy, but no gestational sac can be seen in the uterine cavity.

Once the rupture occurs, a large amount of bleeding will irritate the retroperitoneum of the pelvis, and the extension of the retroperitoneum will cause severe abdominal pain, which is tearing pain, and may also cause shock, which is seriously life-threatening.

Solution

Once an ectopic pregnancy ruptures, the patient should be rushed to the hospital emergency room. The doctor will perform emergency surgery while opening the intravenous access to the outside world to remove the ruptured and bleeding fallopian tube to correct the shock and save the patient's life.

prevent

Detect ectopic pregnancy as early as possible so that it can be resolved promptly in its early stages. Women of childbearing age should seek medical attention immediately if they experience symptoms such as amenorrhea or irregular vaginal bleeding so that ectopic pregnancy can be diagnosed immediately.

2. Ovarian cyst pedicle torsion

Pain Keywords: paroxysmal severe pain

Pain tolerance: ★★★★★

Ovarian cyst pedicle torsion refers to the distortion of the blood vessels supplying the ovarian cyst and the cyst adhesion tendons, which causes the ovarian cyst to be ischemic, or even rupture and necrosis, resulting in severe abdominal pain, often with paroxysmal severe pain, and is also one of the common gynecological acute abdomen. About 10% of ovarian cysts will have pedicle torsion, which is mainly common in tumors with long pedicles, medium size, good mobility, and center of gravity biased to one side, and often occurs when the posture changes suddenly.

The doctor combines the past medical records of ovarian cysts and can confirm the diagnosis through routine physical examination and color Doppler ultrasound examination.

Clinical symptoms

The clinical symptom of ovarian cyst pedicle torsion is sudden lower abdominal colic, the pain intensity reaches 4 stars or even 5 stars, which cannot be relieved, but there is usually no history of amenorrhea and irregular vaginal bleeding.

Solution

The main treatment is to remove the twisted cyst and the necrotic appendages on this side through surgery.

prevent

Women should undergo regular gynecological examinations to detect some ovarian cysts without any symptoms in the early stage and perform surgical treatment when necessary. Patients with ovarian cysts who have not undergone surgical treatment should receive regular care and avoid strenuous activities and sudden changes in posture in their daily lives.

3. Acute pelvic inflammatory disease

Pain Keywords: Severe pain in the lower abdomen

Pain tolerance: ★★★★

Some acute pelvic inflammation can also cause severe pain in the lower abdomen, but the pain symptoms are not as severe as ovarian cyst torsion. Patients with acute pelvic inflammatory disease generally have no history of amenorrhea and most have no symptoms of irregular vaginal bleeding, but may develop adnexal cysts.

Clinical symptoms

Patients with acute pelvic inflammatory disease usually have symptoms similar to acute appendicitis, but without the typical metastatic pain symptoms, and the abdominal tenderness point is lower. There is usually more leucorrhea with a peculiar smell, pus-like and with a peculiar smell, obvious dull pain on both sides of the uterus, and symptoms of infection such as high fever.

Solution

Once acute pelvic inflammatory disease is confirmed and diagnosed, the symptoms can usually be alleviated through anti-infective treatment. If the inflammation causes cysts, surgical treatment is required.

prevent

Women should develop good daily living habits, increase their immunity, and pay attention to the hygiene of their sexual life. If unfortunately you get an infection, you should actively treat gynecological inflammation to prevent the recurrence of pelvic inflammatory disease and the formation of cysts.

4. Miscarriage

Pain Keywords: Severe pain in the lower abdomen

Pain tolerance: ★★★

The lower abdominal distension and pain caused by miscarriage is mainly because the pregnancy product has not been discharged in the uterus, causing uterine contractions to cause lower abdominal distension and pain. The pain can be relieved as the uterine cavity tissue is discharged. Based on the patient's medical history, symptoms and corresponding auxiliary examinations, a definite diagnosis can be obtained.

Clinical symptoms

When miscarriage occurs, some women may also experience sudden severe pain in the lower abdomen, accompanied by vaginal bleeding, while others may also be accompanied by the discharge of vaginal tissue.

Solution

If the miscarriage is just a threatened miscarriage, you can give tocolysis treatment. If the miscarriage is unavoidable, the pregnancy should be discharged as soon as possible to prevent infection.