Lower abdominal pain and missed menstruation

Lower abdominal pain is not necessarily related to menstruation. It may also be caused by gynecological diseases. If you have lower abdominal pain, you should go to the hospital to check the cause. It does not rule out adnexitis, pelvic inflammatory disease, excessive vaginal discharge, and abdominal pain. These all require finding the cause first, and then choosing the appropriate method of treatment.

What causes lower abdominal pain in women?

Pain caused by menstruation: Lower abdominal pain and general discomfort experienced by women during menstruation are mostly physiological phenomena. If the pain is severe, it is dysmenorrhea. Most cases of dysmenorrhea during adolescence are primary dysmenorrhea, which can heal itself; however, dysmenorrhea that occurs after menstruation is mostly caused by certain diseases, so you should seek medical attention early and do not use painkillers to solve the problem. This is a very common cause of lower abdominal pain.

Pain caused by inflammation: more common in adnexitis and pelvic inflammatory disease, more often occurs in women of childbearing age, the pain is on one or both sides, accompanied by increased vaginal discharge. Chronic cases often present with dull pain, back pain or a feeling of heaviness; acute cases often present with abdominal pain that is resistant to pressure and is accompanied by fever.

Lower abdominal pain caused by certain gynecological diseases: For example, endometriosis often forms lumps near the ovaries, uterus, and rectum, which can aggravate abdominal pain before and during menstruation. Pain during sexual intercourse is also one of its characteristics. For example, pelvic bleeding or blood stasis can lead to pelvic pain, which often manifests itself in the base of one thigh.

Lower abdominal pain caused by ovulation: Lower abdominal distension and pain occurs during the ovulation period, which is caused by the rupture of the follicle. Generally speaking, this pain does not affect health and has no adverse consequences. However, in a very small number of people, due to large rupture of the ovarian follicle during ovulation, damage to small blood vessels causes ovarian rupture and intra-abdominal bleeding, resulting in gynecological emergencies and requiring hospital treatment.

Lower abdominal pain caused by physiological deformities: Common ones include hymen occlusion, vaginal diaphragm, etc. Symptoms include abdominal pain due to menstruation and obstruction of menstrual blood discharge during adolescence. The pain is closely related to menstruation and occurs cyclically, requiring surgical correction.