What is the reason for the dull pain on both sides of the woman's abdomen?

With the continuous improvement of living standards in real society, many women who are often busy with work tend to neglect their physical health. A dull pain on both sides of the abdomen is a relatively common symptom in women. This may be due to pelvic inflammatory disease or adnexitis. It requires more observation and detailed examinations for treatment.

What is the reason for the dull pain on both sides of the woman's abdomen?

Pain all over the abdomen: Pelvic inflammatory disease

Bilateral pain: adnexitis

Pain in the middle: cervicitis, cervical erosion. In severe cases, light pink blood may flow out

Itch: Toxins are discharged from the body, irritating the vulva, which may be caused by candidal vaginitis

Breast swelling: breast hyperplasia

Early or late menstruation: Qi deficiency or blood deficiency

Facial swelling, mainly eyelid swelling, accompanied by back pain: Kidney deficiency

Lower abdominal distension and pain, cold hands and feet, cold lower back, discharge of purple-black blood clots or jelly-like substances: uterine cold

Clinical manifestations

Clinically it is divided into acute and chronic types.

1. Acute adnexitis

The main symptom is acute lower abdominal pain accompanied by fever. During gynecological examination, there is obvious tenderness and rebound pain in the adnexal area. Routine blood tests can show an increased white blood cell count and a significantly increased neutrophil ratio. If acute adnexitis is not treated promptly or thoroughly, it may turn into chronic adnexitis.

2. Chronic adnexitis

There are abdominal pains of varying degrees. Chronic inflammation recurs over time, causing pelvic congestion, connective tissue fibrosis, and adhesion of pelvic organs. Patients experience symptoms such as lower abdominal distension, pain, and lumbar pain, which may be mild or severe, accompanied by increased vaginal discharge, low back pain, menstrual disorders, etc., and often worsen during menstruation or after fatigue. During gynecological examination, there is tenderness, thickening, or a tender mass in the adnexal area on both sides or one side, and the white blood cell count is elevated or normal. Some symptoms are sometimes not very obvious, but because the fallopian tubes and ovaries are adjacent to each other, it is difficult to distinguish when inflammation occurs. In particular, chronic inflammation of the fallopian tubes can lead to fibrosis, thickening and blockage of the fallopian tubes over time, and may also cause adhesion to surrounding tissues. If both ends of the fallopian tube are blocked, hydrosalpinx may form, and the accumulated water will penetrate into the ovaries that are adhered together, forming ovarian cysts. It can easily cause infertility or ectopic pregnancy.

examine

1. Examination of acute adnexitis

The leucorrhea may be purulent or homogeneous mucous, the adnexa may be tender and painful, and sometimes an inflammatory mass may be palpated due to adhesion of the fallopian tube or ovary, with unclear boundaries and restricted movement.

2. Chronic adnexitis examination

There is tenderness in the lower abdomen, and pelvic examination reveals thickening and tenderness on both sides of the uterus, and sometimes an enlarged, fixed cystic mass can be felt.

3. Ultrasound examination

No abnormal findings unless there is hydrosalpinx or tubo-ovarian cyst formation, in which case ultrasound examination may reveal a mass.