What causes lower abdominal pain in women?

If women do not pay attention to maintenance in their daily lives and have physical illnesses, especially gynecological diseases, and cannot receive timely treatment and control, then it is likely to cause other more serious symptoms. For example, lower abdominal pain. The symptoms of lower abdominal pain are directly related to many diseases and other physical reasons. So what causes lower abdominal pain in women? Let us introduce it today.

Acute lower abdominal pain

(1) Ectopic pregnancy is a common gynecological acute abdomen, 95% of which are fallopian tube pregnancies. Lower abdominal pain is the main symptom. The severity of the abdominal pain varies. Severe cases may be accompanied by hemorrhagic shock. If not promptly treated, it may lead to death.

1. Most of them have a history of amenorrhea, and the amenorrhea time is within 12 weeks. The most common period is 6-8 weeks.

2. There is irregular vaginal bleeding after menopause, and the amount of bleeding is generally less than the menstrual volume.

3. In the early stage of tubal pregnancy, there may be dull pain in the lower abdomen. When miscarriage or rupture occurs, acute lower abdominal pain may occur, often accompanied by anal swelling.

4. Examination of the patient may reveal signs of blood loss such as pale complexion, decreased blood pressure, rapid and weak pulse, and cold limbs.

5. Abdominal examination shows lower abdominal tenderness and rebound pain, but no obvious muscle tension. When there is a lot of bleeding, there may be abdominal distension and positive shifting dullness.

6. Gynecological examination shows cervical pain, fullness of the posterior vaginal fornix, fullness of the uterus, possibly with a floating sensation, and a mass palpable in the adnexal area, which is tender, has unclear boundaries, and is soft in texture.

7. Blood and urine HCG positive.

8. Ultrasound examination showed no embryonic sac in the uterus, embryonic sac or heterogeneous echogenic mass could be seen outside the uterus, and there were liquid dark areas in the pelvic and abdominal cavities.

9. If intra-abdominal bleeding is suspected, the diagnosis can be confirmed by puncturing the posterior vaginal fornix and drawing out uncoagulated blood.

(2) Acute pelvic inflammatory disease is a general term for inflammation of women's internal reproductive organs, including acute endometritis and myometritis, acute salpingitis, salpingo-oophoritis, acute pelvic peritonitis, pelvic abscess, etc. Abdominal pain is one of its main symptoms.

1. It often occurs after uterine surgery, after childbirth, after miscarriage, or during and after menstruation.

2. Acute persistent lower abdominal pain, accompanied by chills and fever. Vaginal congestion. The secretion increases and may be purulent.

3. Gynecological examination shows obvious cervical tenderness, tenderness in the posterior vaginal fornix, tenderness in the uterus and bilateral adnexal areas, and a tender mass in the pelvis may be palpated.

4. The number of white blood cells and neutrophils increases, some of which may have toxic granules, and blood bacterial culture may be positive.

5. Ultrasound examination may reveal irregular masses in the pelvic cavity.

6. Purulence can be extracted by puncturing the posterior vaginal fornix, and a large number of white blood cells can be seen in the smear, which may be positive in culture.

(III) Ovarian tumor pedicle torsion is a common gynecological acute abdomen. It is more common in ovarian tumors with long pedicles, medium-sized tumors, and high mobility, such as mature teratomas. Can be seen at any age. But it is more common during the reproductive period.

1. There may be a history of similar lower abdominal pain in the past.

2. Sudden onset of persistent severe pain in one side of the lower abdomen, often occurring after a change in body position, accompanied by nausea and vomiting. The pain may radiate to the same side of the waist, lower limbs and perineum. If the disease lasts for a long time and tumor necrosis is followed by infection, the patient may develop a fever.

3. Examination revealed tenderness in the lower abdomen on the affected side. There is muscle tension and rebound pain, and if the tumor is large, a mass may be felt in the lower abdomen.

4. During gynecological examination, a mass may be felt next to the uterus, with high tension, clear boundaries, and severe tenderness, with the most obvious tenderness at the tumor pedicle.

5. Auxiliary examinations may show an increase in white blood cell count. Pelvic B-ultrasound showed a mass on one side of the uterus with regular shape and clear boundaries.

(IV) Primary dysmenorrhea is generally seen in young women. There is no dysmenorrhea during menstruation, and it often occurs after several menstrual cramps.

1. Paroxysmal cramping or heaviness in the lower abdomen on the 1st to 2nd day of menstruation. Severe pain is often difficult to tolerate.

2. Pelvic examination showed no organic disease.

3. No abnormalities were found in pelvic B-ultrasound.

The above is the answer to the reason why women suffer from lower abdominal pain. After knowing these reasons, we should pay attention to prevent them from occurring in our daily lives. This is the only way to keep your body in a healthier condition. If these causes are not well controlled, the body may develop more serious diseases.