What causes pain in the right lower abdomen in women?

Some women, including adolescent girls, pregnant women, etc., will experience symptoms of lower abdominal pain. Although this pain is not very severe, it often lasts much longer than normal pain. Especially when you are busy at work, the more anxious you are, the more pain you will feel, and you may even faint from the pain. In this case, it is necessary to find the root cause of abdominal pain in women.

1. Ovulation abdominal pain

When adolescent girls ovulate, the follicle ruptures and the follicular fluid may have a certain stimulating effect on the peritoneum, so they sometimes experience mild abdominal pain that alternates between the left and right sides once a month. This is physiological, and the symptoms are mostly unilateral lower abdominal pain, dull pain or heaviness-like pain. Some girls also have a small amount of vaginal bleeding, that is, ovulation bleeding, which usually disappears on its own after one or two days, and generally does not exceed seven days. This type of abdominal pain usually does not cause any pathological changes, and the gynecological examination is completely normal. It is physiological abdominal pain and generally does not require treatment.

2. Dysmenorrhea

Dysmenorrhea is divided into primary and secondary dysmenorrhea. Primary pain is often seen in adolescent girls. It is related to the level of prostaglandins in the body, cold, emotional and psychological factors, but there is no organic disease. It can generally heal itself with age or after marriage and childbirth. Common causes of secondary pain are endometriosis and adenomyosis. The symptoms include gradually increasing pain, often in a cyclical pattern, or dull pain in the lower abdomen during non-menstrual periods that worsens before and after menstruation. In addition, it is often accompanied by infertility and menstrual disorders, which often require drug treatment.

3. 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 at the onset, with varying degrees of severity. Before the corpus luteum of the ovary ruptures, the ovary will experience congestion and swelling. This process can be triggered when the ovary is affected by external or indirect external forces, especially when it is congested before menstruation, such as due to straining during bowel movements, trauma, sexual intercourse, or strenuous activity. It is best to go to the hospital for diagnosis and treatment immediately after the occurrence of ovarian corpus luteum rupture. Do not abuse painkillers on your own to avoid masking symptoms and affecting normal diagnosis and treatment.

4. Ovarian cyst pedicle torsion or rupture

This is because the cyst has a long pedicle, a large volume, no adhesions to the surrounding area, and 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.

5. Pregnancy-related diseases

In recent years, cases of teenage pregnancy are not uncommon. In 2005, our hospital's Flower Season Care Center received 220 cases of pregnant teenage girls. Abdominal pain caused by pregnancy-related diseases can be seen in threatened abortion, ectopic pregnancy, etc. Taking ectopic pregnancy as an example, dull pain or distension in the adnexal area of ​​the affected side may occur. When the ectopic pregnancy occurs miscarriage or ruptures, it can cause intra-abdominal bleeding. The pain symptoms vary depending on the amount and speed of bleeding. If it is a miscarriage due to fallopian tube pregnancy, the abdominal pain is often limited to one side of the lower abdomen, and blood accumulates in the rectouterine pit, which can cause anal pain. When the fallopian tube pregnancy ruptures, the amount of bleeding is large and the speed is fast. The blood quickly spreads to the entire abdominal cavity and causes pain in the whole abdomen. In addition, some pregnant girls have secret abortions, which can easily cause infections such as pelvic inflammatory disease or trauma to the pelvic organs and reproductive tract, and may even endanger their lives.

If the above reasons for abdominal pain in women are ruled out, there is another reason that can cause unbearable abdominal pain in women, that is, acute appendicitis. Although this is not a gynecological disease, it is a surgical disease with a very high incidence rate and a relatively acute condition. However, acute appendicitis is very treatable and only requires surgery to recover.