The three most common diseases and treatments for abdominal pain in women

Most patients have symptoms such as lower abdominal pain, back pain, and pain during sexual intercourse. The disease lasts for a long time, becoming a nightmare that plagues their life and work. If you have this problem, you might want to learn how to deal with the pain.

Xiaolan, 33 years old this year, has a history of chronic pelvic inflammatory disease. Whenever she is weak and has reduced resistance, or is particularly tired, has been sitting for a long time, or after sexual intercourse, she feels an increase in vaginal discharge, dull pain in the lower abdomen, back pain, and sometimes even frequent urination, increased abdominal pain, dizziness, fever, etc. She has to be hospitalized for anti-inflammatory intravenous drips. Xiaolan has a weak constitution, and her job requires her to work overtime frequently, so she often suffers from abdominal pain and is in great pain.

Expert analysis: Chronic pelvic inflammatory disease is one of the most common causes of gynecological pain. Patients usually experience lower abdominal pain and back pain, and sometimes unilateral sciatica (i.e. radiating pain from the buttocks to the outer thigh or calf). It worsens during menstruation, after sexual intercourse or after labor, and may be accompanied by symptoms such as frequent urination, increased leucorrhea, increased menstrual flow, irregular periods, and prolonged menstruation. Gynecological examinations can reveal that most patients have a retroverted uterus, thickened fallopian tubes, and tenderness. Some patients also suffer from infertility.

Medical countermeasures: When chronic pelvic inflammatory disease occurs, drug treatment can be used, such as hyaluronidase or a-chymotrypsin intramuscular injection once every other day, 5-10 times as a course of treatment; you can also seek help from a pain specialist and use nerve block therapy, such as sciatic nerve block or sacral canal block; in addition, physical therapy can also be used, such as laser, microwave, hot water bath, physical therapy, etc. For patients with a history of chronic pelvic inflammatory disease who experience sciatica, inflammation and pain should be treated simultaneously.

For some women whose condition has not been cured by long-term treatment and has affected their health and work, especially those with a pelvic mass, who are over 40 years old and do not consider having children, surgical treatment such as total hysterectomy can be used; for some infertile patients with blocked fallopian tubes, fallopian tube recanalization can be performed.

Qingqing, 29 years old this year, suffers from dysmenorrhea every time she has her period. The pain is severe during the first one or two days of menstruation, and the pain does not subside in the later stages of menstruation. She often turns pale, feels nauseous and vomits. Sometimes painkillers cannot relieve the pain. I thought I would no longer have pain after getting married, but I have been married for two years and the dysmenorrhea has not been relieved. Sometimes I even have pain during sexual intercourse. The couple was very anxious because they had not conceived a child after two years of marriage. Later, Qingqing went to a specialist hospital for treatment and was eventually diagnosed with endometriosis.

Expert analysis: The most common clinical manifestation of endometriosis is pain. Clinical observations have found that about 50% of patients suffer from dysmenorrhea, and the pain is most severe within 1 to 2 days of menstruation. Some patients experience pain during sexual intercourse, which is most severe before menstruation. Some patients also experience chronic pelvic pain, which lasts for at least 6 months. More than 30% of patients with endometriosis may experience infertility, and some patients may experience menstrual abnormalities. Endometriosis can be diagnosed through laparoscopy, ultrasound, and serum tests.

Medical countermeasures: Many patients with endometriosis may experience pain during menstruation, but this pain is different from dysmenorrhea. It is progressive pain, that is, the pain intensifies with the onset of menstruation and cannot be relieved. In principle, non-surgical treatment is used for those with mild symptoms. Drugs can be used to inhibit its growth and development, such as using high-dose progesterone or estrogen and progesterone combined to induce pseudopregnancy treatment under the guidance of a doctor, or pseudomenopause treatment. Nerve blocker therapy can also be used. Mild patients who want to have children will first receive hormone treatment after a clear diagnosis, while those with severe lesions who want to have children will undergo conservative surgery. Young patients with severe lesions and no fertility requirements will undergo ovarian function-preserving surgery, supplemented by drug treatment. For patients with severe symptoms and lesions who have no fertility requirements or whose disease relapses after conservative surgery, radical surgery may be considered.

Kikuko is a sophomore girl in high school. During her menstrual period, she is like a wilted flower, with no energy at all. It turned out that since her first menstruation at the age of 13, Kikuko would feel a dull pain in her lower abdomen two days before her period and during her period. She could still bear it at first, but in the following years the pain intensified, with cramps and a heaviness in her anus. She often felt so painful that her face turned pale, her limbs became cold, and she broke out in cold sweats. During those days, it was impossible to attend classes. Kikuko often took leave and curled up in bed, covering her lower abdomen with a hot water bottle, which seriously affected her normal studies. Sometimes taking a painkiller can make you feel a little better.

Expert analysis: Relevant data shows that eight out of ten girls suffer from dysmenorrhea, which shows that dysmenorrhea is very common. Dysmenorrhea can be divided into primary and secondary dysmenorrhea. Primary dysmenorrhea mostly occurs in girls who are experiencing their first menstruation. It often begins just before or after the menstruation and is characterized by spasmodic pain concentrated in the center of the lower abdomen. Some people also have back pain, and the pain lasts for 2 to 3 days. For secondary dysmenorrhea, the pain is unrelated to menstruation. Auxiliary examinations such as B-ultrasound, laparoscopy, hysteroscopy, etc. can be used to find out whether the pain is caused by endometriosis, adenomyosis, or pelvic inflammation.

Medical countermeasures: For patients with intractable dysmenorrhea that is not effectively treated with medication or other methods, nerve block therapy and physical therapy can be used. The effect will be better if combined with acupuncture treatment. For severe patients, laparoscopy can also be used to determine whether there is any organic disease, and partial uterine nerve resection can be performed.

One year after Liu Jing gave birth to her baby, she went to the nearest hospital to get an IUD inserted. She felt very painful at the time, and she bled for many days after the insertion, and her lower abdomen also felt painful and uncomfortable. I thought that after a month or two, my body would get used to it and wouldn't feel the pain anymore, but I didn't expect that more than half a year had passed and the situation hadn't improved.

Expert analysis: A small number of women experience persistent abdominal pain after IUD insertion or tubal ligation, but most women can adapt to it within a short period of time. Postoperative abdominal pain may be caused by surgical method, surgical injury or postoperative inflammation, which may lead to postoperative fallopian tube vascular damage and pelvic venous congestion syndrome. Or the patient may have gynecological inflammation such as vaginitis, pelvic inflammatory disease, etc., and the insertion of the IUD may aggravate the inflammation and cause pain. Patients often experience three pain symptoms, namely persistent dull pain in the lower abdomen, pain in the lumbar region, and pain during sexual intercourse. Some patients may also experience vaginal stinging and rectal distension. Some patients who have undergone contraceptive surgery may experience menstrual disorders, increased leucorrhea, etc. The symptoms can be discovered through auxiliary examinations such as pelvic venography, laparoscopy, and ultrasound.

Medical countermeasures: Patients with mild symptoms usually take Chinese medicine for promoting blood circulation, removing blood stasis, regulating qi and relieving pain under the guidance of a doctor, or use progesterone to counteract estrogen therapy, physical therapy or nerve block therapy. Those who have an IUD can switch to other contraceptive methods. For patients who have undergone ligation and have not responded to long-term conservative treatment, and whose pelvic congestion has been confirmed by pelvic venography or laparoscopy, removal of the swollen fallopian tube or mesenteric vein, or complete resection of one side of the adnexa, fallopian tube, and hysterectomy may be considered.