Woman with pain in lower right abdomen

Women may experience pain in the lower right side of their abdomen during menstruation, which is abdominal pain caused by menstrual bleeding. If the pain does not occur during menstruation, it may be caused by inflammation or gynecological diseases. Therefore, it is recommended that female friends should understand the cause of pain in the lower right abdomen. If female friends experience pain in the right lower abdomen, they should check the cause before seeking treatment.

1. Pain caused by inflammation: It is more common in adnexitis and pelvic inflammatory disease, and 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 refuses to be pressed, accompanied by fever.

2. Pain caused by the menstrual cycle: 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.

3. Abdominal pain caused by certain gynecological diseases: For example, endometriosis often forms lumps on the ovaries, uterus, and rectum, which can aggravate abdominal pain before and during menstruation. Pain 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.

4. Abdominal pain caused by ovulation: During the ovulation period, there is a feeling of distension and pain in the lower abdomen, 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, forming a gynecological emergency that requires medical treatment.

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

6. Abdominal pain caused by tumors: Abdominal pain, bloating, back pain and a feeling of falling caused by tumors are generally persistent. If the tumor twists, ruptures, or bleeds, sudden abdominal pain often occurs. This is the "self-exposure" of the tumor and usually requires immediate surgical treatment.

7. Abdominal pain caused by pregnancy: Women who are overdue for their menstrual cycle or known to be pregnant may suddenly experience contraction-like pain in the lower abdomen or vaginal bleeding, which is often a sign of miscarriage. Lower abdominal pain caused by ectopic pregnancy is usually severe and hot. Due to intra-abdominal bleeding, the patient will feel anal prolapse, frequent urge to defecate, pale face, dizziness and weakness, and may even go into shock, requiring immediate surgery.

8. Abdominal pain caused by acute appendicitis: The pain starts in the upper abdomen and gradually moves to the right lower abdomen. It is also accompanied by nausea, vomiting, loss of appetite, fever, and fear of pressing the right lower abdomen. This disease should be treated in an emergency department as soon as possible.

From this it can be seen that when women experience lower abdominal pain, most of the time it is caused by gynecological diseases, but it may also be caused by internal medicine and surgical diseases. Therefore, once women experience lower abdominal pain, they should carefully identify the nature of the pain in order to receive timely treatment.