A little pain in the lower body

When some people experience a dull pain in their lower body, they often become particularly panicked, not knowing what the cause is. Especially for women, if there is hidden pain in the lower body, they should understand it from many aspects, avoid squeezing the vulva, and avoid having sexual intercourse during menstruation, otherwise it will cause women to develop gynecological diseases and cause pain in the lower body. If you feel pain, be sure to have a gynecological examination.

Chronic vulvar discomfort characterized by vulvar burning, stinging, tenderness or irritation is collectively referred to as vulvar pain, including vulvar pain caused by vulvar vestibulitis, cyclic vulvitis, etc.

Causes

Vulvar pain may be multifactorial, such as fungal infection and improper use of medication, psychological factors, genetic factors, dietary factors, etc. The influence of sex hormones, abnormal pelvic floor muscle tone, etc. may be related to it.

Clinical manifestations

1. Vulvar vestibulitis causes pain in the vulva after compression, and erythema and tenderness in the vulvar vestibule area.

2. Annular vulvitis is intermittent vulvitis, which often occurs during menstruation and after sexual intercourse. The vulva was erythematous and mildly desquamative.

3. Paresthesia of vulvar pain is more common in menopausal women. Persistent, non-irritated dull vulvar pain, occasionally involving the perianal area, perineum, and inner thighs. May be associated with other chronic pain. Occasionally, erythema is seen on the vulva, but most of the time there is no abnormality and no obvious tenderness.

examine

1. Gynecological examination.

2. Examination of vaginal secretions.

3. Human papillomavirus can be checked.

The diagnosis is based on history, symptoms, clinical examination, and laboratory tests.

treat

1. Anti-inflammatory targeted anti-inflammatory treatment, using antibiotics or antifungal drugs, etc.

2. Relieve Pain

(1) Apply local anesthetics such as lidocaine gel during sexual intercourse.

(2) Antidepressants are effective in treating pain.

(3) Local injection of amitriptyline or interferon is effective in some cases.

(4) For patients with severe pain that is not responsive to drug treatment, surgical treatment may be considered.

3. Pelvic physical therapy