Which department should a woman go to if she has dull pain in her lower abdomen?

Clinically, it is recommended that women with pain in the left lower abdomen first see a gynecologist to rule out gynecological diseases, such as adnexitis, bilateral fallopian tubes, uterus, ovaries, and parauterine connective tissue, and pelvic inflammation. Pain in the left lower abdomen may be accompanied by fever, back pain, excessive vaginal discharge, menstrual disorders, and lower abdominal distension and pain. A very small number of patients experience frequent urination, urgency, inability to hold urine, and painful urination. It is also necessary to consider other symptoms such as ectopic pregnancy, ovarian cyst pedicle torsion, and corpus luteum rupture. After eliminating gynecological diseases, you can go to the hospital's internal medicine or surgery department for treatment. The internal and surgical diseases you take into account include common diseases such as colitis, urinary tract inflammation, kidney and ureteral stones, tumors, etc.

What causes abdominal pain in women?

1. Gynecological inflammation

The disease that women are most likely to suffer from is gynecological inflammation. Once suffering from gynecological inflammation, it will cause lower abdominal pain, and it will also be accompanied by abnormal leucorrhea and other symptoms. Gynecological inflammations that cause lower abdominal pain are mostly caused by adnexitis and pelvic inflammatory disease. These two types of gynecological inflammation mostly occur in women of appropriate age. Once you suffer from pelvic inflammatory disease, you will experience pain on one or both sides of the lower abdomen, and it will also be accompanied by excessive leucorrhea and other symptoms.

If a woman suffers from chronic pelvic inflammatory disease or adnexitis, she may experience symptoms such as dull pain in the lower abdomen, back pain, or a feeling of heaviness. For patients with acute gynecological inflammation, they will show symptoms such as abdominal pain, refusal to press, and fever.

2. Ectopic pregnancy

Ectopic pregnancy refers to the implantation of the embryo in the gestational sac outside the uterus. Among ectopic pregnancies, about 95% occur in the bilateral fallopian tubes. Abnormal development of the bilateral fallopian tubes, abnormal function of the bilateral fallopian tubes, compression of tumors, sinking of contraceptive rings, etc. may all lead to ectopic pregnancy. Lower abdominal pain is one of the common symptoms of ectopic pregnancy. In addition, ectopic pregnancy is also accompanied by symptoms such as amenorrhea and irregular vaginal bleeding.

3. Uterine inflammation

If the uterus is inflamed, it may also cause women to experience lower abdominal pain and other symptoms, such as endometriosis. These symptoms are generally caused by lumps around the ovaries, uterus, and duodenum, which can cause women to experience abdominal pain before and during menstruation and worsening abdominal pain. In addition, many women with uterine inflammation often experience pain during sexual intercourse. Therefore, when women experience sexual intercourse pain and menstrual pain, they must seek medical treatment as soon as possible to avoid delaying the best treatment time.

4. Ovarian Corpus Luteum Dehiscence

It is caused by the rupture of multiple progesterone capillaries, accompanied by sudden onset of lower abdominal or unilateral abdominal pain, and in severe cases, shock may occur. Most cases of ovarian corpus luteum dehiscence occur between the 20th and 26th days of the menstrual cycle, and lower abdominal pain may occur, which may vary in severity. Before the corpus luteum of the ovary breaks apart, there is a process of uterine ovarian hematoma and swelling. When the uterus and ovary are affected by external force or indirect external force, especially the pre-menstrual hematoma, such as caused by straining during defecation, trauma, sexual intercourse, and strenuous activity. It is best to go to the hospital for treatment immediately after the onset of ovarian corpus luteum rupture. Do not use painkillers indiscriminately to avoid masking the symptoms and affecting normal diagnosis and treatment.