Pain three fingers below the navel in women

For female friends, if there is pain in the uterus or abdomen three fingers below the navel, it is generally necessary to be cautious. Because of the differences in women's physiological structure, this pain is likely caused by gynecological diseases. Generally, this situation is likely to be chronic pelvic pain. In order to better determine the type of disease, it is recommended that you go to the hospital for diagnosis and treatment.

Chronic pelvic pain (CPP) refers to pelvic pain that is non-cyclical, lasts for more than 6 months (some believe it is more than 3 months), and is resistant to non-opioid drug treatment. Chronic pelvic pain is one of the most common symptoms in women. Pelvic pain can be acute or chronic. Chronic pelvic pain is characterized by complex causes. Sometimes, even after laparoscopy or laparotomy, no obvious cause can be found, and the degree of pain is not necessarily proportional to the severity of the lesion.

Organic diseases such as chronic pelvic inflammatory disease, endometriosis, adenomyosis, pelvic adhesions, etc. can cause pain, but many patients only have mild pathological changes or no organic changes. Pelvic organ distortion caused by adhesions and endometriosis does not necessarily cause pain. Even if it does, the location and degree of pain may not be related to the location and severity of the lesion. It may be related to traumatic sexual experiences, marital unhappiness and sexual dysfunction.

Clinical manifestations

Chronic pelvic pain includes gynecological diseases that can be easily detected by laparoscopy, such as endometriosis, pelvic inflammatory disease, pelvic adhesions and pelvic venous congestion syndrome, as well as some hidden physical diseases (usually non-gynecological diseases), such as irritable bowel syndrome, and non-physical (psychogenic) diseases.

1. Symptoms and signs

(1) Lower abdominal pain or back pain can be in the entire lower abdomen, in the bilateral or unilateral iliac fossa, or have no obvious location, often accompanied by vaginal discomfort, and is continuous or intermittent dull pain or pain; patients cannot explain what factors are related to the aggravation and relief of pain.

(2) Depressive pain is caused or aggravated by sexual intercourse but does not affect sexual life. Patients have significant depressive symptoms, such as loss of appetite, fatigue, insomnia, loss of sexual desire or lack of interest in anything, or impulsiveness and poor self-control.

(3) Abnormal illness behavior: There is a body bias and the patient is convinced that he or she is ill. The doctor does his or her best to treat the patient, but the patient still feels pain.

2. Physical examination

(1) While instructing the patient to relax the abdominal, thigh, and vaginal muscles to reduce discomfort during the examination, the degree to which the patient can control muscle tension can be understood. Rectal examination may cause pain when touching the levator ani and piriformis muscles, indicating tight and painful pelvic floor muscles. The discomfort usually manifests as a sense of pelvic pressure and radiating pain to the sacrum close to the attachment point of the levator ani muscles.

Attention should be paid to whether there is thickening in the adnexal area, its range of motion, pelvic floor relaxation, coccyx tenderness, and lesions that may cause dyspareunia. Gentle palpation may detect areas of tenderness consistent with vestibulitis or trigger points higher in the vagina. Gentle palpation of the abdominal wall with the fingertips can reveal tender points in the muscle tissue.

(2) Pelvic examination: No positive findings, but the pelvis is overly sensitive, and even slight palpation causes severe pain.