What should I do if I have lower abdominal pain after my period?

Menstruation is a normal physiological phenomenon that occurs every month in women, but after menstruation, many female friends will experience lower abdominal pain. What is going on? Through some information collected by the editor, I learned that if a woman has lower abdominal pain after menstruation, she may have pelvic inflammatory disease. The symptoms of pelvic inflammatory disease are lower abdominal pain, increased vaginal discharge, and dysmenorrhea. So, how to treat it?

Lower abdominal pain after menstruation may be caused by pelvic inflammatory disease: Lower abdominal pain in women after menstruation may be caused by pelvic inflammatory disease. Experts recommend that women go to a regular hospital for relevant examinations 3 to 7 days after the end of menstruation to confirm whether it is pelvic inflammatory disease. Once confirmed, symptomatic treatment should be given in time so that they can recover as soon as possible.

Related examinations for women diagnosed with pelvic inflammatory disease:

1. Examination of the male partner: This helps in the diagnosis of pelvic inflammatory disease in women. The urethral secretions of the male partner can be taken for direct smear staining or culture of gonococci. If the result is positive, it is strong evidence, especially in those who are asymptomatic or have mild symptoms. Or a higher number of white blood cells may be detected. If all male partners of PID patients are treated, regardless of whether they have urethritis symptoms or not, it will obviously be very meaningful to reduce recurrences.

2. Ultrasonic examination: mainly B-type or grayscale ultrasound scanning and filming. This technology has an 85% accuracy in identifying masses or abscesses formed by adhesions of the fallopian tubes, ovaries and intestinal tract. However, mild or moderate pelvic inflammatory disease is difficult to show characteristics in B-mode ultrasound images.

3. Posterior fornix puncture: Posterior fornix puncture is one of the most commonly used and valuable diagnostic methods for gynecological acute abdomen. The contents of the abdominal cavity or the rectouterine fossa obtained through puncture, such as normal peritoneal fluid, blood (fresh, old, clotted blood, etc.), purulent secretions or pus, can further clarify the diagnosis. Microscopic examination and culture of the punctured material are even more necessary.

4. Direct smear of secretions: The samples can be vaginal, cervical canal secretions, urethral secretions, or peritoneal fluid (obtained through the posterior fornix, abdominal wall, or through laparoscopy), and direct thin layer [NESKY_PAGE] smear is made, which is then dried and stained with methylene blue or Gram's blue. If Gram-negative diplococci are seen in polymorphonuclear leukocytes, it is a gonorrhea infection. Because the detection rate of endocervical gonorrhea is only 67%, a negative smear cannot exclude the presence of gonorrhea, while a positive smear is very specific. Fluorescein monoclonal antibody dye can be used for microscopic examination of Chlamydia trachomatis. The test is positive if a star-shaped flashing fluorescent spot is observed under a fluorescence microscope.

If female friends find lower abdominal pain after menstruation, they must be vigilant and go to the hospital as soon as possible to check whether it is pelvic inflammatory disease. If so, they must receive timely treatment. If pelvic inflammatory disease is not treated in time, it will cause many complications and may even affect women's pregnancy. Therefore, for everyone's health, we must take it seriously.