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Why, after a month's pain, the lower abdomen - causes, symptoms and treatment

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When after the monthly there are soreness in the lower half of the abdomen, this may indicate a pathology of the reproductive system. A woman should contact a qualified gynecologist for diagnosis and appropriate therapy.

Why, after a month

Why after a month sore underbelly

material Content

  • 1 Endometriosis
    • 1.1 Therapy endometriosis
  • 2 salpingo
    • 2.1 Treatment
  • 3 Vulvitis
    • 3.1 Symptoms
    • 3.2 Treatment
  • 4 Adnexitis
    • 4.1 Treatment
    • 4.2 Video - Why sore lower abdomen after menstruation?
  • 5 Ovulation of the hormonal balance
  • 6 Ovulation
    • 6.1 Treatment of pain in ovulation
    • 6.2 Video - After monthly pulls the lower abdomen
    • 6.3 Video - Why does the stomach ache after monthly?

Endometriosis

Endometriosis is one of the causes of lower abdominal pain after menstruation. Under endometriosis is understood the process of proliferation of benign tissue outside the uterine cavity. This newly formed tissue morpho-functionally resembles the endometrium( inner layer of the uterus).The clinical picture of this disease is diverse, which makes it difficult to manage patients. The therapy strategy is chosen according to the age category of women, the stage of the process, the severity of symptoms, fertility, the likelihood of side effects from the drugs used. Sometimes the disease goes to the stage of chronicization and requires permanent treatment and supervision of a specialist.

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Endometriosis on the mucous membrane of the uterus

Endometriosis on the mucous membrane of the uterus

Endometriosis is considered a chronic disease whose underlying symptoms are permanent pain and infertility. Quite often, after surgical resection of the endometriosis zone, the pathology clinic disappears, infertility is replaced by a normally occurring pregnancy.

The diagnosis of endometriosis is more often posed to women of childbearing age( 25-35 years).There are many variations of this pathology, the symptoms are diverse, so it is difficult to standardize therapy. Endometriosis often occurs in combination with myoma and hyperplasia. Patients with the internal form of endometriosis are characterized by bloody discharge both before and after menstruation. These extracts have the color of dark chocolate, scant in volume. Menstruation is characterized by duration and abundance, which potentiates the development of anemia. Pain is the most common symptom of endometriosis, it has a relationship with the cycle. The pain is pulling, it is expressed after menstruation and during it. Patients are disturbed by painful sensations during coitus, urination( dysuria) with a lesion of the urogenital tract. At the initial stages of the development of the disease, pain appears from time to time, but if a woman has endometriosis III or IV stage, the pain syndrome can be permanent. When ingestion of endometriosis in the rectum or bladder, the appearance of blood in the urine and feces. Some patients complain of pain during ovulation( 14 days from the first day of menstrual bleeding), pelvic pain along the sciatic nerve, pain in the lumbar region.

Symptoms of endometriosis

Attention! For patients with endometriosis, radiculitis, dorsago or lumbago are typical.

Treatment includes medication and surgical interventions. Medicamental therapy involves analgesia and hormonal drugs.

Pharmacological preparations:

  • combined oral contraceptives( Dienogest, Dimia, Jess ) and progestins( Megestrol );
  • intrauterine device with levonorgestrel;
  • Danazol;
  • non-steroidal anti-inflammatory drugs( Indomethacin, Ibuprofen );
  • pain relievers( Ketorolac, Ketonal ).
Locations of foci of endometriosis

locations endometriosis

therapy of endometriosis

Pharmacological preparations Image Efficiency
Paracetamol
Paracetamol

Paracetamol

Efficacy has not been proven, showing good results individually

Hormones drugs( Dienogest), combined oral contraceptives( Dimia)
Dimia

Dimia

High efficiency

NSAIDs(Ibuprofen, Indomethacin)
Indomethacin

Indomethacin

Efficacy not proven, demonstrationgood results are individually

Selective COX-2 inhibitors( Nimesulide, Celecoxib)
Celecoxib

celecoxib

High efficiency

Drug therapy for endometriosis

salpingo

This pathology is a process infectious-inflammatory nature, localized in the fallopian tubes and ovaries. Patients suffering from this disease complain of intense pain in the lower half of the abdomen, febrile fever, a feeling of chills, dysuria, a swollen abdomen, secretions of genital tract pathological( it can be pus, blood of dark color), pain with coitus.

Salpingo-oophoritis

Salpingoophoritis

Attention! There are cases when the pain syndrome with salpingo-oophoritis is almost not expressed, the disease can proceed in a latent form.

The goals of the treatment are to reduce the intoxication syndrome, stabilize the woman's condition, and destroy the infectious agent. Tactics of therapy implies the use of antibiotics, anti-inflammatory drugs.

Warning! If a woman uses an intrauterine device as a contraceptive, it is advisable to remove it from the uterine cavity.

Salpingoophoritis Clinic

Salpingo-oophoritis clinic

Treatment

Pain relief:

  • ultrasound pulse;
  • mud treatment;
  • electrophoresis with iodine;
  • zinc electrophoresis;
  • chloride sodium water;
  • vibrating massage;
  • copper electrophoresis;
  • Ultraviolet Radiation Therapy;
  • non-narcotic analgesics( Ketonal, Ketorolac );
  • non-steroidal anti-inflammatory drugs( Ibuprofen, Indomethacin ).
Treatment of acute salpingo-oophoritis

Treatment of acute salpingo-oophoritis

Antibacterial drugs are shown:

  • during relapse, with a pronounced inflammatory process;
  • in the event that antibiotic therapy was not prescribed during the acute phase of the process;
  • during physiotherapy and in the case of the use of pharmacological agents-activators of hemodynamics.

Surgical treatment is indicated for:

  • presence in the pelvic area of ​​abscesses;
  • the presence of adhesions in the small pelvis in combination with intense pain;
  • inflammation of the uterine appendages in the chronic;
  • frequent relapse;
  • infertility.
Treatment of chronic salpingo-oophoritis

Treatment of chronic salpingo-oophoritis

Vulvit

After monthly discomfort and pain in the lower abdomen may be symptoms of vulvitis. Vulvit is a fungal inflammatory disease with vulva damage. The cause of the development of pathology is most often the inadequate adherence to hygienic norms, excessive use of tampons, visits to public baths, neglect or abuse of water procedures. To the clinic carry pronounced itching, burning sensation, reddening of the vulva, infiltration, suppuration.

As therapy, fungicidal pharmacological agents are used to control fungal infection.

Vulvit

Vulvit

Attention! It is effective to resort to the use of plant compresses and baths made of chamomile, oak bark, St. John's wort.

Symptoms

  • pain syndrome, sensations of burning and itching in the zone of external genital organs, the intensity of subjective sensations increases with movement and committing the act of urination;
  • is a massive selection;
  • asthenic syndrome( lethargy, malaise, apathy);
  • slight fever.
Clinic of vulvitis

Vulvit Clinic

Treatment of

  • Compliance with bed rest;
  • antibiotic therapy( Ampioks, Amoxiclav );
  • abstinence from coition;
  • antihistamines( Cetirizine, Suprastin );
  • hygiene of the vulva with solutions of antiseptics( Chlorhexidine, Permanganate Kalia );
  • topical ointment therapy( Flucinar, Lokacorten, Anesthetic Ointment ).
Treatment of vulvitis

Treatment of vulvitis

Treatment of bacterial vulvitis

Treatment of bacterial vulvitis

Adnexitis

Adnexitis is an inflammatory pathology of the uterine appendages. The disease potentiates the development of the adhesion process in the fallopian tubes, which is what causes the pain syndrome in the supratenal region. The general condition of a woman deteriorates substantially, fever develops, pus formation occurs in the fallopian tubes.

Adnexitis from the inside

Attachment from within

Attention! The process is prone to chronization, so in order to prevent this it is necessary to resort to antibiotic therapy with the mandatory observance of the course and dosing of drugs prescribed by a gynecologist.

Symptoms of adnexitis

Symptoms of adnexitis

Treatment of

  • common analgesics( Ketonal );
  • non-steroidal anti-inflammatory drugs( Diclofenac, Piroxicam );
  • ultrasound pulse;
  • electrophoresis;
  • magnetotherapy;
  • Ultraviolet Radiation Therapy;
  • antibiotics, selected depending on the active microflora( with gram-positive pathogens - Rifampicin, Cephalosporin ; with gram-negative pathogens - Gentamicin, Kanamycin ).

Video - Why does the abdomen hurt after menstruation?

Disturbance of hormonal balance

It is necessary to emphasize that the pain syndrome in the lower half of the abdomen after the end of the period is often due to a violation of the hormonal balance, namely the excessive production of prostaglandins causing painful uterine contractile movements. In addition to pain, the patient experiences severe nausea, vomiting, increased sweating, tachycardia, asthenic syndrome.

Ovulation

Ovulation may be the cause of the pain syndrome. As a rule, it occurs in the middle of the cycle( 14 days from the first day of the monthly bleeding), but in some cases it may be earlier( after 7-10 days).At the same time in the groin area there are pains of a pulling nature. When the female reproductive cell ripens, the ovarian follicle increases in size, gradually its walls undergo a rupture and the cell, rushing to the fallopian tubes, leaves it.

Ovulation

Ovulation

Treatment of pain in ovulation

  • non-narcotic analgesics( Ketorolac );
  • non-steroidal anti-inflammatory drugs( Piroxicam, Naproxen );
  • functional rest;
  • abstinence from coition.

Video - After monthly pulls the bottom of the abdomen

Video - Why does my stomach ache after menstruation?

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