With painful sensations in the abdomen during a lifetime, every woman faces - just such an unfavorable change in the state, according to statistics, is the most frequent reason for visits to a gynecologist.
Aching in the lower abdomen can appear in a variety of circumstances - from relatively insignificant violations to severe pathologies. Whatever it was, such a change in the state of health should be the reason for an immediate appeal to the treating specialist.
. We will tell you about the key reasons that can cause the aching painful sensations in the lower abdomen in female patients.
material Content
- 1 main causes of pain in the abdomen
- 2 reasons inflammatory
- 3 Endometriosis
- 4 problems with the ovaries
- 5 problems with the uterus
- 6 Appendicitis
- 7 cholecystitis, cystitis and other similar diseases
- 8 Ectopic pregnancy
- 9 Menstruation and Ovulation
- 10 Sexual contact
- 11 Pathology pregnancy
- 11.1 Video- Aching in the lower abdomen of a woman
The main causes of abdominal pain
All possible causes can be classified into 2 basic cathetersmountains. About them in the table.
Table. Causes of pain in the lower abdomen
Reason groups | Description |
---|---|
These include: - diseases and pathological processes affecting the genitals, for example, uterine fibroids, cysts, etc.; - use of the intrauterine contraceptive spiral; - acute pathological processes affecting the gallbladder, organs of the urinary system, etc.; - pathology of pregnancy; - previous abortions. | |
The list of reasons for this group includes the following items: - malfunctions of the menstrual cycle; - pain associated with ovulation; - uterine bleeding; - stagnation of menstrual blood. |
Causes of inflammatory nature of
In the presence of inflammation affecting the appendages and / or uterus, the pains occur suddenly and, as a rule, are accompanied by an increased temperature.
In the case of adnexitis, discomfort manifests itself in one of the sides of the lower abdomen. If there is endometritis, it will hurt closer to the middle.
For the diagnosis of inflammation, a vaginal examination is performed. The inflammation of the appendages will be indicated by their sharp soreness. In the case of the presence of endometritis, the doctor will probe the enlarged uterus, which has become softer and more painful.
For chronic endometritis and salpingo-oophoritis, dull, aching sensations are common, accompanied by severity in the site of localization of the appendages, as well as compaction and a pathological increase in the sensitivity of the uterus.
Antibacterial drugs, anti-inflammatory suppositories, vitamin complexes, methods of infusion therapy, etc. are used to combat inflammation. Only the treating specialist can give specific recommendations - in absentia to assess the patient's condition and it is impossible to design the optimal treatment suitable for her.
Endometriosis
The pathological process is characterized by the release of cells that are similar to the endometrium, beyond the uterus. It affects the appendages and the uterus. Painful sensations occur mainly before the onset of menstruation, intensifying after its completion.
Discomfort is noted closer to the middle of the abdomen or behind the pubis, depending on the form of the disease. In the presence of adhesive processes of the pelvic organs, the pain intensifies.
The disease is accompanied by malfunctions of menstruation. Infertility may develop. To combat pathology, individual hormone therapy is being developed. If necessary, surgical intervention may be recommended.
Problems with the ovaries
Approximately to the middle of the course of the menstrual cycle in the female body, a process occurs accompanied by a hemorrhage in the ovarian tissue. Pathology leads to rupture of the main ovary, this is to damage blood vessels and bleeding.
Excessive workloads and sexual contacts predominantly lead to the appearance of such bleeding. The process is accompanied by severe pain localized at the location of the damaged ovary. In parallel, the pressure may decrease and pale skin over the affected area may appear. The pain can be either aching, or very strong and sharp. The situation requires urgent medical intervention - call an ambulance.
Problems with the uterus
Myoma is most often to blame. Increasing it to large sizes provokes the appearance of dull, aching and / or pressing painful sensations.
Birth of the myomatous node is not excluded. This process is accompanied by mainly cramping pains.
Both cases require urgent medical intervention.
Appendicitis
This phenomenon is accompanied by fever, pain of increasing intensity, a sense of weakness. Disturbance of digestion and appetite can be noted. The situation requires urgent medical intervention. In the absence of timely assistance, the patient may die.
Cholecystitis, cystitis and other similar diseases
Inflammation of the gallbladder - cholecystitis - can be accompanied by aching pains, but more often they are acute. The patient raises the temperature, there is an itch of the skin, vomiting begins. Painful sensations are given in the back, waist, collarbone. Severity of pain increases after eating. For treatment special medicines are used. The patient is also given a diet. If the stones are too large, they resort to surgery.
In the inflammatory process that affects the bladder( cystitis), the patient first has aching pains in the area of localization of the affected organ. Very soon unpleasant sensations become sharp and sharp. Locally predominantly above the pubis. Become more pronounced during urination.
The same category can include a disease like pyelonephritis. It is characterized by the appearance of painful sensations in the area of the lower abdomen, which give in the lower back. The process is accompanied by an increase in temperature, disturbances in the processes of urination, etc.
For the treatment of these diseases, preparations of a group of antibiotics and nitrofurans are traditionally used.
Ectopic Pregnancy
Severe condition, the essence of which is to fix a fertilized egg in the wrong place for this, i.e.outside the uterus. In a similar condition, the patient will periodically experience aching, then very sharp and sharp pains, which in most cases are given to the anus and vagina.
As an complication of an ectopic pregnancy, intra-abdominal bleeding may develop - a condition like this requires urgent surgical intervention, otherwise the patient runs the risk of dying.
The rest of the recommendations for a specific clinical case will be provided by the treating specialist.
Monthly and ovulation
One of the most common causes of aching pain in the lower abdomen is menstruation. This condition is often diagnosed in young patients. The root of the problem is hormonal restructuring.
In addition, the appearance of the condition can lead to bending of the uterus or its endometriosis, various inflammatory lesions, etc.
For example, the appearance of pain after months can indicate the development of endometriosis of the uterus. The reason - increased blood circulation, as well as cysts and other formations.
As for ovulation, in this case the pain is noted mostly closer to the middle of the menstrual cycle and does not cause serious inconveniences or discomfort to the "mistress."Usually it is a weak pulling pain, which can be accompanied by scanty discharge of blood from the vagina. In the absence of more serious concomitant manifestations, a special therapeutic effect is not required. For greater confidence, a doctor's consultation is recommended.
Sexual contacts
The emergence of pain after sexual intercourse can cause even a banal dissatisfaction in this regard. In such conditions, moral disorders are observed in parallel.
Otherwise, pain after sexual contact may occur if the following adverse factors provoke:
- of adhesions;
- endometritis;
- andecdite;
- trauma to the vagina;
- tumors, etc.
Pathology of pregnancy
The key factors that can trigger the onset of aching pain in the lower part of the pregnant patient are two.
- Threat of miscarriage. If it occurs during the first 21 weeks of pregnancy, the pain has a pulling or aching character. It occurs as a consequence of contraction of the uterus. Can be accompanied by spotting. In this case, the treating specialist will develop an individual program for maintaining pregnancy. As a rule, it includes adherence to bed rest, the intake of special hormonal drugs, as well as antispasmodics.
- Placental abruption. Painful sensations in the lower abdomen occur if an abruption of the lower segment of the placenta occurs. It is noted mainly in late pregnancy. May be accompanied by vaginal bleeding. As a rule, in such circumstances, a decision is made on emergency delivery.
In all circumstances, the emergence of painful localization, whether they are aching or otherwise, should prompt you to immediately go to the doctor. Follow the recommendations of a specialist and be healthy!