The acute pain in the lower abdomen
There are pain of unexplained pain but there are also typical pains which cannot be ignored, requiring examination to have a solution before the situation becomes serious.
Women of childbearing age suffering from pain without fever should consider ectopic pregnancy but may also be a spiral ovarian cyst. If accompanied by fever, it is necessary to think of appendicitis but do not rule out appendicitis or sigma colitis (the end of the colon before the rectum).
Pain in the lower abdomen in mid-cycle
Characterized by lower abdominal pain with white or bloody vaginal discharge. Pain that spreads to the vulva, sometimes to the lumbar or abdominal area, may be acute, with nausea or vomiting.
Pain usually occurs at the time of ovulation (ovulation) from days 12 to 16 of the menstrual cycle, lasting from a few hours to 48 hours. About 20% of women experience this type of pain, some menstrual cycles experience pain, others suffer from this cycle but others do not. The diagnosis is usually based on pain that occurs in the middle of the menstrual cycle and the pelvic exam is not abnormal.
If the pain is persistent and / or severe, an ultrasound is needed to rule out other causes of lower abdominal pain, which sometimes need to be distinguished from appendicitis. Intermenstrual pain usually does not require treatment. Pain medicine may be needed when pain is prolonged or severe. Hormonal contraceptives can be used to prevent ovulation to cause pain.
Lower abdominal pain associated with ovulation
This is a symptom of Mittelschmerz (German for intermenstrual pain), with many theories about the cause of pain:
Acute ovarian cysts cause acute lower abdominal pain
The follicle enlarges before the time of ovulation. When only one or two mature oocytes are about to be released, some other follicles will grow. Because the follicle grows in both ovaries, pain can occur on both sides simultaneously or only on one side.
The wall of the ovary is torn (rupture): The ovary’s shell must tear in order for the ovule to escape, so it is the ovule release that causes pain in some women.
Fallopian tubes: After ovulation, the fallopian tubes resemble the movement of the esophagus and cause pain.
Contractions of the smooth ovarian muscle layer: Most women experience pain just before ovulation, as the LH hormone reaches its peak which increases Prostaglandine to produce contractions in the fallopian, uterus and intestinal tract.
Due to peritoneal stimulation: Because blood or fluid is released during ovulation.
Sometimes genital tract infections are the cause of pain but are often unknown. Symptoms of menstrual pain may be used to identify ovulation.
Chronic lower abdominal pain is not associated with menstrual periods
It is a type of abdominal pain that spreads to the vulva and the lumbar region, accompanied by a burning sensation, pain in the bladder, painful urination, difficulty urinating, rectal pain and a feeling of defecation, itching of the vulva.
These symptoms are often caused by difficult-to-detect causes such as cervical lesions – damage to the uterus body (posterior uterine fibroids, uterine fibroids (torsion, sterile necrosis) – genital prolapse – inflammation of the appendages, inflammation with the map or ovaries – endometriosis – varicose veins …
Pain not caused by gynecological causes: Also causes pain in the lower abdomen
Diseases in the spine: Back pain due to posture, spinal degeneration, herniated disc …; Intestinal diseases: appendicitis, colitis, cholecystitis, sigma colitis …; Diseases in the urinary tract: pyelonephritis, cystitis …; Pain due to psychological causes … Physicians need a comprehensive examination and need to do some more exploration according to the orientation of the illness.