Lower Abdominal Pain in Women

Lower abdominal pain can suggest a series of issues. We investigate the causes and the possible treatments for this condition.

List of Female Reproductive Organs

  • Ovary
  • Fallopian tubes
  • Uterus, cervix, vagina
  • Epoophoron, paroöphoron
  • Rete ovarii
  • Gartner’s duct
  • Skene’s glands
  • Bladder, urethra
  • Bartholin’s gland
  • Labia majora
  • Labia minora
  • Clitoris
  • Vestibular bulbs
  • Clitoral glans
  • Clitoral crura
  • Clitoral hood
  • Canal of Nuck
  • Round ligament of uterus

What Causes Lower Abdominal or Pelvic Pain?

All women will experience pain in the lower abdomen from time to time. Most typically this can take place due to their durations or menstruation.

In a lot of cases it is tough to diagnose the specific cause of the pain, however keeping in mind certain functions will help your doctor pertained to a medical diagnosis.

The most typical causes are a urinary disorder, such as bladder or kidney problems, a bowel issue or an issue with the reproductive system– the uterus, Fallopian tubes and ovaries.

Abdominal Pain Occurring From the Urinary System

Urine infections prevail and present symptoms, such as burning when you pass urine and going to the toilet regularly.

Infection can spread to the kidneys (pyelonephritis) and can make you feel weak with a heat and back pain.

If you have pain that spreads out from your pull back to your groin and is severe– your doctor may be more worried that you have kidney stones. The doctor will test your urine if you have any of the above symptoms.

If you have any blood in your urine, it’s important to tell the doctor because this constantly needs investigation.

Tumours of the urinary system are not common, and the doctor will definitely take into account the period of your symptoms first.

Abdominal Pain Developing From the Digestion System

Pain arising from the large intestine is an especially typical cause of lower abdominal pain in both men and women. Features recommending your pain may be to do with the bowel are:

  • Pain related to pooing
  • A modification in bowel practice
  • Loss of blood when you poo
  • Bloating with wind

Both constipation and diarrhea can give you pain.

The pain they are frequently associated with is described as crampy or ‘colicky.’ This indicates that it reoccurs in waves. Large bowel pain is characteristically relieved on opening the bowels. Potential causes of pain occurring from the bowel include irritable bowel syndrome (IBS), which can provide you rotating diarrhea, constipation and bloating. Other conditions include diverticular disease and it’s complications which are more regular in older patients. Inflammatory bowel disease (ulcerative colitis or Crohn’s). An unusual but essential medical diagnosis is colorectal cancer.

Bloating and swelling is likewise a common symptom that people report and can be due to a problem affecting the bowels.

If you have any fresh bleeding from your back passage or you discover that your poo is black in colour then your needs to signal your doctor. These symptoms require examination.

Abdominal Pain Occurring From the Reproductive Organs

Pain can originate from your uterus (womb), Fallopian tubes or ovaries. It’s generally felt in the middle of the lower abdomen.

Pain that is felt more to the side can be more common of a pain originating from the ovary.

Pain coming from the uterus is typically even worse during your period and is called dysmenorrhoea.

Some conditions affecting the reproductive system can also cause pain during sexual intercourse. This is called dyspareunia and it is very important to let your doctor know if you are troubled by it.

Examples of conditions of the reproductive organs include endometriosis, fibroids, pelvic inflammatory disease, ovarian cysts and issues associated with the early stage of pregnancy such as a miscarriage or ectopic pregnancy.

What will the doctor do?

The doctor will ask great deals of questions concerning your periods, passing of urine and bowel movements. They might likewise inquire about basic symptoms such as fever, queasiness and vomiting.

If proper, they may ask concerns about a person’s emotional life-family, home, work and sex life.

Next the doctor will examine you. They will analyze your abdominal area and might analyze you internally likewise (vaginal, rectal or sometimes both) might be essential.

Typically the doctor will request you to offer a urine sample, which can be checked for infection.

If you have symptoms of vaginal discharge or other associated symptoms the doctor might take some vaginal swabs.

Depending upon your symptoms and their duration the doctor might decide to schedule additional examinations.

These may include:

  • Gynaecological causes might require vaginal swabs, cervical smears or pelvic ultrasound examination. Ultrasound might also be performed from within the vaginal area. Specialised blood test for ovarian cancer, CA-125, are typically performed. More invasive tests will rely on the doctor’s suspicion of the cause of the pain.
  • Urinary causes can be examined by urine culture, ultrasound or CT scan.
  • Colonic causes may require internal endoscopic evaluation of the bowel by Flexible Sigmoidoscopy or Colonoscopy.
  • A CT (Computed Tomography Scan) may be proper for all 3 major websites of pain.

To identify how far to examine lower abdominal pain takes skill and judgement. Pain can even emerge outside the abdominal area, for instance from the back. Depending upon the exact symptoms and period, possible referral to the appropriate specialist is often required.


Last modified: February 27, 2017

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