Lower abdominal pain

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CME

Why the lower abdomen hurts and what to do about it
The uterus is the most important organ of each woman’s reproductive system. The most common complaint in the practice of the gynecologist is lower abdominal pain. This symptom may be caused by various diseases (endometriosis, menstruation, the presence of tumors, etc.). Lower abdominal pain may develop when the uterus enlarges and presses on neighbouring organs such as the bladder and intestines. If you experience pain in the lower abdomen, you should immediately consult a gynecologist to determine the cause of pain and prescribe the necessary treatment.

Causes of lower abdominal pain
The main causes of lower abdominal pain are as follows:

Menstruation. Pain during menstruation is called dysmenorrhea. Dysmenorrhea can be primary (passes with the end of menstruation) and secondary (occurs against an inflammatory process).
Gynecological inflammatory diseases (adnexitis, endometritis, salpingitis, etc.). Most often accompanied by severe, nagging pain, which regularly bothers you. Other symptoms are also manifested, such as profuse discharge, constant urge to urinate, burning sensation and itching.
Malignant formations;
Presence of ovarian cysts and symptomatic uterine myoma;
Endometriosis (a disease that damages the inner tissue of the uterus – the endometrium);
Termination of pregnancy;
Consequences of the insertion of an intrauterine coil.
Symptoms
Various diseases of the female reproductive system cause severe muscle spasms that lead to pain in the lower abdomen. The pain can be acute, pulling, aching, increasing, and recurring. After a detailed examination, your doctor will be able to make a proper diagnosis and prescribe treatment.

If you have similar symptoms, we advise you to make an appointment with a gynecologist at the FMBA. Timely diagnosis will prevent negative consequences for your health!

Diagnosis
Diagnosing the causes of the feeling of heaviness inside the abdomen and pain syndrome can sometimes be quite difficult, since pain can appear in a variety of diseases. To determine the cause of the pain, it is extremely important to initially identify the disease that led to such pain sensations. This requires an initial appointment with a gynecologist. The doctor, based on the results of a face-to-face examination, will make initial assumptions about the possible diagnosis and prescribe the necessary diagnostic and laboratory tests.

Diagnosis includes:

Face-to-face examination by a specialized specialist (anamnesis collection);
Gynecological examination;
Ultrasound of the pelvic organs (a study that can detect dysfunction of the genital organs);
Uterine MRI (a method of examination to determine the presence of neoplasms);
Colposcopy (examination of the surface of the cervix with a colposcope).
Laboratory tests include:

Flora smear;
Cytological examination of a cervical smear;
Femoflora (to rule out sexually transmitted infections);
Complete blood count;
Complete urinalysis;
Biochemical blood analysis;
Blood tests for hiv, hepatitis, syphilis.
Uterine pain can be a manifestation of different diseases, so, first of all, you need to identify the main disease, and only after that begin treatment. The treatment plan is chosen individually for each patient by the gynecologist, depending on the nature of the pain, the primary disease and the condition of the body. FNKTs FMBA has developed a special comprehensive program to check women’s health. The program will help identify hidden pathologies that cause pain syndrome and evaluate the condition of a woman’s reproductive system.