The pain in the abdomen is a common occurrence for women, so it’s not surprising. But do you know the hidden crisis behind these inexplicable abdominal pains? In fact, what we usually call “stomach pain” is a big concept, it is not a disease name, but a symptom. For women, there are many causes of abdominal pain, involving almost all kinds of diseases. And the most concern for women, but also the most easily blinded by the surface phenomenon of abdominal pain is the enemy of women – gynecological diseases.
1, dysmenorrhea
Surface phenomenon: abdominal distension, nervousness, depression, fear, emotional instability.
Measurements: vomiting, fainting, ability to work and bed rest when menstruation comes.
Detailed explanation.
There are primary and secondary dysmenorrhea. Primary dysmenorrhea is caused by a gynecological examination that does not reveal any significant abnormalities in the uterus or pelvis, and the self-healing rate of this type of dysmenorrhea increases with age. Because the occurrence of primary dysmenorrhea is sometimes related to endocrine factors, taking contraceptive pills to suppress ovulation after marriage can make the dysmenorrhea disappear. If there are obvious lesions in the reproductive organs, such as endometriosis, pelvic inflammatory disease, tumors and other causes of dysmenorrhea, it is called secondary dysmenorrhea. There are also local factors such as uterine muscle spasm, increased tension in the uterine isthmus, excessive tilting and flexion of the uterus, narrowing of the cervical opening and uterine malformation. When the pain is severe, the patient’s face is pale, cold sweat, cold hands and feet, nausea, vomiting and even fainting and deficiency. So long-term dysmenorrhea should not be ignored, especially for women of childbearing age little dysmenorrhea may affect fertility.
2.Ovulatory abdominal pain
Surface phenomenon: some girls always have abdominal pain half a month after menstruation, generally manifested as hidden pain or distension, sometimes left and sometimes right, for a short period of time.
Measure: Because the ovaries on both sides alternate ovulation, abdominal pain occurs alternately in the lower abdomen on both sides, sometimes accompanied by bleeding.
Detailed explanation.
Since the onset of menstruation, a woman’s ovaries expel a mature egg every month. The ovary then ruptures the fibrous tissue, occasionally causing pain from damage to small blood vessels and nerves. In addition, a small amount of fluid from the oocyte spills out into the abdominal cavity during ovulation, irritating the peritoneum and causing abdominal pain. Ovulatory bleeding may occur in 20% of patients with ovulatory abdominal pain, but the bleeding is small and of short duration. Ovulatory abdominal pain is a normal physiological phenomenon. Therefore, patients do not need to be alarmed and worried about it, as the symptoms will gradually decrease with age.
3.Endometriosis
Superficial phenomena: symptoms such as dysmenorrhea, menstrual disorders, infertility, fever, painful intercourse and acute abdominal pain.
Measurements: The pain caused by endometriosis is mostly located in the lower abdomen and lumbosacral region, and may radiate to the vagina, perineum, anus or thighs.
Detailed explanation.
The endometrium should grow inside the uterine cavity. If it grows outside the uterine cavity (except for the myometrium), it is endometriosis. Progressive dysmenorrhea in which the pain gradually increases with the aggravation of the lesion is a characteristic of this disease. As the endometrial debris shed during menstruation flows backwards with menstrual blood, it enters the abdominal cavity via the fallopian tubes and is planted on the surface of the ovaries or other parts of the pelvis, producing pain. Patients with endometriosis tend to be aged 25-49 years old, which correlates with the age of menarche. Young age of menarche, early menstrual blood reflux, and more chances of endometrial implantation. The incidence of infertility in this disease is 20% to 66%, so it should be paid great attention to women.
4.Ectopic pregnancy
Surface phenomenon: tearing-like pain on one side of the lower abdomen with nausea, feeling of stool, and feeling of falling.
Measurements: sudden abdominal pain, as well as a 6-8 week history of menopause and irregular vaginal bleeding.
Detailed explanation.
Ectopic pregnancy is a pregnancy outside the uterus, especially tubal pregnancy which accounts for more than 95% of cases. Ectopic pregnancy occurs mainly due to chronic tubal inflammation, which leads to partial adhesions or narrowing of the lumen; dysplasia or abnormal function of the fallopian tubes; failure of contraception due to downward migration or change in the position of the intrauterine device; and compression by tumors around the fallopian tubes. Ectopic pregnancy can be prevented, mainly by paying attention to personal hygiene (sexual hygiene), reducing gynecological inflammation and thorough treatment of tubal infection. If you have an intrauterine device, you should have regular checkups; if you have a history of menopause and vague pain in the lower abdomen, you should not take hemostatic drugs indiscriminately and should seek medical attention promptly. Ectopic pregnancy is one of the common acute abdominal diseases in obstetrics and gynecology, causing great pain to women of childbearing age, and can be life-threatening if not diagnosed and actively rescued in time.
5. Acute pelvic inflammatory disease
Surface phenomenon: lower abdominal pain, fever, increased vaginal discharge and even chills, high fever, headache and loss of appetite are present.
Measurements: The main manifestation is abdominal pain, if there is abscess formation, there may be lower abdominal mass and local pressure irritation symptoms, such as bladder irritation symptoms and rectal irritation symptoms, which are persistent.
Detailed explanation.
The female reproductive tract has a relatively well-developed defense function, but when the body’s immune system is low, endocrine level changes or foreign adverse factors destroy this defense function, some of the original resident flora may cause infection. Acute pelvic inflammatory disease often occurs after childbirth, miscarriage, and uterine surgical operations. Bacteria are invaded by the uterus and the patient develops lower abdominal pain and fever. If the inflammation spreads deeper into the uterus, it is often accompanied by severe abdominal pain as well as chills and high fever. The patient may also suffer from acute pelvic inflammation due to poor menstrual hygiene, menstrual intercourse, inflammation of other pelvic organs, or chronic pelvic inflammation with a recent decrease in body resistance. The actual fact is that the actual person is not a person who is not a person who is not a person.
6. Genital malignancy
Surface phenomenon: sudden onset of severe pain in the lower abdomen, nausea, vomiting, accompanied by pressure pain.
Measurements: sudden onset of severe pain in the lower abdomen on the sick side at the beginning of the disease, and obvious masses can be palpated at this time.
Detailed explanation.
Tei torsion is one of the complications of ovarian tumor and a common acute abdominal condition in gynecology. Ovarian tumor is a common tumor of female reproductive system, mostly occurring in the age of 20-50. About 10% of ovarian tumors can undergo torsion, which is mostly seen in cystic teratomas of medium size, large mobility, long tissues, with the center of gravity on one side, mostly occurring during pregnancy and sudden change of body position. The tissues of ovarian tumors are composed of the pelvic funnel ligament, the fallopian tube and the ovarian tumor tip. When acute torsion occurs, the venous return of the tumor is blocked and necrosis ensues, and even rupture leads to peritonitis. Ovarian tumors are the most common site of tumors, and about 10% of the cases of ovarian tumors will undergo torsion.
In the early stage of malignant ovarian tumor, there are no conscious symptoms, but because of the rapid growth of tumor, symptoms such as abdominal distension and abdominal discomfort may appear soon. When the cancer tumor infiltrates into the surrounding tissues or adheres to other tissues in the pelvis or compresses the nerves, it may cause continuous severe abdominal pain, lumbago and sciatica.
7.Pelvic stasis syndrome
Surface phenomenon: Some women, especially some women of childbearing age, often have abdominal pain but cannot tell where it is. As the condition progresses, the pain in the small abdomen gradually increases and develops into small abdominal cramps with low back pain.
Measurements: increased leucorrhea after exertion, after sex, during defecation, fatigue, breast tenderness, vulvar and vaginal cramps, frequent urination, dysmenorrhea, irregular menstruation, lumbago, and lower limb discomfort.
Detailed explanation.
Women’s pelvic blood vessel wall is thin, and the lack of venous valves, coupled with the bladder, rectum and genital three system veins through each other, blood volume, when people stand or sit, blood flow to the lower, so the pelvic often occur blood stasis. The pelvic cavity is often likened to the “floodplain” in a woman’s body. Endometritis, cervicitis, pelvic inflammatory disease and endometriosis and other gynecological diseases; multiple abortions; long-term constipation, long-term sedentary, long-term standing, long-term intercourse interruption method of contraception; uterine prolapse, cervical erosion, pelvic floor relaxation of women, are prone to pelvic vascular elongation, relaxation and tortuous, the formation of stagnation phenomenon. In addition, some inflammation of the bladder and rectum can also lead to pelvic stasis.