Abdominal pain and abnormal leucorrhea

Abdominal pain and leucorrhea are usually seen in gynecological inflammatory diseases such as vaginitis and pelvic inflammatory disease, but some other gynecological diseases such as endometriosis, submucosal fibroids and cervical cancer can also manifest as abnormal abdominal pain and leucorrhea. The symptoms include increased vaginal discharge, itching, burning and painful intercourse. You should go to the hospital to check the vaginal pH, amine test and clue cell test to determine what kind of pathogenic bacteria is infected and then choose the appropriate medication. 2. It can be done through gynecological examination, cervical secretion culture, combined with ultrasound, blood routine, CRP, etc., and also check the urethral secretions of the male partner to assist in the diagnosis, if the pathogenic bacteria are detected, it is necessary to give 10-14 days of anti-infection treatment according to the drug sensitivity results, and the couple is treated together; after treatment, it is necessary to strengthen physical exercise and pay attention to personal sexual physiological hygiene to avoid recurrent attacks. Second, other gynecological diseases 1, endometriosis: often have abnormal vaginal discharge with dysmenorrhea performance, feasible ultrasound and laparoscopy to confirm the diagnosis. The treatment needs to be based on the patient’s age, fertility needs and cyst size, etc. Non-steroidal anti-inflammatory drugs and progestin therapy, such as naproxen, metformin, etc., can be selected. In severe cases, symptoms such as general weakness, pallor, shortness of breath, and panic may occur. Ultrasonography should be performed to confirm the diagnosis, and hysteroscopic myomectomy or hysterectomy can be chosen as the treatment. 3. Cervical cancer: it can be manifested as increased vaginal discharge with odor, and later it can be manifested as bloody discharge, which can lead to abdominal pain due to infiltration of the mass and combined with infection. It is recommended to improve the cervical mass aspiration biopsy and take targeted treatment according to specific typing and staging. Regardless of the disease, patients should pay attention to personal hygiene in daily life, wash the perineum with water every day to avoid local bacterial infections, change underwear regularly, and can be placed in the sun to disinfect.