If a woman experiences amenorrhea and lower abdominal pain, she should pay attention to it. Normally, amenorrhea occurs only during pregnancy. If amenorrhea occurs without pregnancy, it is often caused by some gynecological inflammation. If lower abdominal pain occurs at this time, she should be alert to ectopic pregnancy. In addition, if ovarian cysts occur and torsion occurs, it is also an important cause of lower abdominal pain. What is the cause of menstrual lower abdominal pain 1. Ectopic pregnancy rupture pain keywords: severe, tearing abdominal pain Pain intensity: ★★★★★ Ectopic pregnancy refers to the implantation of the fertilized egg in a place where it should not be (outside the uterine cavity). Ectopic pregnancy rupture is one of the most common causes of gynecological acute abdomen. As women pay more attention to their own health, they will go to the hospital in time if any abnormality is found. Therefore, there are fewer and fewer patients with ectopic pregnancy rupture. However, if an ectopic pregnancy is not discovered in time, the gestational sac will grow in the fallopian tube and penetrate the wall of the fallopian tube, which will cause the ectopic pregnancy to rupture. 2. Ovarian cyst pedicle torsion Pain keywords: Paroxysmal colic Pain intensity: ★★★★★ Ovarian cyst pedicle torsion refers to the twisting of the blood vessels supplying the ovarian cyst and the ligaments attached to the cyst, which causes ischemia of the ovarian cyst and even rupture and necrosis, causing severe abdominal pain, mostly paroxysmal colic, and is also one of the common gynecological acute abdomen. About 10% of ovarian cysts will experience pedicle torsion, which mainly occurs in tumors with long pedicles, medium size, good mobility, and center of gravity biased to one side, and often occurs when the body position changes suddenly. 3. Acute pelvic inflammatory disease Pain keywords: Severe pain in the lower abdomen Pain intensity: ★★★★ Some acute pelvic inflammatory diseases can also cause severe pain in the lower abdomen, but the pain symptoms are not as severe as ovarian cyst pedicle torsion. Patients with acute pelvic inflammatory disease generally have no history of amenorrhea and most have no symptoms of irregular vaginal bleeding, but may form adnexal abscesses. Clinical manifestations: Patients with acute pelvic inflammatory disease often have symptoms similar to those of acute appendicitis, but without typical symptoms of migratory pain. In addition, the abdominal tenderness point is lower, and there is often excessive vaginal discharge that is purulent and has a foul odor, obvious tenderness on both sides of the uterus, and symptoms of infection such as high fever. 4. Miscarriage pain Keywords: severe lower abdominal pain Pain intensity: ★★★ The lower abdominal pain caused by miscarriage is mainly because the product of conception has not yet been discharged from the uterus, causing uterine contraction and lower abdominal pain. The pain can be relieved as the tissue in the uterine cavity is discharged. A clear diagnosis can be made based on the patient's medical history, symptoms and corresponding auxiliary examinations. |
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