Dull pain in left lower abdomen after sex

For women, if they experience dull pain in the lower abdomen after sexual intercourse, they should be alert, unless other reasons other than intense sexual intercourse are ruled out. Then it is very likely caused by some gynecological diseases, the most common of which are pelvic inflammatory disease and adnexitis. At this time, you should go to the hospital for B-ultrasound examination, then determine the cause and receive timely treatment.

Why are women more likely to get pelvic inflammatory disease?

1. Spread of inflammation to adjacent organs: The most common occurrence is when appendicitis and peritonitis occur. Since they are adjacent to the female internal reproductive organs, the inflammation can spread directly and cause female pelvic inflammation. When suffering from chronic cervicitis, the inflammation can also cause pelvic connective tissue inflammation through the lymphatic circulation.

2. Not paying attention to hygiene during menstruation: During menstruation, the endometrium is exfoliated, the blood sinuses in the uterine cavity are open, and blood clots exist, which are good conditions for bacterial growth. If you do not pay attention to hygiene during menstruation, use sanitary napkins or toilet paper that do not meet hygiene standards, or have sexual intercourse, it will provide bacteria with an opportunity for retrograde infection and lead to pelvic inflammatory disease. 3. Postpartum or post-abortion infection: The patient is weak after childbirth or miscarriage, and the cervical opening has not yet closed well after dilation. At this time, the bacteria in the vagina and cervix may ascend and infect the pelvic cavity. 4. Infection after gynecological surgery: When performing artificial abortion, IUD insertion or removal, tubal insufflation, salpingography, endometrial polyp removal, or submucosal uterine myoma removal, if the disinfection is not strict or there is chronic inflammation of the reproductive system, postoperative infection may occur. Some patients do not pay attention to personal hygiene after surgery, or do not follow the doctor's orders after surgery and resume sexual life too early, which can also allow bacteria to ascend and cause pelvic inflammatory disease.

What are the dangers of pelvic inflammatory disease?

1. Recurrent attacks: The main reason is the destruction of the fallopian tube tissue structure caused by pelvic inflammatory disease. If the patient is still under the same high-risk factors, pelvic inflammatory disease may be reinfected, leading to recurrent attacks. 2. Pelvic inflammatory disease can easily turn into chronic pelvic pain, and chronic pelvic pain can easily remain after an acute pelvic inflammatory disease attack. It usually occurs 4-8 weeks after an acute attack of pelvic inflammatory disease. And the possibility of occurrence increases with the number of pelvic inflammatory disease attacks. 3. Pelvic inflammatory disease can easily lead to infertility. The incidence of infertility is related to the number of attacks of pelvic inflammatory disease. Relevant studies show that the first attack of pelvic inflammatory disease has a minimum infertility rate of 8% and a maximum infertility rate of 13%. , and the lowest infertility rate during the third attack is 40%, and the highest infertility rate is 60%. 4. Pelvic inflammatory disease can easily lead to ectopic pregnancy. The incidence of ectopic pregnancy after pelvic inflammatory disease is 8-10 times that of normal women. The incidence of ectopic pregnancy is also related to the number of pelvic inflammatory disease attacks. Relevant studies have shown that the incidence of ectopic pregnancy during the first attack of pelvic inflammatory disease is 6%, the second attack is 12%, and the third attack is 22%.

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