What causes pain under the belly button in women?

Women are very prone to abdominal pain, which is usually related to the occurrence of gynecological diseases. There are many reasons for pain under a woman's belly button, but it is difficult to determine the specific cause based on just one symptom. We need to have a full understanding of the possible symptoms and make a comprehensive judgment based on our own situation so that we can figure out what is going on. So, what is the reason for pain under women’s belly button? Let’s take a look below.

1. Ovulation abdominal pain

Adolescent women may experience mild abdominal pain during ovulation, but this is physiological and is often manifested as unilateral lower abdominal pain, dull pain, or heaviness-like pain. The pain usually lasts only one to two days and disappears without treatment.

2. Dysmenorrhea

This is the most common abdominal pain, which can be divided into primary and secondary types. The causes of primary dysmenorrhea are related to prostaglandin levels in the body, cold, and emotional and psychological factors, and generally heal themselves after marriage; while the common causes of secondary dysmenorrhea are endometriosis and adenomyosis. The symptoms include gradually increasing pain, often in a cyclical manner, or dull pain in the lower abdomen during non-menstrual periods that worsens before and after menstruation. In addition, it is often accompanied by infertility and menstrual disorders, which often require drug treatment.

3. Ovarian Corpus Luteum Rupture

This is caused by excessive bleeding in the corpus luteum, accompanied by sudden onset of abdominal pain in the lower abdomen or one side, and in severe cases, shock may occur. This type of abdominal pain usually occurs around the 20th day of the menstrual cycle, with lower abdominal pain that varies in severity.

4. Ovarian cyst pedicle torsion or rupture

This is because the cyst has a long pedicle, a large volume, no adhesions to the surrounding area, and is highly mobile, and twists when affected by intestinal peristalsis or changes in body position. When the pedicle of an ovarian tumor is twisted, pain suddenly occurs on one side of the lower abdomen, which is persistent colic, often accompanied by nausea and vomiting; there may be obvious tenderness and muscle tension in the abdomen; digital rectal examination may reveal swollen and tender appendages.

5. Pregnancy-related diseases

Abdominal pain caused by pregnancy-related diseases can be seen in threatened abortion, ectopic pregnancy, etc. Taking ectopic pregnancy as an example, dull pain or distension in the adnexal area on the affected side may occur. The pain symptoms vary depending on the amount and speed of bleeding.

6. Acute appendicitis

Acute appendicitis is a surgical disease, but it needs to be differentiated from gynecological diseases. About 70% to 80% of patients initially feel pain in the upper abdomen or around the navel, which then moves to the right lower abdomen a few hours later. The pain of simple appendicitis is limited to the right lower abdomen and may be continuous or paroxysmal. The disease generally requires surgical resection.

7. Psychogenic abdominal pain

For example, a girl with school phobia is afraid to go to school and take exams. If the patient is forced to go to school, she will experience anxiety and anxiety-related physical discomfort, such as pale complexion, rapid heart rate, rapid breathing, unbearable abdominal pain, vomiting, headache and dizziness. Some patients have visited the doctor for severe abdominal pain many times, but the results of various examinations were normal. Once the patient is allowed to temporarily take a leave of absence from school, the anxiety and discomfort symptoms will soon be relieved and the abdominal pain will disappear immediately.