Is Lower Abdominal Pain a Reason to See a Gynecologist?

Abdominal pain and swelling?

Hello, doctor.
A few days ago, I asked about the area 5-6 centimeters below the navel that is swollen and painful.
Should I see a gynecologist for this? Thank you.

yu, 20~29 year old female. Ask Date: 2017/09/19

Dr. Huang Jianzhong reply Obstetrics and Gynecology

If there is swelling and pain in the area 5-6 centimeters below the navel, should I see a gynecologist? Answer: I have already seen a gynecologist; the next step is to consult a surgeon or a gastroenterologist.

Reply Date: 2017/09/19

More Info

Lower abdominal pain can indeed be a significant reason to see a gynecologist, especially when the pain is persistent, severe, or accompanied by other concerning symptoms. The lower abdomen houses several vital organs, including the uterus, ovaries, bladder, and intestines, and pain in this area can arise from various conditions, some of which may be gynecological in nature.

Given your description of pain located about 5-6 centimeters below the navel, it is essential to consider the potential causes. In women, lower abdominal pain can be linked to several gynecological issues, including but not limited to:
1. Ovarian Cysts: These fluid-filled sacs can develop on the ovaries and may cause pain, especially if they rupture or become large.

2. Endometriosis: This condition occurs when tissue similar to the lining inside the uterus grows outside the uterus, leading to severe pain, particularly during menstruation.

3. Uterine Fibroids: As you mentioned in your previous inquiry, fibroids are non-cancerous growths in the uterus that can cause pain, pressure, and other symptoms depending on their size and location.

4. Pelvic Inflammatory Disease (PID): This infection of the reproductive organs can cause significant pain and is often a result of sexually transmitted infections.

5. Ectopic Pregnancy: A serious condition where a fertilized egg implants outside the uterus, often in a fallopian tube, leading to severe pain and potential complications.

6. Menstrual Cramps: Dysmenorrhea can cause significant discomfort during menstruation, which may be felt in the lower abdomen.

7. Urinary Tract Infections (UTIs): While typically associated with urinary symptoms, UTIs can also cause lower abdominal pain.

8. Gastrointestinal Issues: Conditions such as irritable bowel syndrome (IBS), constipation, or diverticulitis can also present as lower abdominal pain.

Given the range of potential causes, it is advisable to consult a gynecologist if you experience persistent or severe pain. A gynecologist can perform a thorough evaluation, which may include a pelvic exam, ultrasound, or other imaging studies, to determine the underlying cause of your pain. They can also assess any related symptoms, such as changes in menstrual cycles, unusual discharge, or gastrointestinal symptoms, which can provide further clues to the diagnosis.

In addition to gynecological assessments, it may also be beneficial to consider other specialists, such as a gastroenterologist, if gastrointestinal issues are suspected. A multidisciplinary approach can ensure a comprehensive evaluation and appropriate management of your symptoms.

In summary, lower abdominal pain is a valid reason to seek medical attention, particularly from a gynecologist, as it can be indicative of various conditions that may require treatment. Early diagnosis and intervention can help manage symptoms effectively and address any underlying health concerns. If you are experiencing this pain, do not hesitate to make an appointment with a healthcare provider to discuss your symptoms in detail.

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