Lower Abdominal Pain: Causes and Concerns for Women

Q: Lower Abdominal Pain: Causes and Concerns for Women

Dear Miss Sisi： Regarding the issue you raised, the first step is to take a pregnancy test. <br>It is recommended to visit an obstetrics and gynecology clinic for an ultrasound examination. <br>If the test shows no pregnancy and your period is more than seven days late, it is adv

Lower abdominal pain?

Hello: Since the evening of September 23rd, I have been experiencing intermittent short-lived pain in my lower abdomen.
Sometimes it feels like cramping, and other times it resembles menstrual pain.
Recently, I have also had symptoms of constipation, but I experience pain when I do go to the bathroom.
My period has been absent for almost 20 days.

Si Si, 20~29 year old female. Ask Date: 2017/09/27

Dr. Lin Manying reply Obstetrics and Gynecology

Dear Miss Sisi: Regarding the issue you raised, the first step is to take a pregnancy test.
It is recommended to visit an obstetrics and gynecology clinic for an ultrasound examination.
If the test shows no pregnancy and your period is more than seven days late, it is advisable to consider menstrual induction.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2017/09/27

More Info

Lower abdominal pain in women can arise from a variety of causes, and understanding these potential issues is crucial for effective management and treatment. Given your symptoms of intermittent cramping, menstrual irregularities, and constipation, it’s essential to consider several possible underlying conditions.

1. Menstrual Irregularities: The absence of menstruation for nearly 20 days, coupled with abdominal pain, may indicate hormonal imbalances or conditions such as polycystic ovary syndrome (PCOS) or stress-related amenorrhea. Hormonal fluctuations can lead to changes in the menstrual cycle, and stress or anxiety can exacerbate these issues.

2. Gastrointestinal Issues: Your mention of constipation is significant. Constipation can lead to abdominal pain due to increased pressure in the intestines. Conditions such as irritable bowel syndrome (IBS) can cause cramping and discomfort, often exacerbated by dietary choices or stress. It’s important to maintain a diet rich in fiber and stay hydrated to alleviate constipation.

3. Gynecological Conditions: Conditions such as ovarian cysts, endometriosis, or pelvic inflammatory disease (PID) can cause lower abdominal pain. Ovarian cysts can lead to sharp, intermittent pain, especially if they rupture. Endometriosis can cause severe cramping and pain during the menstrual cycle and may lead to irregular periods. PID, often resulting from sexually transmitted infections, can cause pain and discomfort in the lower abdomen.

4. Urinary Tract Issues: Infections or stones in the urinary tract can also present as lower abdominal pain. Symptoms may include pain during urination, frequent urination, or blood in the urine. If you experience any of these symptoms, it’s important to seek medical attention.

5. Psychological Factors: Anxiety and stress can manifest physically, leading to muscle tension and gastrointestinal disturbances. Your history of anxiety may contribute to your symptoms, as stress can exacerbate both abdominal pain and gastrointestinal issues.

Given these possibilities, it is crucial to consult with a healthcare provider for a thorough evaluation. They may recommend a pelvic exam, ultrasound, or other diagnostic tests to determine the exact cause of your symptoms. In the meantime, keeping a symptom diary, noting when the pain occurs, its intensity, and any accompanying symptoms, can provide valuable information for your healthcare provider.

In summary, lower abdominal pain in women can stem from a variety of causes, including menstrual irregularities, gastrointestinal issues, gynecological conditions, urinary tract problems, and psychological factors. A comprehensive evaluation by a healthcare professional is essential to identify the underlying cause and develop an appropriate treatment plan. It’s important to address both the physical and emotional aspects of your health to achieve the best outcomes.

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