Abdominal pain
Doctor, I have a question.
I had sexual intercourse with my girlfriend, and we used a condom properly.
However, she is experiencing a dull pain in the lower left side of her abdomen, and her abdomen seems a bit distended.
What could this indicate? Is it some kind of disease or inflammation?
A Jun, 10~19 year old female. Ask Date: 2018/06/21
Dr. Yan Sumei reply Traditional Chinese Medicine
Dear Netizen,
Thank you for your letter.
The dull pain in the lower left abdomen, along with some abdominal distension, could be due to several possibilities: food poisoning, constipation, the onset of menstruation, bloating, or abdominal inflammation.
If you are concerned about issues related to the uterus, ovaries, or pregnancy, it is advisable to take your girlfriend to see a gynecologist for an examination.
Wishing you health and safety!
Yours sincerely,
Yen Su-Mei,
Department of Traditional Chinese Medicine, Nantou Hospital
Reply Date: 2018/06/21
More Info
Left lower abdominal pain can be a concerning symptom, especially when accompanied by other signs such as swelling or discomfort. Given the context of your question, it’s important to consider a variety of potential causes, especially since your girlfriend has recently engaged in sexual activity. While the use of protection significantly reduces the risk of sexually transmitted infections (STIs) and unintended pregnancy, it does not eliminate all risks.
Possible Causes of Left Lower Abdominal Pain
1. Ovarian Issues: One of the most common causes of left lower abdominal pain in women is related to the ovaries. Conditions such as ovarian cysts, which can be functional or pathological, may cause pain. If a cyst ruptures, it can lead to sudden, severe pain and possibly internal bleeding.
2. Ectopic Pregnancy: Although you mentioned that protection was used, it’s still important to consider the possibility of an ectopic pregnancy, where a fertilized egg implants outside the uterus, often in a fallopian tube. This condition can cause severe pain and is a medical emergency.
3. Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs, often caused by STIs. PID can lead to significant abdominal pain, fever, and unusual discharge. It’s crucial to seek medical attention if PID is suspected, as it can lead to serious complications if left untreated.
4. Gastrointestinal Issues: Conditions such as diverticulitis, which is the inflammation of small pouches that can form in the walls of the intestines, can also cause left lower abdominal pain. Other gastrointestinal issues, such as constipation or irritable bowel syndrome (IBS), may present with similar symptoms.
5. Urinary Tract Issues: Infections or stones in the urinary tract can cause pain in the lower abdomen, particularly if they are located on the left side. Symptoms may include painful urination, increased frequency, or blood in the urine.
6. Musculoskeletal Pain: Sometimes, pain in the lower abdomen can be related to muscle strain or injury, especially if there has been recent physical activity or unusual movements.
When to Seek Medical Attention
Given the symptoms described—persistent left lower abdominal pain and abdominal swelling—it is advisable for your girlfriend to seek medical evaluation. A healthcare provider will likely perform a physical examination and may recommend imaging studies, such as an ultrasound, to assess for ovarian issues, ectopic pregnancy, or other abdominal conditions.
Conclusion
While there are many potential causes for left lower abdominal pain, it is essential to approach this symptom with caution, especially in the context of recent sexual activity. Early diagnosis and treatment can prevent complications and ensure better health outcomes. Encourage your girlfriend to consult a healthcare professional as soon as possible to determine the underlying cause of her symptoms and receive appropriate care.
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