Menstrual pain, also known as dysmenorrhea, refers to the discomfort and pain experienced during menstruation. It can manifest as cramping in the lower abdomen, back
Hello, doctor.
I would like to ask about my wife.
She had a miscarriage a year ago, and recently, during her menstrual periods over the last two months, she has been experiencing severe lower abdominal pain and a sensation of coldness in her abdomen.
Even with three layers of blankets, she still feels cold.
During her last menstrual period, which was just over a week ago, she felt even more pain and coldness in her abdomen, describing it as if there were ice cubes inside.
In the days following her period, the cold sensation has subsided, but she still experiences abdominal pain, especially when the weather is cold.
Additionally, during intercourse over the past two days, she has also felt significant pain, which made me hesitant to continue.
What do you think could be the situation? I am very concerned about her...
Ān Dōng Ní, 30~39 year old female. Ask Date: 2019/02/04
Dr. Lin Manying reply Obstetrics and Gynecology
Hello Mr.
Anthony: After undergoing an abortion, it is important to consider the possibility of cervical adhesions or pelvic inflammatory disease; however, these may also occur as independent events, such as with endometriomas.
It is recommended that you visit a gynecologist for examination and treatment.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.
Reply Date: 2019/02/04
More Info
Menstrual pain, also known as dysmenorrhea, can be a common experience for many women, especially after undergoing procedures such as an abortion. In your wife's case, her symptoms of severe abdominal pain, a sensation of coldness in the abdomen, and pain during intercourse could be indicative of several underlying issues that warrant further investigation.
Firstly, it is essential to understand that menstrual pain can arise from various causes. Primary dysmenorrhea is often related to the natural hormonal changes that occur during the menstrual cycle, leading to uterine contractions. However, secondary dysmenorrhea, which is pain caused by underlying reproductive health issues, could be a significant concern, especially after an abortion.
Given that your wife experienced an abortion a year ago, it is crucial to consider the possibility of complications that could arise from the procedure. One potential issue is the development of scar tissue or adhesions in the pelvic area, which can lead to chronic pain. This condition, known as pelvic adhesions, can occur when the body forms scar tissue after surgery, potentially causing organs to stick together and resulting in pain during menstruation or sexual activity.
Another possibility is endometriosis, a condition where tissue similar to the lining of the uterus grows outside the uterus. This can lead to severe menstrual pain, pain during intercourse, and other symptoms. The sensation of coldness in the abdomen is less typical but could be related to the body's response to pain or inflammation.
Infections are also a concern, particularly if there were any complications during or after the abortion. Pelvic inflammatory disease (PID) can occur when bacteria infect the reproductive organs, leading to pain, fever, and other symptoms. If your wife has experienced any unusual discharge, fever, or other systemic symptoms, it would be essential to seek medical attention promptly.
Additionally, hormonal imbalances can lead to irregularities in the menstrual cycle and increased pain. Conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders can contribute to these symptoms. A thorough evaluation by a healthcare provider, including blood tests and imaging studies, may be necessary to rule out these conditions.
Given your wife's ongoing symptoms, it is crucial to encourage her to seek medical attention. A gynecologist can perform a comprehensive evaluation, including a pelvic exam, ultrasound, or other imaging studies, to determine the underlying cause of her pain. Treatment options may vary depending on the diagnosis but could include pain management strategies, hormonal therapies, or surgical interventions if necessary.
In the meantime, managing pain with over-the-counter medications such as NSAIDs (if appropriate) may provide some relief. However, it is essential to consult with a healthcare provider before starting any new medication, especially considering her history.
In conclusion, your wife's symptoms of severe menstrual pain, cold sensations in the abdomen, and pain during intercourse should not be overlooked. It is vital to seek medical evaluation to identify the underlying cause and develop an appropriate treatment plan. Early intervention can significantly improve her quality of life and address any potential complications stemming from her previous abortion.
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