Lower Abdominal Pain: Ovarian Cysts, Fibroids, and More

Lower abdominal pain?

On April 14, after experiencing bleeding following non-invasive sexual activity, I visited a gynecologist who informed me that I have an ovarian cyst and uterine fibroids, both currently measuring less than 3 centimeters.
Additionally, there is cervical ectropion and polyps present, but the doctor did not prescribe any specific medication and advised me to have regular follow-ups.
I would like to ask:
1.
I am experiencing occasional bloating and pain in the lower left abdomen, which I believe is where the ovary is located (not necessarily during the ovulation cycle).
What could be causing this? How should I treat or address it?
2.
Will cervical ectropion resolve on its own? Is any treatment necessary?
3.
Could the polyps be the reason for the post-coital bleeding? If the polyps are not removed, can I still engage in normal sexual activity? What would the doctor's recommendations be?
4.
For the gynecological symptoms mentioned above, is regular monitoring sufficient, or should I seek medical attention if any concerning symptoms arise? Thank you for your response, and I appreciate your help!

su, 20~29 year old female. Ask Date: 2021/04/17

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
Vaginal infections can cause abnormal discharge, itching, fever, bleeding, and intermittent lower abdominal pain, which are among the most common symptoms in women.
The causes are numerous, and treatment methods require comprehensive health education.
It is recommended to consult a gynecologist for evaluation in an outpatient setting.

2.
Abnormal bleeding from polyps warrants an evaluation by a gynecologist to assess the necessity of surgical treatment.

3.
Regular follow-up is important because some conditions need to be observed over time to determine if further intervention is necessary.

Reply Date: 2021/04/17

More Info

Understanding lower abdominal pain can be complex, especially when it involves conditions like ovarian cysts, fibroids, and cervical issues. Based on your situation, let’s address your questions one by one.

1. Left Lower Abdominal Pain: The pain you are experiencing in the left lower abdomen, which corresponds to the location of the left ovary, could be attributed to several factors. Ovarian cysts, even when small, can cause discomfort or pain due to their size, location, or if they rupture. Additionally, the presence of uterine fibroids can also contribute to pelvic pain, as they can exert pressure on surrounding structures. Other potential causes include muscular strain, gastrointestinal issues (like irritable bowel syndrome), or even referred pain from other areas. To manage this pain, it’s essential to maintain regular follow-ups with your healthcare provider. They may recommend pain management strategies, lifestyle modifications, or further imaging studies if the pain persists or worsens.

2. Cervical Eversion: Cervical eversion, or ectropion, is a condition where the cells from the inside of the cervical canal grow on the outside of the cervix. This condition is generally benign and often resolves on its own. However, if it causes symptoms such as abnormal bleeding or discharge, your doctor may suggest treatments. Regular monitoring is usually sufficient unless complications arise.

3. Cervical Polyps and Post-Coital Bleeding: Cervical polyps can indeed be a source of post-coital bleeding. These growths are typically benign, but they can cause bleeding if they are irritated during intercourse. If the polyps are small and asymptomatic, your doctor may recommend monitoring them. However, if they cause significant bleeding or discomfort, removal may be advised. Engaging in sexual activity with cervical polyps is generally safe, but it’s crucial to communicate with your healthcare provider about any bleeding or discomfort you experience.

4. Monitoring Gynecological Symptoms: Regular follow-ups are essential for managing your gynecological health, especially with the presence of ovarian cysts, fibroids, and cervical polyps. You should be vigilant for any changes in your symptoms, such as increased pain, changes in menstrual patterns, or any unusual bleeding. If you experience severe pain, fever, or any other concerning symptoms, it is crucial to seek medical attention promptly.
In summary, while many of your symptoms may be benign and manageable with regular monitoring, it’s essential to maintain open communication with your healthcare provider. They can help you navigate your symptoms and determine the best course of action based on your individual health needs. Regular check-ups and being proactive about any changes in your condition will help ensure your reproductive health remains a priority.

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