Left Lower Abdominal Pain: Symptoms and When to Seek Help

Left lower abdominal pain (left side of the uterus)?

For the past two weeks, I have been experiencing unusual sensations in my lower left abdomen (on the left side of the uterus).
When I squat down, it feels like something is stuck in that area.
I previously consulted a gynecologist about three days before my period and had an ultrasound done.
At that time, they mentioned a small cyst next to the uterus, which the doctor said was normal and about 3 centimeters in size, indicating that it was not a concern.
They suggested that the sensation might be due to the cyst pressing on the uterus, possibly combined with some hormonal imbalance.

During a follow-up visit, another ultrasound showed that the cyst had disappeared.
Although I am experiencing similar sensations this time, I now also feel discomfort in my lower left abdomen that radiates down to my thigh, calf, and heel, accompanied by a sense of weakness in my legs.
The discomfort used to come in waves, but now it lasts longer.
Additionally, my period is due, but it has only been brown discharge with very little flow.
My menstrual cycle has always been irregular, and in recent years, I have experienced severe pain during my period that causes cold sweats and difficulty breathing.

I would like to inquire about the possible symptoms related to the discomfort in my lower left abdomen and legs.
Would it be advisable to avoid seeing a doctor? Currently, due to the pandemic and my location being far from most gynecological clinics, it is somewhat inconvenient for me to seek medical attention, so I would appreciate your guidance.

Tang Tang, 20~29 year old female. Ask Date: 2021/07/21

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
The symptoms are too broad and vague; it is recommended to visit an outpatient clinic for examination and evaluation by a specialist in obstetrics and gynecology.
2.
"Vaginal infections" can cause abnormal discharge, perineal itching, odor, burning sensation during urination, frequent urination, and bleeding.
In more severe cases, it may lead to abdominal pain or fever.

Reply Date: 2021/07/21

More Info

Left lower abdominal pain can be a complex symptom that may arise from various underlying conditions, particularly in women, where gynecological issues are often at play. Given your history of experiencing discomfort in the left lower abdomen, especially in relation to your menstrual cycle, it is essential to consider several potential causes and when to seek medical attention.

Possible Causes of Left Lower Abdominal Pain
1. Ovarian Issues: Conditions such as ovarian cysts, which you mentioned previously, can cause discomfort. While your doctor indicated that a small cyst was normal, cysts can sometimes cause pain if they rupture or become larger. The fact that you felt a sensation of something being "stuck" could relate to ovarian activity, especially if there are hormonal fluctuations.

2. Endometriosis: This is a condition where tissue similar to the lining inside the uterus grows outside it, often leading to significant pain, especially during menstruation. The pain can radiate to the legs and lower back, which aligns with your symptoms of discomfort extending to your thigh and calf.

3. Pelvic Inflammatory Disease (PID): This infection of the female reproductive organs can cause lower abdominal pain and may be accompanied by other symptoms such as unusual discharge or fever.

4. Musculoskeletal Issues: Sometimes, pain in the lower abdomen can be related to muscle strain or issues with the pelvic floor. If you've been experiencing changes in your activity level or posture, this could contribute to discomfort.

5. Gastrointestinal Issues: Conditions like irritable bowel syndrome (IBS) or diverticulitis can also manifest as lower abdominal pain. Given your description of the pain being associated with certain movements, gastrointestinal causes should not be overlooked.

When to Seek Medical Help
While some discomfort can be managed at home, there are specific circumstances where you should seek medical attention:
- Severe Pain: If the pain escalates to a level that is unbearable or significantly impacts your daily activities, it is crucial to consult a healthcare provider.

- Changes in Menstrual Cycle: Since you mentioned irregular periods and significant pain during menstruation, any drastic changes in your cycle warrant a medical evaluation.

- Associated Symptoms: If you experience fever, vomiting, or any unusual discharge, these could indicate a more serious condition that requires immediate attention.

- Persistent Symptoms: If the pain persists for more than a few days or continues to worsen, it is advisable to seek medical advice, even if it is inconvenient.

Recommendations
Given the complexity of your symptoms and the potential for various underlying causes, it would be beneficial to consult a gynecologist or a primary care physician who can perform a thorough evaluation. They may recommend imaging studies, such as an ultrasound or MRI, to assess your reproductive organs and rule out conditions like endometriosis or ovarian cysts.
In the meantime, keeping a symptom diary can be helpful. Note when the pain occurs, its intensity, any associated symptoms, and your menstrual cycle details. This information can provide valuable insights to your healthcare provider.

Conclusion
While it can be challenging to navigate healthcare access, especially during the pandemic, prioritizing your health is essential. If your symptoms persist or worsen, consider reaching out to a healthcare provider, even if it requires some effort. Early diagnosis and treatment can significantly improve your quality of life and prevent potential complications.

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