Right Abdominal Pain: When to Consult a Gynecologist - Obstetrics and Gynecology

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Hello, doctor: Recently, I've been feeling some pain on both sides of my abdomen, and sometimes I also experience a tingling sensation in the upper part of my thighs.
The main issue is that the pain is primarily on the right side (sometimes it doesn't hurt but feels bloated).
My mother mentioned that the area where I feel pain might be related to my ovaries, but I'm not sure.
The day before yesterday, I visited a traditional Chinese medicine doctor for a headache and casually asked him about this issue.
He mentioned that if there is pain, it could possibly be pelvic inflammatory disease or a hernia.
Hearing that made me a bit anxious.
Since I was there for my headache, he didn't elaborate much on this matter.
When I got home, I searched online, but I wonder if I can still have pelvic inflammatory disease since I'm unmarried and not sexually active? Should I see a gynecologist for the pain in my right abdomen? Thank you!

pinggu, 20~29 year old female. Ask Date: 2004/12/05

Dr. Wu Zongcheng reply Obstetrics and Gynecology


Dr.
Wu Tsung-Cheng, the Director of the Department of Obstetrics and Gynecology at Tainan Hospital, responded to Dear Apple: The chances of pelvic inflammatory disease occurring are very low if you are unmarried and have not engaged in sexual intercourse.
Your issue is quite simple and can be resolved.
Please consult an obstetrician-gynecologist for an ultrasound examination to determine if there are any gynecological tumors.
Right abdominal pain can be primarily attributed to: a) gynecological tumors; b) appendicitis; c) intestinal gas; d) ovulation pain.
It would be advisable to visit a gynecology outpatient clinic.
Tainan Hospital wishes you good health and all the best!

Reply Date: 2004/12/05

More Info


When experiencing right abdominal pain, especially if it is accompanied by sensations like tingling or pressure in the upper thigh, it is essential to consider a range of potential causes and when to seek medical advice. Given your age and the specific symptoms you describe, it is prudent to consult a gynecologist, particularly since the pain is localized to the right side of your abdomen, which could be related to gynecological issues.

Right-sided abdominal pain can arise from various sources, including but not limited to gynecological conditions such as ovarian cysts, ectopic pregnancy, or pelvic inflammatory disease (PID). While it is true that PID is often associated with sexually active individuals, it can occur in those who are not sexually active due to other factors, such as infections that may ascend from the lower urinary tract. Therefore, it is not entirely out of the question for someone who is unmarried and not sexually active to experience such conditions.

Your mother’s suggestion that the pain may be related to the ovaries is plausible. Ovarian cysts, for instance, can cause discomfort or pain, particularly if they rupture or become large. Additionally, conditions like endometriosis can also lead to pain in the pelvic region, which may be felt in the lower abdomen or radiate to the thighs.
The tingling sensation in your thigh could be indicative of nerve involvement, possibly due to referred pain from the abdomen or even a musculoskeletal issue. Conditions such as hernias can also present with localized pain and discomfort in the abdomen, particularly if there is pressure or strain in the area.

Given the complexity of abdominal pain and the potential for various underlying conditions, it is advisable to seek a thorough evaluation from a healthcare professional. A gynecologist can perform a pelvic examination and may recommend imaging studies, such as an ultrasound, to assess the ovaries and other pelvic structures. This can help rule out or confirm any gynecological issues.

In addition to gynecological concerns, it is also essential to consider gastrointestinal causes of right-sided abdominal pain, such as appendicitis, which typically presents with pain that starts around the navel and then shifts to the lower right abdomen. Other gastrointestinal issues, such as constipation or irritable bowel syndrome (IBS), could also contribute to your symptoms.

In summary, while it is possible that your symptoms are related to gynecological issues, it is crucial to approach this with a comprehensive view. Consulting a gynecologist is a wise step, as they can provide targeted assessments and treatment options based on your specific symptoms and medical history. Early intervention is key in managing any potential issues effectively, so do not hesitate to seek medical advice.

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