Patient's question:
Duration of onset and persistence: Last Sunday to nowCurrent general condition: Mild pain, similar to the feeling before menstruation
Previous diagnosis and treatment history and effectiveness: Four months ago, a gynecological examination revealed candidal vaginitis
Auxiliary tests: Gynecological examination on Sunday
Other: From last Sunday to now, lower abdominal, leukorrhea with blood streaks, and a substance similar to yellow pus. An ultrasound showed no abnormalities (adnexa and uterus). The doctor diagnosed trichomoniasis vaginitis, prescribed Lize wash solution, oral gynecological leukorrhea tablets, and vaginal medication. The pain always feels like it's about to start menstruation
Doctor's answer:
1. Menstruation: During menstruation, women may experience lower abdominal pain and general discomfort. This is a normal physiological phenomenon and women should not worry. What needs to be cautious is if the pain is severe, which may indicate dysmenorrhea.2. Physiological abnormalities: Such as transverse vaginal septum, hymen atresia, etc. Symptoms are often seen during puberty when menstruation occurs and menstrual blood is obstructed, leading to abdominal pain. This pain is closely related to menstruation and occurs cyclically, requiring prompt medical treatment.
3. Ovulation period: If a woman is in the ovulation period, she may experience lower abdominal distension and pain, which is caused by the rupture of the follicle. Women should not worry, as this ovulation pain does not affect health. However, a small number of people may have larger follicle rupture holes, damaging small blood vessels and causing ovarian rupture with intra-abdominal bleeding, leading to gynecological emergencies. Such cases require immediate medical treatment.
4. Gynecological diseases: The most common is endometriosis, which often forms cysts near the ovaries, uterus, or rectum. This can lead to increased abdominal pain before and during menstruation. Additionally, sexual pain is also one of its symptoms. Pelvic bleeding or blood stasis, which women often suffer from, can also cause pelvic pain, typically one side of the groin.
5. Gynecological tumors: Generally, abdominal distension, pain, lower back pain, and a sense of heaviness caused by tumors are persistent. If the tumor twists, ruptures, or bleeds, sudden abdominal pain may occur, which is the most obvious symptom of a tumor. In such cases, surgical treatment should be performed promptly.