Patient's question:
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Doctor's answer:
Hello, the main reasons for left lower abdominal pain in women are as follows:1. Chronic genital inflammation: Women may experience long-term lower back and sacral pain, lower abdominal pain that worsens after sexual activity and during menstruation. This is often accompanied by increased vaginal discharge, usually caused by chronic cervicitis. If long-term lower abdominal heaviness, pain, and sacral discomfort occur, worsening after exertion, sexual activity, or around menstruation, and are accompanied by menstrual irregularities and fatigue, it is often caused by chronic pelvic inflammatory disease.
2. Left lower abdominal dull pain caused by acute inflammation: This includes acute endometritis, acute tubo-ovarian abscess, pelvic peritonitis, and acute pelvic cellulitis, among others. It is also seen in sexually transmitted diseases such as gonorrhea, which include infections caused by Neisseria gonorrhoeae and Chlamydia. These conditions often recur and can lead to tubal abscess formation in severe cases.
3. Acute left lower abdominal dull pain caused by other reasons: This can occur during artificial abortion or IUD insertion if the uterus is perforated. Ovarian endometriomas (chocolate cysts) may rupture during menstruation, with cyst contents irritating the peritoneum and causing severe abdominal pain.