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COMMON CAUSES OF PELVIC PAIN IN WOMEN

Admin • Sep 16, 2021
Pelvic Pain — Hampstead, NC —  Hampstead Medical Center PC
As a woman, your reproductive health is a top priority - especially if you want to have children someday. With that in mind, getting regular gynecological check-ups is absolutely essential.

Women's health exams take on a whole new level of importance when something doesn't feel right. A lower abdominal pain can have many different causes. While some of them may be gastrointestinal, it's also very possible that the root of the pain or discomfort is gynecological. If a medical professional has ruled out stomach or intestinal issues, a specialist in women's medicine can evaluate possible reproductive system problems.

What are some of the most common culprits behind lower abdominal pain in women? If you're experiencing discomfort (or something more) below the belly, take a look at what some of the possibilities are. Keep in mind that only a licensed, qualified medical professional can offer a diagnosis. But arming yourself with information can help you to have an educated, effective conversation with your doctor.

Uterine Fibroids

Uterine fibroids are tumors that grow inside of the uterus. Even though the word tumor often brings up images of cancer, these tumors are typically benign. In other words, fibroids are rarely cancerous. Even though reproductively mature women of any age can have a fibroid, these uterine tumors are most common in women who are in their 40s and 50s.

Women who are obese, eat a significant amount of red meat, and have a family history of fibroids are all at increased risk. Having these risk factors doesn't mean that you will definitely develop fibroids. But it does mean you're more likely to have them than other women are.

While some women with fibroids experience no symptoms, others can have heavy periods and pain. The doctor will need to examine your uterus and use imagining tests, such as an ultrasound or MRI, to diagnose this condition.

Depending on the size and placement of the fibroid and your discomfort level, the doctor may recommend medications - such as ibuprofen or anti-hormonal drugs - surgery, or radiofrequency ablation, which shrinks the fibroids without destroying the surrounding uterine tissue.

Endometriosis 

Endometriosis is another common cause of abdominal pain in women. It's normal for tissue to grow inside of a woman's uterus. But endometriosis causes the tissue (or endometrium) to grow outside of the uterus. In some women, endometriosis can spread onto the ovaries, fallopian tubes, and possibly even beyond the pelvic region.

Normal endometrial tissue goes through a regular monthly cycle of thickening, breaking down and exiting the body during menses. When this tissue grows outside of the uterus, it has nowhere to go. This causes pain and may irritate the surrounding tissue. Over time, this irritation results in scarring and bands of fibrous tissue.

Women with endometriosis often have extremely painful periods, pain during intercourse, heavy periods and infertility. After a doctor's diagnosis, the medical professional may recommend pain medications, hormonal therapy or surgery to reduce the symptoms and alleviate the pain.

Ovarian Cysts

When a woman ovulates, her body releases an egg from one of her two ovaries. It's possible for a small cyst (a fluid-filled sac) to form during this process. There are several different types of ovarian cysts. Follicle cysts happen when the sac around the egg (the follicle) never ruptures but continues to grow inside of the woman's body. These typically resolve on their own within three months.

Corpus luteum cysts happen when the follicle does rupture but doesn't shrink down. If this type of cyst doesn't resolve itself on its own, it can grow, causing pain. Along with these types of cysts, dermoids and cystadenomas can also occur but typically don't cause problems.
In most cases, no treatment is needed. But if you're in serious pain or the cyst continues to grow, your doctor may recommend surgical removal.

Are you experiencing unexplained pelvic pain? When was your last women's health exam? Contact Hampstead Medical Center PC for more information and to schedule an appointment.
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