What pathologies cause pain in the lower left side during menstruation?

Menstruation is considered to be a natural physiological process, which is characterized by the rejection of a mature egg. Normally, critical days are not accompanied by pain, but bring minor discomfort, manifested in the form of stretching in the lower abdominal cavity. This explains the fact that the fair sex begins to worry if the left side hurts during menstruation. The cause of the development of this symptom in a woman may be an inflammatory process, a disorder of the digestive system, neurological diseases, as well as pathologies of the uterus. To accurately determine the provoking factor, you need to contact a gynecologist and undergo a thorough examination.

A woman's lower abdomen hurts - functional reasons

Physiological causes of pain of varying intensity in the lower abdomen on the right or left, doctors include:

• disruptions during menstruation - cycle disturbances in duration, duration, intensity of discharge, presence of pain;

• dysfunctional uterine bleeding;

Dysmenorrhea is a menstrual disorder associated with pain before and at the beginning of menstruation .

The time for pain to appear is 2-3 days before the onset of menstruation and 1-3 days before the start of the cycle. May be aggravated by constipation, nausea, dizziness and frequent urination.

• pain during ovulation;

Ovulatory syndrome is usually a small, quickly passing irritation of the genital organs due to the rupture of an unfertilized follicle, appearing at the time of ovulation (two weeks from the start of menstruation).

• bending of the uterus with stagnation of menstrual blood and other pathologies of the development of the uterus and appendages.

Diagnostics

To establish a diagnosis of pain associated with gynecology, the doctor examines the patient for the formation of polyps and erosions, assesses the density of the cervix, its size, the presence and nature of the discharge.

Additional events are also planned:

• colposcopy (examination of the vaginal walls with a special device - binocular);
• Ultrasound of the uterus, appendages, hip organs with a transvaginal sensor;
• smear to identify the bacterial environment;
• general blood test, urine test.

What diseases of the uterus can there be

Pain in the left lower abdomen occurs when there is a disorder in the uterus.

A woman’s lower abdomen hurts - causes of organic pain and their treatment

There are several main gynecological diseases that cause nagging, aching pain in the lower abdomen, sometimes in the lower back:

Chronic inflammation of the uterine mucosa. If left untreated, it often spreads to the ovaries and fallopian tubes.

Pathological growth of the endometrium lining the walls of the uterus may spread to other pelvic organs. Characterized by occasional mild pain in the lower abdomen, cycle disruption, painful menstruation, and pathological brownish discharge. As the disease develops, adhesions appear.

A few days before the onset of “critical days,” or at the very beginning, a woman experiences more intense pain. The sensation of pain appears or intensifies during sexual intercourse, when passing stool and urinating.

Often combined with dysmenorrhea, then pain can appear at any time, regardless of menstruation.

• Andexitis is an inflammatory process in the appendages associated with the entry of various harmful bacteria (Trichomonas, gonococci, streptococci) into the reproductive system.

Pain appears on the affected side on the right or left, rarely on both sides with bilateral involvement in the process.

When transitioning to a chronic form, the occurrence of adhesive disease, tubal obstruction, secondary infertility or, alternatively, the occurrence of an ectopic pregnancy is typical.

Treatment is prescribed, as a rule, after hospitalization (antibacterial, infusion therapy, plus specialized vitamin-containing complexes).

• Uterine fibroids (fibroids, uterine fibroids) are a benign tumor, the most common among the female population of our country.

If tumors grow to large sizes as a result of the disease, compression of adjacent vessels occurs, and, accordingly, disruption of blood microcirculation.

Treatment is carried out by surgery and removal of both small nodes (husking) and large ones (removal of the uterus).

• Rupture of an ovarian cyst, apoplexy (hemorrhage into the ovary), ovarian torsion of the ovary.

Often triggered by sexual intercourse or lifting heavy objects. The pain is intense, intensifying as blood pours into the peritoneum or tissue necrosis begins. Treatment is only surgical, as the condition is dangerous due to the development of peritonitis.

• Colpitis.

Inflammation of the vaginal mucosa. In addition to pain in the lower abdomen, women experience itching, irritation and heavy discharge.

Formed after injuries, abortions, gynecological operations. The connective tissue grows, leading to the fusion of organs, which is fraught with numerous complications from infertility to the development of an abscess.

• Oncology of the uterus and appendages.

The formation of a growing tumor leads to compression of surrounding tissues, ultimately leading to metastases to neighboring organs and the spine.

• Obstetric problems associated with abortion or its pathology.

1. Spontaneous abortion;
2. ectopic pregnancy;
3. risk of miscarriage;
4. premature placental abruption.

Non-gynecological diseases

Pain in the left side can be caused by diseases not related to the reproductive system. This is how pathologies of the bladder, intestines and kidneys manifest themselves.

Cystitis

Cystitis is an infectious and inflammatory disease of the bladder. Most often it develops against the background of hypothermia and a general decrease in immunity. In addition to infections, the disease can be provoked by wearing tight clothing, frequent changes of sexual partners, and drugs from the group of cytostatics.

The disease is manifested by aching, nagging pain in the lower abdomen, and a constant urge to urinate. Urine is released frequently and in small quantities, causing pain that does not go away towards the end of the process. In addition, the urine becomes cloudy and may contain blood.

Intestinal diseases

Malabsorption syndrome (impaired absorption and digestion) is characterized by pain of varying intensity, mainly in the upper abdomen, frequent, profuse loose stools with a very unpleasant odor and a large amount of fat.

There is increased fatigue, weakness, and increasing loss of body weight. Dry skin, hair loss, and brittle nails appear.

With irritable bowel syndrome, the leading symptoms can be both constipation and diarrhea. The consistency of feces varies: from liquid to solid or sheep. The pain is both stabbing and aching in nature. The patient is bothered by a constant urge to defecate and flatulence.

Nonspecific ulcerative colitis and Crohn's disease (chronic inflammatory bowel diseases) are characterized by pain in the lower abdomen, both cramping and pulling, loose bloody stools with a frequency of up to 10 times a day.

Kidney diseases

Urolithiasis develops in people with a hereditary predisposition. There are risk factors:

• eating disorder;
• wrong lifestyle;
• genitourinary system infections;
• metabolic diseases.

Most often, patients complain of pain of varying intensity, up to renal colic. The nature and location of pain are determined by the site of obstruction, the size of the stone, and the anatomical features of the urinary tract. Pain can often spread to the lower abdomen, along the ureter and to the groin area. There is painful, frequent urination. Patients sometimes take a forced position, which can change.

Causes of pain in the pathology of other peritoneal organs

Urolithiasis (urolithiasis) is a disease of the kidneys and bladder, manifested by the release of calculi (stones). It is dangerous because it subsequently provokes the development of pyelitis and pyelonephritis, renal colic.

Treatment is carried out with diuretic anti-inflammatory drugs, as well as citrate suppositories.

Cystitis is an inflammation of the bladder, with disruption of its functions. In women, it occurs as a result of the spread of pathogenic bacteria from the vagina through the urethra.

Treatment with folk remedies (kidney tea, bearberry) that act as a diuretic is very helpful.

Acute appendicitis is a dangerous pathological disease that causes both sharp spasms and aching pain. When the appendix ruptures, pus enters the peritoneum and subsequent blood poisoning occurs.

Pain due to diseases of the digestive system

In 25% of cases, pain in the lower abdominal cavity is caused by inflammatory diseases of the gastrointestinal tract. Gastritis and pancreatitis are the most common of them.

Gastritis – inflammatory-dystrophic changes in the gastric mucosa. A long-term disease, if treatment is ignored, progresses to the stage of stomach destruction - an ulcer.

Treatment is carried out through the appointment of therapeutic nutrition - the necessary diets, as well as the use of medications that change the level of acidity of gastric juice and drugs that preserve the stomach from the effects of hydrochloric acid.

Pancreatitis is inflammation of the pancreas. Enzymes and toxins released during illness, released into the bloodstream, can cause significant harm to vital organs (heart, stomach, kidneys).

Pain in the abdominal cavity with this disease is the most acute, and most often treatment is carried out in a hospital setting.

Pain in the lower abdomen in women can also manifest itself with exacerbation of lumbosacral osteochondrosis (in combination with lower back pain), varicose veins of the pelvis, exacerbation of hemorrhoids (in combination with bleeding from the anus, itching and discomfort during bowel movements).

Preventive measures, additional recommendations

The best prevention is timely consultation with a doctor to avoid complications. It is easiest to be cured in the early stages, then expensive tests will not be required.

For intestinal diseases, a diet is required , which is prescribed by a doctor. Most likely, you will have to switch to proper nutrition.

Prevention of cystitis and diseases of the urinary system consists of following the rules of hygiene . Most female diseases go unnoticed in the early stages. It is necessary to visit a gynecologist at least once every six months.

Why does it hurt in the lower left abdomen in women? You will learn the answer to this and many other questions from Elena Malysheva in the following video:

You should listen to the signals that the body sends and respond to them in time. Pain is not a cause, but a consequence. In most cases, painkillers and self-medication are ineffective and professional help is required.

The condition in which the left side of the abdomen hurts in women is called “pelvic pain.” This is a collective term that includes an extensive list of pathologies localized in the abdomen, posterior and anterior parts of the body.

Nagging pain in the lower abdomen during pregnancy

During pregnancy, the appearance of pain is even more stressful, because there is already a threat to two lives.

• In the early stages of pregnancy, the appearance of such nagging pain indicates a threat of miscarriage or, unfortunately, sometimes spontaneous abortion.

As a rule, when there is a threat of termination of pregnancy, the gynecologist observes an increase in the tone of the uterus, sometimes a slight opening of the cervix, and spotting. Measures to maintain pregnancy in the hospital are recommended.

• Another option is that increasing pain and symptoms of internal bleeding are possible with an ectopic pregnancy .

• Also, up to the 37th week placental abruption ; this condition also manifests itself, in addition to pain, with spotting, or even significant bleeding.

• There are also premature births from 6 to 8 months, but they are accompanied by contractions.

As for mild pain when expecting a baby, it happens because the baby is constantly growing, the tissues are not always elastic, and with rapid growth of the fetus (rapid weight gain) or polyhydramnios, pain in the lower abdomen is possible in a pregnant woman.

Before menstruation, the right side or left lower abdomen hurts: causes, dangerous symptoms, treatment

Pain is often a sign of pathologies of internal organs, which especially concerns discomfort in the abdomen or side. However, sometimes unpleasant sensations can be a consequence of physiological processes. Why does the left or right lower abdomen hurt before menstruation, and what to do if such pain occurs too often?

Causes of pain in the side before menstruation

Tingling, cutting, aching sensations in the side before the onset of menstruation can be both non-pathological and pathological. In the first case, they are a consequence of physiological processes occurring in the internal genital organs, in the second, they indicate the presence of gynecological and non-gynecological ailments.

Non-pathological factors

At the beginning of the menstrual cycle, a dominant follicle is formed in one of the ovaries - right or left. The egg matures in it. In the middle of the month, 2 weeks before the start of the next menstruation, ovulation occurs. The wall of the dominant follicle bursts, releasing a small amount of blood, and the mature oocyte enters the fallopian tube.

Some women are highly sensitive and, on the eve of ovulation, during and after it, feel discomfort in the abdomen on the right or left. When the follicle wall ruptures, they feel a sharp cutting pain that radiates to the side in which the oocyte matured, but the discomfort quickly passes. In medicine, this phenomenon is called ovulatory syndrome.

Pathological processes

Pain may be associated with the following pathologies:

• Ovarian cyst. It can be follicular, when the dominant follicle does not burst during ovulation and continues to grow, and luteal, in which the corpus luteum does not regress at the end of the cycle. Small cysts go away on their own and do not require special treatment. Formations of significant size can cause pain during physical activity or sexual intercourse; rupture of the cyst is especially dangerous, which causes severe pain and leads to serious complications.
• Ovarian apoplexy is a rupture of the gland. Occurs due to injury or hormonal imbalance. Accompanied by stabbing pain in the side. The temperature rises, bleeding begins, and a febrile state occurs.
• Adnexitis is inflammation of the appendages. It is characterized by aching or sharp pain in the lower abdomen on the right or left, which radiates to the side and lower back. The pain intensifies before menstruation, and after it subsides a little.

• Ectopic pregnancy. If the attachment of the fertilized egg occurs in the fallopian tube or ovary, such a pregnancy is called ectopic. The woman has aching, pulling in the lower abdomen, a pain attack spreads to the right or left side, depending on the location of the pathology. Over time, the pain intensifies. If you do not go to the hospital in time, the pipe ruptures.
• Appendicitis. Pain in the side is not always associated with gynecological ailments. An acute attack may be a symptom of appendicitis - inflammation of the appendage of the cecum.
• Cholecystitis is inflammation of the gallbladder. The disease manifests itself as stabbing pain in the right side, which radiates to the stomach, lower back, and hypochondrium.
• Pancreatitis is inflammation of the pancreas. With pancreatitis, the left side hurts, problems with digestion appear, and stool is disrupted.

Pain of non-gynecological origin can appear at any time - both after and before menstruation. If it hurts just before menstruation, it can be either a coincidence or a consequence of increased uterine tone, which affects nearby organs.

Nature and location of pain before menstruation

The sensation is aching, pulling, and occasionally there may be a tingling sensation in the side. It usually hurts in the lower abdomen, closer to the left or right side. Sometimes it can radiate to the side or lower back.

What symptoms should you be wary of?

When should you see a doctor? Alarming symptoms:

• the pain lasts more than a day, medications do not help;
• severe attack - the pain is sharp and sharp;
• vaginal bleeding during periods when there should not be menstruation;
• increased body temperature;
• nausea and vomiting;
• general weakness, drowsiness, clouding of consciousness;
• digestive and defecation disorders.

What to do if you have a severe attack of pain or persistent moderate pain

In case of intense pain, you should first call emergency help, and you should wait for it to arrive in a well-ventilated area, lying with an ice heating pad on your stomach for up to half an hour to reduce the pain attack and keeping any movements to a minimum.

You cannot warm your stomach, give an enema, or drink water or food. It is permissible to use 2 tablets of no-shpa.

In case of moderate pain, you should consult a specialist on an outpatient basis: a gynecologist, urologist, traumatologist, proctologist, who, after taking consistent measures (preliminary examination, taking all kinds of tests, and other procedures), will help you get rid of pain in the lower abdomen until your full recovery.

As can be seen from the article, there are a lot of reasons why a woman’s lower abdomen hurts, and, of course, you can’t do without additional information - the symptoms accompanying the pain. In most cases, it is better to “play it safe” and still go to the hospital for an accurate diagnosis using laboratory tests.

The phenomenon when the left side hurts during menstruation can be a signal to a woman about the presence of diseases of the reproductive organs and systems, or pathologies of a non-gynecological nature. These diseases can pose a threat to health, so when pain appears in the left side, it is necessary to find their root cause and get rid of it.

How to treat pain

Having established why the pain occurs, the doctor determines the most effective treatment method. Treatment of diseases that provoke abdominal pain involves taking medications. If the occurrence of nagging pain is associated with the development of endometriosis, the patient is prescribed hormonal drugs - Duphaston, Danazol, Regulon. Salpingitis is treated with antibacterial drugs.

Unpleasant tingling in the side associated with cystitis is treated with anti-inflammatory drugs - Voltaren, Indomethacin. To improve the beneficial effect, the woman is prescribed fluoroquinol antibiotics aimed at stopping the source of inflammation.

Treatment for ulcerative colitis consists of following a balanced diet and taking medications - immunosuppressants and anti-inflammatory drugs. If long-term use of drug therapy does not have the desired effect, the patient undergoes surgery.

If the painful sensation is caused by an ectopic pregnancy or ovarian torsion, the woman undergoes emergency surgery. Ignoring these pathologies contributes to the development of severe bleeding and the development of reproductive dysfunction. An indication for surgery is also urolithiasis at an advanced stage, when it is impossible to dissolve the stones with medications.

Pain in the left lower abdomen is a signal of serious problems. From the first days of its appearance, it is necessary to monitor its frequency and intensity, and if inflammation is suspected, consult a doctor.

Why does the lower left abdomen hurt in women? What could be the reasons for the characteristic sensations in the lower left side? Let's figure it out.

Pathologies that provoke pain in the left side during menstruation

When the menstrual period begins and pain appears in the left side, the root cause may be:

• Endometriosis is a growth of the uterine mucosa that is benign in nature. The development of the disease can occur in the genitals, as well as the peritoneum. The cells move beyond the mucous membrane and begin to multiply, so your periods are more abundant and longer than expected. Often the menstrual cycle with endometriosis lasts more than one month. Abdominal pain can vary in intensity and nature and appear both before and after menstruation. The organ that is affected by the disease is larger in size and begins to bleed. It is possible that the woman will subsequently be infertile. Concomitant symptoms include fever, weakness in the general condition of the body, nausea and vomiting.
• Salpingitis is an inflammation of the fallopian tubes that is bacterial in nature. First of all, the disease covers the mucous membrane, and then all other layers. The organ becomes larger in size, and the usual menstrual cycle is disrupted: the discharge is irregular and abundant, with characteristic impurities of pus. Concomitant symptoms of the disease are weakness, fever, pain in the head, nausea and vomiting. If the disease proceeds in the acute stage, then the pain in the left side of the stomach begins sharply and quite severely. The chronic stage of the disease is characterized by a dull aching pain.
• Rupture and torsion of the ovary is a disease that requires immediate medical attention, because there is a sharp disruption of blood flow in the ovary and an inflammatory process begins, which soon leads to its necrosis. Vaginal bleeding begins. Often the disease appears due to physical overload of the body. Associated symptoms include severe pain in the left side and lower abdomen, spreading to the groin area. Body temperature may also rise, profuse sweating may begin, weakness, nausea and vomiting, migraine, rapid pulse, etc. will appear.
• Cystitis is an inflammatory process of infectious origin that develops as a result of hypothermia and a decrease in the protective functions of the immune system. The disease can also appear due to wearing clothes that do not fit, having sexual relations with different partners, or taking cytostatic drugs. Symptoms of cystitis will include pain in the lower abdomen and left side, a constant desire to urinate, which is also painful. The color of the urine is cloudy, possibly with blood in it.
• Impaired absorption and digestion of food by the intestines. With malabsorption, the nature of the pain can be different. The following symptoms are also present: diarrhea with impurities of fat, severe fatigue, weakness, weight loss, hair loss, dry skin, brittle nails.

Rupture or torsion of the left ovary

Rupture and torsion of the ovary are considered emergency conditions, since in this case blood circulation in the organ is sharply disrupted and inflammation develops, which can subsequently lead to necrosis (death). Most often, this disease is associated with physical overload, although occasionally it manifests itself at rest.

The main symptom is acute, sharp pain in the lower abdomen, which can spread to the groin and thighs. In addition to it, high fever, sweating, weakness, nausea, headache, rapid pulse, and so on are possible. Bleeding from the vagina occurs, which is explained by necrosis of the walls of the ovarian vessels.

Diagnosis of diseases that provoke pain in the left side during menstruation

If your left side hurts during menstruation, you must first determine the nature of the pain:

• if the disease is gynecological in nature, the pain can be different: sharp, cutting or aching, radiating down the abdomen. It all depends on how the disease progresses;
• when the bladder is inflamed, the pain is predominantly nagging, also accompanied by a disorder in the functioning of the urethra;
• Kidney disease is characterized by dull or sharp pain in the left side, radiating to the lower back and abdominal cavity;
• in the presence of intestinal diseases, the stomach begins to ache not only in the left side, but also in its other parts. The pain is often sharp, aching, appearing immediately after meals.

When the onset of menstruation is accompanied by pain in the left side, it is imperative to consult a specialist to find its root cause. For diagnostic purposes, the doctor first performs a vaginal examination. Then the patient is sent for ultrasound diagnostics of the peritoneal and pelvic organs to find out exactly where the problem is and how dangerous it is to the woman’s health.

In order to get a complete picture of the disease, the uterus and appendages are examined using X-rays, as well as hysteroscopy. The patient undergoes a blood test, and the doctor also takes cultures of her vaginal discharge during menstruation to determine whether there are inflammatory processes in the uterus or not. An analysis is also carried out for tumor markers, which helps determine endometriosis at the initial stages of development.

Diagnosis of cystitis is helped by a blood test, urine culture, ultrasound examination of the abdominal cavity and pelvis, as well as cystoscopy.

Intestinal diseases are determined by the results of stool analysis, X-ray and ultrasound of the abdominal cavity, irrigography, colonoscopy and sigmoidoscopy.

To find out about possible kidney pathologies, you need to undergo urine tests (general, according to Nechiporenko and according to Zimnitsky), undergo an ultrasound and excretory urography.

Pain in the lower lateral abdomen during menstruation

Menstruation is a physiological process inherent in every woman.
During this process, the mature egg begins to be rejected. In normal condition, the patient should not be bothered by severe pain. Minor discomfort in the abdomen is allowed. But there are cases when during menstruation the lower left side hurts. This condition can be a sign of various diseases.

To accurately determine the causes, it is better to undergo an examination.

Abdominal discomfort often occurs during menstruation

What are the non-gynecological causes of pain?

During menstruation, a woman may experience pain in the lower abdominal cavity on the left side due to reasons unrelated to gynecological ones. These include:

• cystitis;
• intestinal diseases;
• kidney disease;
• cholecystitis.

Inflammatory process in the bladder

Cystitis is characterized by infection in an organ. Most often, the disease appears due to hypothermia and weakened immunity.

In addition, cystitis occurs when wearing clothes that restrict movement, frequently changing sexual partners, or taking cytostatic drugs. The pathology is characterized by the appearance of nagging or aching pain.

Cystitis can be judged by the frequent urge to empty the organ, as well as cloudy urine with blood particles.

Bowel diseases

This item includes the pathologies listed in the table.

NameDescription

Kidney diseases

Urolithiasis can be inherited. The risk of developing the disease increases due to:

Pain may be due to kidney disease

• infection;
• metabolic disorders.

The disease is characterized by a feeling of pain during emptying of the bladder.

Cholecystitis

This is an inflammation of the gallbladder. There is a possibility of occurrence due to cholelithiasis. The pathology causes the following symptoms:

• pain on the right side or lower abdomen;
• disruption of the gastrointestinal tract;
• weight gain;
• cycle failure.

If at first the discomfort was on the right side, but began to radiate to the left side, the pathology is progressing and emergency help from a specialist is needed.

Could pain indicate endometriosis?

Yes, discomfort can be associated with endometriosis. This is a benign pathology. The disease causes growth of the uterine mucosa and disruption of the menstrual cycle.

Abdominal pain varies in nature and can occur both before and after menstruation. In the presence of pathology, the likelihood of infertility increases.

In addition to the sensations of pain, the woman experiences vomiting, nausea, and general weakness.

Pain is also common with endometriosis.

What diseases of the uterus can there be

Pain in the left lower abdomen occurs when there is a disorder in the uterus.

NameDescription

What abnormalities in the ovaries can be diagnosed?

Pain on the left during menstruation occurs with diseases associated with the ovaries:

• tear or torsion on the left side;
• cyst.

An ovarian cyst is accompanied by very strong and sharp pain

Rupture or torsion of the left ovary

In this case, the help of a doctor is urgently required. If the pathology is not treated in time, the organ tissues become necrosis (necrosis) due to increased inflammation.

There are rare cases when the disease appears at rest; most often it occurs with constant strong physical activity. The main symptoms include acute and sharp pain.

Discomfort may radiate to the groin or thighs. In addition to discomfort, the patient has a high temperature and increased sweating. Pathology is determined by the appearance of nausea, vomiting, and headaches.

Blood may come out of the vagina due to necrosis of the walls of blood vessels.

Ovarian cyst

It is a common pathology. The tumor may be in the left or right ovary. Cyst symptoms include:

• acute or nagging pain;
• disturbance in the menstrual cycle;
• changes in the functioning of the gastrointestinal tract;

The cause may also be problems in the digestive system.

• severe pain before menstruation;
• edema;
• temperature rise to high values.

If a woman ruptures a cyst, dangerous complications may arise in the form of peritonitis, infertility and others.

What other reasons are there?

Pain may occur due to an ectopic or normal pregnancy.

Ectopic pregnancy

This pathology often occurs in women. Discomfort occurs due to improper attachment of the fertilized egg. In addition to pain, the patient experiences:

• cycle disruption;
• changes in the functioning of the gastrointestinal tract. Diarrhea, nausea, vomiting appears;
• change in taste preferences;
• chest pain.

Ectopic pregnancy is very painful and can be dangerous

Very often, pregnancy outside the uterus is confused with normal pregnancy, because they are similar in symptoms. The difference is severe pain with blood discharge when the egg attaches outside the uterus.

Pregnancy

Discomfort may occur in a pregnant patient. Abdominal pain in the absence of menstruation in the first 3 months indicates the possibility of miscarriage. At another stage, this is the norm and does not require therapy. If the patient experiences severe discomfort, it is better to visit a gynecologist.

What is the nature of the pain

If pain appears in the abdominal area on the left, it is necessary to determine its nature:

1. When diagnosing gynecological diseases, the pain will pull and cut. Sharp and aching types of sensations are allowed.
2. If the patient has inflammation in the bladder area, the discomfort will be pulling or aching.
3. In case of intestinal diseases, sharp and aching sensations are allowed. Moreover, they can be localized in the upper or lower part of the peritoneum.
4. When diagnosing kidney disease, acute or dull discomfort is allowed. Pain may radiate to the lower back.

From the video you will learn how to reduce pain:

How is the diagnosis carried out?

If a woman experiences abdominal pain on the left, she must definitely visit a gynecologist. First, the specialist conducts an examination and makes a smear.

To diagnose abdominal pain during menstruation, a woman needs to donate blood for a general analysis. An excess number of white blood cells signals cystitis.

Next, it is necessary to determine human chorionic gonadotropin to exclude ectopic pregnancy.

https://www.youtube.com/watch?v=HSlbMz3Ri04

The most reliable diagnostic method is ultrasound. After receiving the results, it is possible to determine the presence of a tumor or disease.

What treatment

After making a diagnosis, the specialist selects the necessary method of therapy. To treat pain during menstruation, medications are used depending on the disease:

• For endometriosis, medications containing hormones are prescribed.
• If salpingitis is detected, antibiotics are prescribed.
• Non-steroidal anti-inflammatory drugs (NSAIDs) will help with cystitis. For example, Voltaren or Indomethacin. To speed up recovery, the patient is prescribed antibiotics.

For treatment, the doctor may prescribe a course of antibiotics

• In case of ulcerative colitis, it is necessary to adjust your diet and take medications for inflammation, as well as immunomodulators. If treatment is ineffective, surgery helps.
• You can get rid of an ectopic pregnancy or ovarian torsion through surgery.

Pain in the left abdomen is a serious sign. Violation can signal various diseases in the body. Therefore, if discomfort occurs, it is better to consult a gynecologist. The specialist will conduct an examination, study the results of all tests, make a diagnosis and prescribe the appropriate treatment.

Source: https://mesyachnie.com/boli/levyj-bok-vnizu.html

How to treat diseases that cause pain in the left side during menstruation

Do not delay visiting the doctor if you experience pain in the left side during menstruation. This will help avoid serious complications and irreversible consequences. Having determined the root cause of the disease in time, specialists will select the most effective treatment.

Therapy for endometriosis often includes hormonal drugs of various groups (Duphaston, Utrozhestan, oral contraceptives, Danazol or Methyltestosterone). To treat salpingitis, penicillin-containing antibiotics, cephalosporins, and aminoglycosides are used. If there is no visible result after such therapy, experts recommend that the patient undergo laparoscopy.

If a woman comes to the doctor with torsion and rupture of the ovary, then she undergoes urgent surgery. This will help stop the bleeding, save the patient’s life and possibly her fertility.

In the treatment of cystitis, fluoroquinolone-containing antibiotics and agents that help eliminate the inflammatory process are prescribed. If a woman is diagnosed with ulcerative colitis, it is recommended to follow a diet, take immunosuppressants, anti-inflammatory drugs and glucocorticosteroids. When therapy does not produce the desired results, specialists perform surgery.

If a patient’s pain in the left side is caused by urolithiasis, it is necessary to follow a diet and take medications that can dissolve stones in the organ. In the case when the size of the stones exceeds five millimeters, or they have a salt consistency, they can only be removed surgically.

Mild pain that accompanies menstruation may cause minor discomfort, but from a medical point of view this situation is considered a normal physiological phenomenon. It’s another matter when pain in the lower abdomen during menstruation is very strong, cramping in nature and is accompanied by nausea, fainting, and dizziness. Such symptoms indicate that serious problems have appeared in the woman’s body that require a response from doctors.

Causes

Pain in the left side of the lower abdomen in women can occur both for physiological reasons and as a result of pathological lesions of internal organs and systems. In the first case, flatulence and fetal pressure on internal organs during pregnancy can cause discomfort. During menstruation, most women experience pain of physiological origin of varying intensity. There are also many serious diseases that cause pain in the lower abdomen and require immediate medical attention.

Adnexit

Adnexitis is a gynecological disease, which is characterized by the presence of an inflammatory process of the appendages: ovaries and fallopian tubes. The pathology is often diagnosed in women of reproductive age (from 20 to 35 years).

As a rule, the infection first enters the fallopian tube, and from there it affects the ovary. It enters the body through sexual contact or through the bloodstream. The causative agent of the disease can be any harmful microbes, in particular streptococci or staphylococci. The risk of getting sick increases for women who have undergone abortions, improper installation of intrauterine devices and other similar manipulations.

The symptoms of adnexitis are similar to those of acute appendicitis, which makes diagnosis difficult. If left untreated, the disease develops into a chronic form, when the intensity of the pain subsides, but it is felt constantly. Against the background of hypothermia and during stress, the risk of complications increases: peritonitis, adhesions, infertility.

Ectopic pregnancy

Pain is one of the main signs of ectopic pregnancy. Unilateral constant or intermittent pain in the left side below the abdomen may indicate that a fertilized egg has implanted in the left fallopian tube. This is a dangerous condition that threatens a woman's life. Discomfort manifests itself even before the delay begins and the accompanying symptoms appear: chest pain, nausea. After physical activity or sexual intercourse, discomfort may intensify.

Cysts

Pain in the lower abdomen can occur due to an ovarian cyst - a benign formation that occurs as a result of pathological or physiological processes and has the shape of a thin-walled sac filled with fluid. Ovarian cysts occur in women of all ages. Predisposing factors are hormonal disorders and inflammatory processes of the internal organs of the pelvis.

The following symptoms indicate the presence of an ovarian cyst:

• unilateral pain in the lower abdomen, the intensity of which increases during sex, urination, or increased physical activity
• decreasing the intervals between the urge to urinate
• constipation
• nausea and vomiting (characteristic of the acute course of the disease)
• increase in body temperature when an inflammatory process occurs
• inability to get pregnant
• abdominal swelling

A cyst is diagnosed based on ultrasound and visual examination. Additional tests and examinations may also be needed.

Types of ovarian cysts:

In most cases, cysts go away on their own within a few months, and complications occur less frequently. If removal of the formation is required, a simple operation is performed - laparoscopy.

Endometritis

Inflammation of the upper mucous membrane of the uterus, which matures every cycle and is shed during menstruation, is called endometritis. Entry of the pathogen into the uterine cavity can cause an acute or chronic course of the disease. Provoking factors are childbirth, cesarean section, abortion, curettage and other similar manipulations. The causative agents of endometritis are harmful microbes and microorganisms: viruses, fungi, bacteria, etc.

Symptoms of the acute course of the disease:

• increased body temperature, fever
• lower abdominal pain
• purulent vaginal discharge
• increased heart rate
• discomfort when urinating

If acute endometritis is not treated, the disease becomes chronic. This pathology often causes infertility, pregnancy failure, and complications during pregnancy.

Endometriosis

The growth of endometrial cells (the inner layer of the uterus) into other tissues of the uterus and nearby organs is called endometriosis. Diagnosed in women of teenage and reproductive age. During endometriosis, endometrial cells form growths that cause pain, discomfort, and complicate the processes of fertilization of the egg and gestation. Growths form in the area of ​​the ovaries, uterus, fallopian tubes, vagina, rectum, and intestines. During menstruation, these formations are rejected, but do not come out. This leads to internal bleeding and inflammation, and tissue scarring.

• severe pain during menstruation and sexual intercourse
• irregular or excessively heavy periods
• fatigue, loss of performance
• pain in the stomach and lower back
• stool disorders

To make a final diagnosis, laparoscopy is prescribed, during which the possibility of oncological pathology is excluded.

Pathologies of the genitourinary system, gastrointestinal tract

Diseases associated with the genitourinary system and gastrointestinal tract can cause pain in the left side of the abdomen. There is a large list of such diseases that differ in localization, intensity, and characteristic manifestations. Diagnosis and treatment of such problems should be carried out by a specialist.

Appendicitis and cholecystitis

The appendix is ​​a ventricular appendage located in the lower part of the intestine. This is a branch of the cecum, narrowed towards the bottom, without a lumen. The appendix is ​​not a vital organ. For a long time it was believed that it does not perform any functions, but modern scientific research proves the opposite. There is reason to believe that this organ is important for the functioning of the immune and endocrine systems, regulating the amount of beneficial microflora in the intestines.

Inflammation of the appendix manifests itself in an acute form; the chronic form of the disease is less common. Due to the accumulation of pus, the appendage increases in size. Often inflammation leads to rupture of the appendix and the development of complications in the future: sepsis, abscess, peritonitis. Without urgent surgical intervention, the likelihood of death increases.

• acute pain in the lower abdomen (usually on the right, but there are also cases with left-sided pain)
• increase in body temperature
• vomiting and nausea
• Kocher's symptom (movement of the localization of pain in the abdominal area)

Why does my stomach hurt during menstruation?

Most often, a woman is bothered by abdominal pain on the first day of her period, although sometimes they can occur long before the onset or already during her period. The causes of pain in most cases are the following phenomena and pathologies:

• Infectious lesions of the pelvic organs, causing inflammatory processes.
• Endometriosis.
• Polycystic ovary syndrome.
• Hormonal disorders.
• Intrauterine device.
• Sexually transmitted infections.
• Genetic predisposition.
• Lack of vitamins and microelements in the body.
• Previously performed abortion.
• Sedentary lifestyle.
• Alcohol abuse, disordered diet.
• Neoplasms in the uterus.
• Spontaneous miscarriage.

Colitis on the left side before menstruation

Most women can predict the onset of their expected menstruation in advance.

This happens due to the unpleasant manifestations of premenstrual syndrome, the characteristic symptoms of which are difficult to confuse with anything else.

Among its symptoms, girls especially often note pain in the pelvic area. Are they always physiological in nature, and in what case should you start worrying about your own health?

Apoplexy

Apoplexy is a sudden rupture of the ovarian membrane . This is a life-threatening condition that requires immediate medical attention. Apoplexy can occur due to the following reasons:

• severe physical exertion or injury;
• long-term inflammatory process;
• varicose veins of the ovary;
• ectopic pregnancy.

In some situations (in the second phase of the cycle), spontaneous disruption of the integrity of ovarian tissue is possible.

Apoplexy is accompanied by the release of blood into the abdominal cavity and severe pain . The patient assumes a half-bent position and cannot straighten up.

Large blood losses characteristic of this pathology can lead to death .

Myoma

Myoma is a benign tumor that forms in the muscular layer of the uterus.

Its occurrence can be associated with a hormonal imbalance in a girl’s body, as well as with improper use of oral contraceptives or prolonged use of an intrauterine device without timely replacement.

As the fibroids grow, they cause cutting spasms that intensify before and during menstruation. In addition, patients complain of prolonged and heavy discharge , which turns into dangerous bleeding. The larger the myomatous nodes become, the more the woman’s condition worsens.

Source: https://aga-legion.ru/kolit-levyj-bok-pered-mesjachnymi/

Main symptoms

Doctors consider severe pain in the lower abdomen during menstruation as a disorder of menstrual function. According to statistics, in every third representative of the fairer sex such sensations are accompanied by additional symptoms:

• upset stomach, vomiting, nausea;
• loss of consciousness.

Pain syndrome, as a rule, appears on the first day of the cycle and subsides by the third day. It can have a twitching, cramping, aching character, sometimes the lower back hurts a lot. Often, against the backdrop of debilitating sensations, a woman’s mood and psycho-emotional background changes. She can be whiny, irritated, anxious and even aggressive. Sleep is disturbed. It is important to understand that such manifestations cannot be prolonged and should pass without the use of medications within a few days after the start of menstruation.

Depending on the main symptoms, doctors distinguish several degrees of painful periods:

1. Mild degree. It is characterized by periodic moderate pain, which does not in any way affect the woman’s performance. Such sensations are easy to bear without taking painkillers. But even a mild form cannot be ignored, as it can very quickly develop into a pronounced syndrome that will significantly disrupt the usual way of life.
2. The average degree is characterized by rather prolonged, nagging pain in the lower abdomen during menstruation, accompanied by nausea, weakness, and chills. Often a woman cannot work normally and lead a normal life. This situation requires medical correction and diagnosis of the causes.
3. Severe degree is very severe pain in the lower abdomen on the right, in the middle, on the left, radiating to the lower back and accompanied by high fever, diarrhea, vomiting and even fainting. Severe degrees are usually associated with inflammation and pathologies of the genital organs. In this case, immediate hospitalization is required.

Causes of side pain during menstruation

Women experience different types of pain during their periods. Painful sensations appear in the lower abdomen, but there may be other places where discomfort is localized. If during menstruation pain occurs in the right or left side, this is a possible symptom of diseases of the genitourinary system. Also a sign of disturbances is a change in bleeding.

What symptoms might there be?

Menstruation may become heavy or scanty, clots appear in the discharge, and the color of the urine changes. If you notice any changes, don't ignore them. Consult your doctor to find out the reasons why your left side hurts and how it is related to your period.

Pain and bleeding

Such symptoms indicate the presence of fibroids. These benign growths originate from inside or outside the muscular wall of the uterus. The causes of their occurrence are unclear, but fibroids are very common, especially in women aged 30 to 40 years.

If you have severe pain on your right side before your period, a fibroid may have formed on the right side.

An ultrasound may be performed to determine whether you have fibroids and whether they need to be removed. This will depend on where it is and how big it is. Because the tumor is sensitive to estrogen, taking birth control pills will help reduce the pain.

Mild constant pain

Pelvic inflammatory disease, infections of the ovaries, fallopian tubes, and STDs such as chlamydia or gonorrhea, which often have no symptoms, usually cause pain on the left side during menstruation. The sensation is not sharp, not stabbing, unpleasant aching, constant. And when you start menstruating, the pain intensifies.

Genital infections are treated with antibiotics. The infection is completely treatable, but if left untreated for too long, scar tissue can form in the reproductive tract and interfere with your fertility.

Unilateral pain

If the pain is one-sided, on the right or left, the cause may be ovarian torsion. Something (such as a cyst) causes the ovary to twist, cutting off its own blood flow. This is a very intense pain that is difficult to get rid of. Torsion can cause loss of ovarian function.

If the cause of pain in the right side during menstruation is torsion, emergency laparoscopic surgery will be required.

Sometimes the ovary can be untwisted and saved, but if it looks black or nonviable, it must be removed. Luckily, the other ovary will take over for ovulation and estrogen production if this occurs.

Painful spasms

Cramping spasms are a sign of endometriosis, when uterine tissue migrates to other organs and sticks there. Over time, endometrial tissue develops into benign cysts. Up to 10% of women suffer from endometriosis and believe that their cramps are normal. With endometriosis, before menstruation there is pain in the lower abdomen, right or left side.

The pain really interferes with daily activities and makes sex painful.

Because endometrial tissue is hormonally sensitive, using oral contraceptives or other hormonal medications will reduce pain. The only way to truly diagnose endometriosis is to undergo laparoscopic surgery, during which your doctor will remove as much tissue as possible.

Diseases that cause pain in the side

Unnatural pain in the side during menstruation is a clear sign of gynecological problems. The fact is that before menstruation, all chronic diseases worsen, so their symptoms are felt more clearly. Pain in the right or left lower abdomen most often indicates problems with the ovaries, as well as structural changes in the organs of the reproductive system.

Endometriosis

Endometriosis is a gynecological condition in which the tissue that forms the lining of the uterus is found on other structures throughout the pelvis, including the ovaries, fallopian tubes, bladder, and pelvic floor. In more severe cases, the tissue grows into the intestines, diaphragm, liver, lungs and even the brain.

With endometriosis, during and also after menstruation, the right side and lower abdomen may hurt.

A displaced endometrium can cause adhesions, chronic inflammation, blood-filled cysts, and internal bleeding. All this can cause excruciating pain in the pelvic area on the right, left, and lower abdomen.

Adenomyosis

Adenomyosis is similar to endometriosis, except that the endometrium, which implants outside the uterus, is found deep within the uterine muscle. In women with adenomyosis, the uterus looks like a bruised muscle.

Symptoms of adenomyosis include cramps and painful sexual intercourse, and the right side may hurt during menstruation. Adenomyosis usually occurs in women over 30 who have already had children.

However, this has also been seen in adolescents.

Uterine fibroids

Three out of four women will develop fibroids, but most do not experience any symptoms. Fibroids range in size from microscopic to large enough to distort the shape of the uterus.

Fibroids can turn monthly periods into a monthly nightmare, increasing not only the amount of bleeding, but also the severity.

Before your period, your left or right side often hurts because the uterus must contract during this period to expel large blood clots, which often result from heavy bleeding. Fortunately, fibroids do not increase a woman's risk of cancer and very rarely become cancerous.

Inflammation

Pelvic inflammatory disease is an infection of the female reproductive tract that is most often caused by sexually transmitted infections. Without treatment, scarring, painful menstrual cramps and infertility occur.

Inflammation is manifested by various pains, including soreness in the side and lower abdomen.

If detected early, the inflammation can be treated with antibiotics, but they will not correct the structural damage caused by the infection. Practice safe sex and get tested frequently for any sexually transmitted infections, especially if you have severe pain on your right side before your period.

Uterine defects

When a female baby is still in the mother's womb, her own uterus develops from two structures known as the Müllerian ducts. In some cases, the uterus does not form properly, which can lead to infertility, periodic side pain during menstruation, and painful sex. In women with structural abnormalities such as:

• bicuspid - two uteruses that lead to one cervix;
• separated uterus with fibrous tissue bisecting it;
• unicorn, which develops from only one Müllerian duct;
• didelphys - two cervical septa or a septum separating the vaginal canal.

Menstrual cramps stem from blockages and septa that separate the uterus and vagina.

How to relieve pain

To urgently relieve spasms, you can give yourself first aid at home:

• Warm your stomach and lower back - this will help relax the muscles;
• Do yoga exercises to release endorphins;
• Relax, take a bath, meditate - it relieves stress;
• Take Ibuprofen or Diclofenac for severe side pain during menstruation;
• Ask your doctor to prescribe hormonal birth control;

If simple treatment does not help, consult your doctor to discuss possible reasons why your right side may hurt before your period and what is best to do in your case.

Source: https://mesiki.com/menstruatsiya/bolit-v-boku/

Diagnostics

If your stomach hurts during menstruation, to correctly diagnose the cause of the pain syndrome, the gynecologist conducts a series of examinations of the following nature:

• examination in a gynecological chair;
• palpation of the mammary glands;
• complete history taking.

Also, in order to confirm the expected diagnosis, the patient receives a number of referrals for the following diagnostic measures:

• ultrasound examination of the pelvic organs;
• clinical blood test;
• blood test for hormones;
• hysteroscopy;
• in especially severe cases, consultation with an endocrinologist, surgeon and even a psychiatrist is required.

Situations in which medical attention is needed immediately

Despite the fact that pain during menstruation is a fairly common occurrence, there are a number of situations in which medical help is needed as soon as possible:

• the pain is so severe that the usual rhythm of life is completely disrupted;
• does not go away after taking painkillers and lasts more than three days;
• accompanied by high fever, vomiting, severe headache, heavy bleeding with clots;
• present in women taking contraceptives and has a cramping nature;
• occurs during the first menstruation.

What to do before visiting the doctor

If abdominal pain appears during menstruation, what should a woman do before visiting a gynecologist? Depending on the degree of its severity, you can independently, without medications, reduce discomfort until the doctor determines the cause of its occurrence.

1. Light physical activity, especially swimming, promotes the formation of special hormones - endorphins. They are natural pain relievers that completely relieve discomfort.
2. Exercises aimed at relaxing muscles will also help relieve discomfort.
3. By applying heat to the sore spot, you can relax for a while and feel the joy of life again. To do this, simply apply a heating pad or a bottle of warm water to your stomach near the uterus. Important: the water should be warm, not hot, and you should keep it for no more than 15 minutes. Otherwise, you may cause even more bleeding.
4. It is important to monitor the level of calcium in your food. Scientists have proven that it significantly reduces pain, improves mood and activates the process of removing fluid from the body. One cup of yogurt per day is enough to meet the body's daily requirement for calcium.
5. Anxiety, fear and bad mood only increase discomfort. You need to try by any means to cheer up and saturate your day with positive emotions. A cup of tea with chocolate and a glass of warm milk are very relaxing.

When to visit a doctor

The appearance of sharp cutting pain indicates inflammation.

Increased temperature, fever, vomiting, loss of appetite, excessive discharge during menstruation with dark clots, severe weakness, dizziness - reasons to call an ambulance .

If you suspect intestinal and gastrointestinal diseases, you should consult a therapist . He will give directions for examinations and tests.

If problems are detected, they are sent to a gastroenterologist, proctologist or surgeon, depending on the disease.

If a pregnant woman has pain in the left lower abdomen, it is better to contact an obstetrician-gynecologist with whom she is registered.

From the articles on our website you can find out about the symptoms of urethritis in women. How does this disease manifest itself? Is it possible to treat it at home?

We will tell you in this text how colpitis is dangerous for the female body, and whether there are measures to prevent this unpleasant disease.

What anti-inflammatory drugs are usually prescribed for adnexitis? You will learn about methods of complex treatment of the disease by reading this material: https://beautyladi.ru/vospalenie-pridatkov/.