Maybe each woman has an acquaintance with abdominal cramps and aching, which become apparent several days before menstruation.
Pelvic pain is felt in the lower part of the belly, below the navel. It may be a physiologic sign of fertility or may indicate digestive, gynecologic and neurologic disorders.
Pain may be sharp, constant or may appear in waves. It can vary in intensity and irradiate in other part of your body.
Pelvic pain can be recognized as chronic condition, if it lasts longer than six months.
Sometimes unpleasant sensations in the lower part of your abdomen may be accompanied by vaginal discharge, nausea, vomiting, fever or bleeding.
It can be difficult to identify exact cause of pelvic pain without special medical examination. However it's worth knowing possible causes of your discomfort and soreness in the pelvic area:
#1 Mittelschmerz – it's a German word that means “middle” and “pain”. It is used to describe painful ovulation, which occurs just in the middle of the menstrual cycle. It's completely normal to experience this mild aching, which usually goes away during several hours.
#2 Appendicitis – inflammation of the appendix (branch of the large intestine, located in the lower right abdominal area) is recognized as medical emergency, which usually demands urgent surgical treatment, as it can lead to life-threatening inflammation of the abdominal lining (peritoneum).
#3 Endometriosis – appearance of the uterine lining (endometrium) anywhere outside its natural location may cause pain in the pelvis, which worsens during menses. In the majority of cases endometriosis affects women’s ovaries, fallopian tubes, bladder and abdominal cavity.
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#4 Uterine fibroids – this benign tumors often exist for a long time without causing any symptoms. As myoma (other name for fibroid) grows, it can cause aching in the pelvic area, vaginal bleeding and constipation.
#5 Kidney stones – mineral deposits, which can be formed in your kidneys, sometimes run to the bladder, leading to unbearable pain, which come in waves.
#6 Irritable bowel syndrome – exact causes of this gastrointestinal disorder are still unclear. People with IBS usually complain of chronic pain in the belly, which is alleviated by defecation.
#7 Hernia – weak abdominal muscles together with pressure (which occurs during constipation or lifting heavy weights) can result in bulging of the bladder, intestine or vessels through this weak area.
#8 Pelvic inflammatory disease – sexually transmitted infection causes inflammation in the pelvis, which can be a culprit of the pelvic pain, vaginal discharge and fever.
#9 Ovarian cyst – it's not uncommon for women in childbearing age to have cyst inside the ovary. In the majority of cases these fluid-filled sacs are harmless and leave your ovaries by themselves. But occasionally big cysts may rupture or twist, causing abrupt high-intensity pelvic pain.
Women often try to relieve pain, using nonsteroidal anti-inflammatory drugs (ibuprofen). Be aware that these medications can help you calm the symptoms, but don't treat the underlying cause.
Consult with your doctor, in order to identify the reason of uncomfortable sensations in your pelvis. Depending on the result of examination, medical professional may recommend you getting over-the-counter or prescription medications, physical therapy or surgical intervention.
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