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Pulling pain in the lower abdomen in women: causes and diagnosis

Every woman treats issues of gynecology with anxious excitement, because the health of the genital organs determines both the possibility of conceiving children and the overall quality of life. In most cases, the body signals any irregularities.

And if you do not ignore the warning, you can avoid many diseases. Often, the pain in the right side of the abdomen is perceived as evidence of pathology, but the causes of this event are quite varied. In addition, the discomfort can be disturbed on the left as well, in the lower back, so an in-depth examination of the problem will clarify the situation.


Causes of pain in the lower abdomen in women

Causes of pain in the lower abdomen in women

So why do nagging pains occur? Doctors call several reasons, which are divided into 2 main categories:

1. Physiological:

  • before, after and during menstruation;
  • during pregnancy.

2. Pathological:

  • gynecological diseases;
  • after sex;
  • adhesions;
  • algomenorrhea;
  • oncological diseases;
  • spinal disorders;
  • bowel disease;
  • diseases of the excretory system.

Let's look at all the reasons in order.

Physiological causes of pain

Pulling pain in the lower abdomen in women in the middle of the menstruation cycle (about 14-15 days) is caused by the rupture of the follicle and the release of the egg. This process is even accompanied by a small bleeding. The pain is one-sided and lasts from several hours to a couple of days.

Usually a woman is disturbed by discomfort, both during menstruation and before / after them. This is due to the rhythmic contractions of the uterus, and if its receptors are very sensitive, the pain can be quite severe, radiating to the lower back and other parts of the body.

But these feelings pass after menstruation. If the pulling pain in the lower abdomen in women after menstruation does not lose intensity, then it is necessary to consult a gynecologist to eliminate the likelihood of pathology.

Women in position deserve special attention. During pregnancy, the body directs all its strength to the development of the fetus, so other organs tend to feel discomfort: the uterus gradually increases in size, puts pressure on the intestines, bladder and ovaries.

And if earlier the abdominal muscles were in a relaxed state, then with the growth of the fetus they are subjected to stress. Often, future mothers have a constant desire to urinate, which is associated with increased pressure on the bladder.

In addition, frequent constipation creates an additional problem. Although it is not always possible to help in such a situation, the pulling pain in the lower abdomen in women during pregnancy should not be ignored. And in the event of bloody discharge from the vagina, an ambulance should be called because of the high probability of miscarriage.

Pathological causes

Pulling pain after intercourse usually should not occur, of course, except for the first time. But if a woman is disturbed by discomfort, then it is quite likely that there is an inborn abnormal septum in the vagina. In addition, the size of the male penis also plays a role, the possible damage caused by it will not pass without a trace.

The inflammatory process in the uterus and on its neck often turns into pain syndrome. At the same time from the vagina is often allocated white liquid . If she has acquired a green or yellow shade , then this indicates a bacterial infection, and you should not pull on a visit to the doctor.

Pathological causes include algodysmenorrhea. In the normal state of the body, the menstrual cycle, though accompanied by pain, is not as severe as with this pathology.

Algomenorrhea is most often caused by nervous and hormonal disorders, and usually occurs 1.5-2 years after the first menstrual cycle. In this case, the woman often fever, vomiting and fainting occurs. Another disease is called "painful menstruation."

Inflammation in the pelvic organs can lead to the formation of adhesions. This is possible with the pathology of the intestine, sexual and excretory systems. And if the disease goes into a chronic form, then the body is protected from the spread of inflammation (or bleeding) with adhesions. They do not dissolve on their own, so the pain gradually also becomes chronic.

Identify the tumor process in the genital area is quite difficult, especially at an early stage. And often it is the pulling pains that signal pathology, such as the formation of a cyst in the ovaries. At first, sensations are localized on the right or left. However, in a malignant tumor, the pain syndrome spreads throughout the pelvis, which is caused by a violation of muscular peristalsis in the affected area.

Diagnosis of pain, determination of causes

Diagnosis of pain, determination of causes

Pulling pains are a symptom of many diseases. To establish a specific type of ailment, a visual examination is not enough for a doctor. Therefore, gynecologists resort to using additional diagnostic methods:

  1. Detection of genital infections (seeding, cytology).
  2. Ultrasound.
  3. X-ray
  4. Blood and urine test.
  5. Getting hormonogram.
  6. Hysterosalpinography (evaluate fallopian tubes).
  7. Colposcopy (detailed examination of the vagina).

Pulling pain in the lower abdomen in women and vaginal discharge indicate a bacterial infection or impaired microflora. But during pregnancy, the appearance of bloody fluid may indicate damage to the blood vessels, the risk of miscarriage or separation of the placenta.

Pain syndrome in the right abdomen suggests the idea of ​​inflammation of appendicitis or ileum. If the discomfort is localized on the left side, then physicians usually suspect chronic sigmoiditis - inflammation at the junction of the colon and rectum.

However, the conclusion of such pathologies can be given only after ultrasound and radiological examination.

When pulling pains in the lower abdomen and lower back, the gynecologist sends the patient to a surgeon, rheumatologist and traumatologist. The fact is that the cause of the discomfort is often vertebral hernia in the lumbar region. The pain from it extends to the genitals, and not vice versa, as in most cases.

Treatment methods

Methods for treating lower abdominal pain

Pain syndrome requires careful examination, and after accurate detection of the pathology, the doctor prescribes a course of treatment. If a woman complains of pain in the lower abdomen in early pregnancy, the gynecologist usually does not prescribe medication. Most often this is a normal physiological reaction caused by an increase in the uterus. But in all other cases, medication is indicated.

In particular, painful menstruation is prescribed painkillers and antispasmodics. A bacterial infection is treated with antibiotics, and in the inflammatory process, antiseptics are recommended. In some cases, surgery is prescribed: appendicitis, hernia, benign or malignant tumor. In general, the choice of treatment is in the care of a physician.


Pulling pain in the lower abdomen are both physiological and pathological. If they appear once, simple analgesics will help. However, with frequent repetition, you need to contact your gynecologist without fail.

, тем более теперь вы знаете — причины болей могут быть самыми разными и обозначать серьезные осложнения или болезни. Do not self-medicate , especially now you know - the causes of pain can be very different and denote serious complications or diseases.


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