Pelvic pain or "groin pain" in women is one of the
root causes of visits to the general practitioner or specialist in gynecology
and obstetrics. Multiple causes and although its importance is from the least
to the most serious, usually medical consultation is postponed because it is
not the right time work, housework and childcare and absorb all time available
to women and this may delay the clinical diagnosis and timely conduct.
Roughly can cite the most important causes of the symptoms
that could be the announcement of a major ailment screaming is diagnosed
promptly. Below are the most common reasons why a patient may go to a medical
appointment as essential symptom having pelvic pain.
Most important and common causes of pain in the lowerabdominal pain or pelvic pain in women
A pedicle torsion tumor: acute pain and constitutes an
abrupt, very intense because the twisted blood vessels found in the pedicle and
feeding the tumor necrosis occurs thereof (death of the cells) leading to a
frame abdominal acute (Surgical). Within this are pedunculated fibroids,
ovarian cysts, among other diseases.
Ectopic pregnancy is a pregnancy that implants outside the
area considered suitable for the proper development of the baby and happy, that
is, outside the uterus. When this occurs in a fallopian tube and to the extent
that the gestational sac tubal rupture occurs increases as the diameter of the
tubes cannot handle the size of sand bag beyond 8 weeks of gestation, with the
burst rupture also blood vessels and bleeding occurs also endanger the
patient's life in a few hours and abundant acute loss of blood, peritoneal
irritation occurs very painful because of the same liquid CBC. It is also an
acute surgical table.
Pelviperitonitis during septic abortion: Causes severe pain
accompanied by acute pelvic inflammation. Set to a few hours and is accompanied
by high fever, chills, general malaise great; the interrogation is collected
history of a recent abortion. The pelvic exam is intolerable. Acute pelvic inflammatory disease: can occur with
inflammation of the adnexa (ovaries and fallopian tubes), is a pain but not as
much as in the tables described above, very annoying and continuous, is
relieved by rest. On vaginal examination can specify whether bilateral or
unilateral. Usually accompanied by general malaise, fever or febricula, urinary
symptoms, nausea and vomiting.
Endometriosis: The presence of endometrial tissue (tissue
that lines the uterus) in places other than this, egg, peritoneum, ovaries,
rectum, among other locations. Produces a typical pain during menstruation
being progressive in each. Dyspareunia: Is the pain that occurs during intercourse and
even endures as a feeling or "penalty" in lower abdominal pain until this
past hour. It is because during sex can be mobilized swollen structures may
also occur cervices lacerations presenting acute or chronic cervicitis, is
common in uterine retroflexion in chronic pelvic inflammatory disease, pelvic
varices seen quite frequently in parous women (multiple births) among other
ailments. It is a more or less intense pain that interferes with the course of
sexual intercourse pleasurable and even produces psychological consequences and
rejection of the same in women.
Vaginismus Dyspareunia Unlike organic causes do not exist in
these situations or pain occurs when the sexual act is consummated or after
this, but in these cases there is no possibility of occurrence of sexual
intercourse occurs inadvertently as a contraction of the thigh muscles to
prevent their separation to occur penile penetration. As a result strengthens
the muscles surrounding the vaginal opening and the neighborhood also
preventing vulvar including gynecological examination. This pathology is rooted
in the psyche: inhibitions, cultural and family factors, excessive modesty,
leaving all causes dissatisfaction because all women to this phenomenon and to
not seek help renounce sex and remain virgin before retry the experience of
mutual enjoyment.
Breakthrough Pain: Although rare can be obtained from the
interrogation of women who are very observant of the events that occur in your
body, this comes in the middle of the menstrual cycle and is produced by
ovulation, often associated with pelvic inflammatory chronic. It also produces
the follicular fluid to break the ovarian follicle (where the egg is clear) by
peritoneal irritation or blood of a hemorrhagic follicle. Is the pain of low to
moderate intensity?
Pudendal Neuralgia: The pudendal nerve endings which
innervate the perineum, the pelvic floor forming and which consists of the
muscles, skin and female genital structures as the entrance to the vagina,
labia , also includes the anus and the root of the thighs. During menstruation
inflammatory process and product of physiological (normal) that occurs during
the same in the internal structures of the genital tract, occurs the nerve
irritation sobreviniendo a dull ache, sharp and sometimes quite intense,
especially in youth. Also seen in the pudendal neuritis due to other diseases
unrelated to the sex organs. Dysmenorrhea: A group of signs and symptoms characterized by
pain associated with menstruation (before, during or after it), almost always
linked to premenstrual tension (edema of the face, hands and ankles and is
caused by excessive accumulation of estrogens), vascular (spasms can occur and
broken blood vessels and even produce epistaxis or nasal bleeding) and nervous
disorders (headache, dizziness, mood changes).
It is more common in young single women, tends to disappear
with the Parthians, is located in the "lower abdominal pain" (hypogastrium) and
can radiate throughout the abdomen and even the epigastrium (pit of the
stomach). They can be extremely intense. Sometimes this table is due to
narrowing of the cervical canal hindering fluid leakage of menstrual blood and
uterine cramping thus producing, in these cases (rare) is necessary to dilate
the canal.
Knowledge of the cause of pelvic pain is crucial to adopt
appropriate behavior. Health of gynecological apparatus depend not only
effective and happy playing at a time in the life of the woman but the fullness
of sex, so important and defining the existence of human beings. From each
depends do everything in their power to enjoy these two gifts that life handed
to the female sex: sexual pleasure and motherhood.
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