Acute pelvic pain due to gynecological diseases

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Pelvic pain is pain that occurs from below the navel to the pelvis. There are many causes of chronic pelvic pain, below are the causes of acute pelvic pain due to gynecological diseases.

1. Acute pelvic pain due to ectopic pregnancy

Pelvic cramps occur when the embryo implants outside the uterus, begins to grow, and causes vaginal bleeding. An ectopic pregnancy requires urgent medical attention to avoid life-threatening danger.
Symptoms of pelvic pain due to ectopic pregnancy such as missed period or menstrual irregularity, pain on one side. On ultrasound, the fetus is found outside the uterus.
Depending on the condition, the doctor will consider medical treatment with drugs to dissolve the pregnancy mass or perform surgery to remove the pregnancy mass.

2. Pain due to acute pelvic inflammatory disease

Sexual activities can lead to inflammation in the pelvic organs causing pain. High frequency and intense pain are signs of infection. Patients will likely be treated with high-dose antibiotics to fight infections and fungi. Treatment can last for about 2 weeks.
Also, pelvic pain is a warning sign of some sexually transmitted diseases, the most common being chlamydia and gonorrhea. It usually presents as painful urination, bleeding between periods, and abnormal vaginal discharge.
Pelvic inflammatory disease pain is a complication of sexually transmitted diseases and is the
1 cause of infertility in women. It can cause permanent damage to the uterus, ovaries, and fallopian tubes. Abdominal pain, fever, unusual vaginal discharge, and pain during sex or pain when urinating can be symptoms of pelvic inflammatory disease. Patients should be treated immediately upon seeing such symptoms to avoid serious consequences caused by the disease.

3. Pelvic pain due to ruptured ovarian cyst

Endometriosis tissues in the ovaries develop into cystic masses, if these cysts are not removed early, there is a risk of cyst rupture. Once the cyst ruptures, it causes acute pelvic pain. The pain may appear in a specific area or the entire abdomen, when ultrasound shows fluid in the abdomen. In case there are signs of internal bleeding, the doctor will perform surgery to remove the cyst and avoid clinical deterioration for the patient.
Pelvic pain can also occur when the patient has ovarian cysts. During ovulation, the ovaries release an egg. But sometimes the follicle does not open to release the egg as it should and develops into an ovarian cyst. Leads to pelvic pain, pressure, swelling, and bloating. In the case of a ruptured or twisted cyst, it can cause sudden, severe pain, and requires emergency medical attention.

4. Pain due to twisted appendages

Torsion of the appendages usually occurs in adolescents and people of reproductive age. When the blood supply is twisted, it can lead to conditions such as dermoid cysts and ovarian cysts that lead to severe pain due to a sudden drop in blood volume.
Pelvic pain will come on gradually and increase in frequency. An ultrasound will show a tumor in the ovary. In this case, the doctor will perform laparoscopic surgery to remove the torsion to protect the ovaries.

5. Lower abdominal pain due to miscarriage

Manifestations of these pains are pain in the lower abdomen and a lot of water in the vaginal blood. Other manifestations include missed period, common symptoms of pregnancy and when ultrasound shows a gestational sac in the uterus.
To remove the gestational sac, the doctor will consider giving the patient medication or suctioning the uterus in combination with some pain relievers.

6. Acute pelvic pain in women due to uterine fibroids and pain from endometriosis

Uterine fibroids are when tissue grows on or in the wall of the uterus, but is not cancerous. Fibroids are common in women in their 30s and 40s. It can cause pressure in the abdomen, lower back pain, pain during sex, or make it difficult to get pregnant.
In some women, endometrial tissue grows outside the uterus as uterine glandular tissue so it is called endometriosis. It usually occurs on the ovaries, fallopian tubes, bladder, intestines, and other parts of the body. When it comes to menstruating, these tissue blocks break down but there's no way to get out of the body. It can cause pain and scar tissue formation that can make pregnancy difficult.
In order to help customers detect and treat gynecological diseases early, Vinmec International General Hospital has a package of basic gynecological examination and screening, helping customers detect early infectious diseases and help treat Easy, inexpensive treatment. Screening detects gynecological cancer (cervical cancer) early even when there are no symptoms.
Basic gynecological examination and screening package for female customers, has no age limit and may have the following symptoms:
Abnormal vaginal bleeding Having menstrual problems: irregular menstrual cycle, irregular menstrual cycle Irregular vaginal discharge (smell, different color) Vaginal pain and itching Female clients have several risk factors such as poor personal hygiene, Unsafe sex, abortion,... Female customers have other symptoms such as: Abnormal vaginal discharge, itching, pain in the private area, abnormal vaginal bleeding.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

Reference source: Webmd.com; Mayoclinic.org