“It hurts in the lower abdomen on the right” - women have the most common complaint in the gynecologist’s office. This symptom can occur for various reasons. Quite often, the pain "gives" to the lumbar region and other parts of the body. Occasionally, the sensation does not go away even after the elimination of the factor that provoked the symptom. This phenomenon is called "phantom pain."
First of all, a visit to a gynecologist is required. When a doctor examines a patient complaining of pain that occurs on the right side of the lower abdomen, he takes into account both the threshold of sensitivity and the individual sensation of each woman separately. Often it is a necessity to be examined by a therapist and a neurologist. The main causes of this condition, when the lower abdomen hurts on the right in women, we will consider further.
Ectopic pregnancy
In this case, the woman does not yet know about her pregnancy, or a test for her presence has recently informed the lady about it. The pain in this case is quite severe and acute. It spreads to the entire abdomen, lower back, gives to the rectum. Gradually, stitching pains in the lower abdomen on the right intensify, nausea, weakness, dizziness occur , up to a swoon. Therapy for an ectopic pregnancy is an exclusively surgical intervention.
Hemorrhage, or ovarian apoplexy
This phenomenon occurs in the event of a rupture of a mature normal follicle containing an egg. The reason for it may be excessive physical activity or violent sex. Symptoms of apoplexy are similar to signs of an ectopic pregnancy. One difference - the absence of a delay in menstruation. Pathology therapy is also a surgical method.
Twisting the legs of the ovarian cyst
In this case, not very strong pulling pains are observed in the lower abdomen on the right. When the cyst twists 360 °, it begins to die, as the supply of arterial blood to the ovary stops. The pain in this case (in the case of sex or physical exertion) becomes sharp and severe. Symptoms include fever, vomiting, and nausea. Treatment, as in previous cases, is carried out surgically.
Adnexitis (acute inflammatory process in the uterine appendages)
Pathology develops mainly due to labor or abortion. In this case, the lower right abdomen hurts in women, the general condition is severe. Sometimes the occurrence of adnexitis is not complete without calling an ambulance. Even if the patient's condition is in a milder stage, you should immediately consult a doctor. After an accurate diagnosis, he will be able to prescribe the correct treatment.
Identification of factors causing pain and therapy
If it hurts in the lower abdomen on the right in women, first of all, it is necessary to reliably diagnose the cause of this symptom. For this purpose, an initial examination by a doctor and palpation is performed. In addition, instrumental and laboratory diagnostic methods are used - clinical and general blood tests, smear, ESR, laparoscopy, ultrasound and others.
Therapy directly depends on the factor that caused the pain. Hospitalization is sometimes required for treatment in a hospital setting. Surgeons, therapists, proctologists, urologists and doctors of other specialties are involved (if necessary).