ENDOMETRIOSIS OR ENDOMETRITIS

It appears like a pain in the low part of the abdomen that begins a little before the beginning of the menstrual period, continues during the period and deteriorates just later. This pain increased after the menstruation can be caused by an endometriosis or by an adenomiosis. In any case, the pain is almost always accompanied by a very abundant menstruation. In the endometriosis, the textile that normally borders on the womb, is implanted in another pelvic organ as in the ovary or the horns of falopio. In the adenomiosis, the same textile begins growing inside the walls of the womb (in the muscle).

-A - Womb or Counterfoil In gray color we see the endometrio that is the wall of the womb -B - Bladder of the Urine.

CHRONIC SALPINGITIS

It appears after a repetition of episodes of a pelvic inflammatory illness. In this case a chronic pain develops in the pelvis. Normally it deteriorates during the menstruation and at once sexually.

SYNDROME OF THE PELVIC PAIN

Some women experience a considerable discomfort in the pelvic area every month during 7 or 10 days previous to the menstruation. The pain is worse when it is standing up or sitting and progress on having been stretched out. Also the rear part of the legs can hurt. The sexual act can be painful and the normal vaginal discharges increase. Also there will appear the symptoms associated with the premenstrual syndrome, such as headache, insomnia and fatigue. This problem can be caused by the proper congestion that takes place on having increased the blood contribution to the womb just before the menstruation.

NOT GYNECOLOGICAL CAUSES

The chronic pelvic pain also can originate in not reproductive organs placed in the pelvis, as for example in the urinal or intestinal tract. A bladder infection, it causes sometimes a just corrosive pain on the pubic bone while it is urinating. Also it can have intense heat sensation in the urethra. Other symptoms are the urgent need to urinate and, occasionally, bleed in the urine.

The irritable or spathic colon produces an abdominal pain with cramps, often accompanied by morning sickness, vomiting, diarrhea or constipation. If the abdominal pain is accompanied by a (puffed up) distended abdomen and the constipation lasts many days it can have an intestinal blockade.

EPISODIC PAIN

Dispareunia

The pain that always happens or essentially during the sexual relation it is called dispareunia. It has many possible causes:

• If you are giving of sucking or in the post menopause, his body is not producing estrogen in the same quantities and the vaginal textile could have slimmed and to become more fragile.
• Also they could have irritated the walls of the vagina by an allergic reaction.
• It can have a vaginal cyst, or a sexual illness transmitted like a herpes or genital warts (to see Condiloma Acuminado).
• If it has given birth recently, it can be the result of a scrape during the episiotomía.
• The problem can be a bladder infection.
• Also it can be the loss of the pelvic support. If the pain happens during the sexual relation when his couple pushes much inside, the cause probably is located in the womb or more deeply.
• Also it can be an inflammatory pelvic illness.
• I embarrass ectópico.
• Endometriosis.
• Cysts or tumors of ovaries.

Finally, if none of the conditions arrives renowned they cause the pain, it can take a vaginismo as physiological reasons: during the sexual relation his vagina lubricates little and the vaginal muscle produces spasms.

Pelvic pain in half of the cycle

Some women feel pain in the low part of the abdomen in half of the cycle, when they ovulate. Called Mittelschmerz, the pain is especially unpleasant and it can last between a few minutes and a few hours.

Dismenorrea

The severe pain during the menstruation, can stem from the excess of prostaglandin that the endometrio produces or, well, it can be the result of beginning taking contraceptive oral or of using an intrauterine device (DIU).

Anyway if also it has fever and an unpleasant pain accompanied by vaginal discharge between the menstrual periods, it can have a pelvic or vaginal infection.

WHAT DOCTOR CAN TREAT ME?

• GYNECOLOGISTS

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