What causes intermittent pain in the lower left abdomen in females?

Under normal circumstances, intermittent lower left abdominal pain in women may be caused by conditions such as ruptured ectopic pregnancy, proctitis, adnexitis, pelvic inflammatory disease, or ulcerative colitis. Patients are advised to follow medical guidance for symptomatic treatment. Specific analyses are as follows:

1. Ruptured Ectopic Pregnancy

Ectopic pregnancy refers to the abnormal implantation and development of a fertilized egg outside the uterine cavity. Rupture of an ectopic pregnancy may cause intermittent lower left abdominal pain. It is recommended that patients undergo salpingectomy under the guidance of a physician.

2. Proctitis

Proctitis can also cause intermittent left-sided abdominal pain, often accompanied by diarrhea or bloating. Patients are advised to take medications such as levofloxacin tablets or cefixime tablets as directed by their doctor.

3. Adnexitis

Left-sided adnexitis may lead to endometritis, with patients experiencing intermittent lower left abdominal pain. It is recommended that patients take traditional Chinese medicine preparations such as Fuke Qianjin tablets or Jingangteng capsules according to medical advice.

4. Pelvic Inflammatory Disease

Inflammation associated with pelvic inflammatory disease can cause adhesions in surrounding tissues and congestion or edema within the pelvic cavity, leading to the aforementioned symptoms. Patients are advised to take medications such as Maitongling tablets, Xuesaitong capsules, or cilostazol tablets as prescribed. In severe cases, laparoscopic surgery or open abdominal surgery may be required to remove the primary lesion.

5. Ulcerative Colitis

The main symptoms of ulcerative colitis include recurrent diarrhea, mucopurulent bloody stools, and abdominal pain. Patients are advised to take medications such as mesalazine enteric-coated tablets or prednisone acetate tablets under medical supervision.

In addition, persistent lower left abdominal pain may also be related to left-sided colon cancer. If a patient experiences ongoing intermittent lower left abdominal pain, timely medical evaluation is recommended to determine the underlying cause and initiate appropriate treatment to avoid disease progression.