What causes lower left abdominal pain with bleeding in women?

Under normal circumstances, lower left abdominal pain accompanied by bleeding in women may be caused by ovulation, endometriosis, salpingo-oophoritis, ovarian cysts, ectopic pregnancy, or other reasons. It is recommended to seek medical attention promptly and receive appropriate treatment under the guidance of a qualified physician. Specific analyses are as follows:

1. Ovulation Period

During ovulation, the ovary releases an egg. When the follicle ruptures, a small amount of blood may enter the abdominal cavity, causing lower left abdominal pain and bleeding. It is advisable to maintain regular daily routines, avoid staying up late, and engage in moderate exercise to help maintain good physical health.

2. Endometriosis

Endometriosis refers to the growth of endometrial tissue outside the uterine cavity. This displaced tissue may bleed during menstruation, triggering inflammatory reactions and pain, leading to lower left abdominal pain with bleeding. Patients typically experience irregular menstrual cycles, dysmenorrhea, and recurrent lower left abdominal pain with bleeding. Treatment may include medications such as indomethacin tablets, naproxen tablets, or medroxyprogesterone acetate tablets, as prescribed by a doctor.

3. Salpingo-oophoritis

Salpingo-oophoritis is caused by bacterial infection or immune response, which may lead to inflammation and congestion in the fallopian tube tissues, stimulating nerve endings and causing pain. This results in lower left abdominal pain with bleeding. Common accompanying symptoms include fever, increased vaginal discharge, and persistent lower left abdominal pain with bleeding. Treatment under medical supervision may involve medications such as metronidazole tablets, levofloxacin tablets, or ibuprofen tablets.

4. Ovarian Cysts

Ovarian cysts may rupture due to external trauma or excessive internal pressure. The contents—such as cystic fluid or blood—can irritate the peritoneum, causing pain, while the rupture site may lead to bleeding, resulting in lower left abdominal pain with bleeding. Patients may also experience nausea, vomiting, and recurrent episodes of pain with bleeding. Treatment may include medications such as Xiaojie'an capsules, dydrogesterone tablets, or Hongjin Xiaojie Concentrated Pills, as directed by a physician.

5. Ectopic Pregnancy

Ectopic pregnancy occurs when a fertilized egg implants outside the uterus, most commonly in the fallopian tube. As the embryo grows, it can stretch and eventually rupture the tube wall, causing severe abdominal pain and internal bleeding, manifesting as lower left abdominal pain with bleeding. Common associated symptoms include shoulder pain, dizziness, fainting, and persistent lower left abdominal discomfort with bleeding. Under medical supervision, treatment may involve medications such as mifepristone tablets, misoprostol tablets, or tranexamic acid tablets.

In daily life, it is important to maintain regular sleep patterns and sufficient rest, avoid excessive fatigue, and follow a balanced diet to support overall female reproductive health.