What are the causes of left lower abdominal pain in women?

Lower left abdominal pain in females may be caused by ovulation pain, constipation, left adnexal inflammation, irritable bowel syndrome, left ureteral stones, and other reasons. Treatment should be based on the specific situation. It is recommended to visit a hospital promptly and follow medical advice for treatment.

1. Ovulation Pain: During ovulation, the follicle ruptures and follicular fluid may irritate the peritoneum, possibly causing lower left abdominal pain. This type of pain is usually mild and often occurs midway between two menstrual periods. No special treatment is generally required; rest and avoiding strenuous exercise are recommended.

2. Constipation: Some women may experience slowed intestinal motility due to insufficient dietary fiber intake, inadequate water consumption, or lack of physical activity. Dry, hard stools may accumulate in the lower left abdomen, causing intestinal spasms and pain. Dietary adjustments can help improve symptoms. It is recommended to consume more vegetables, fruits, whole grains, and other fiber-rich foods such as celery, apples, and oats.

3. Left Adnexal Inflammation: Poor menstrual hygiene, infections after childbirth or abortion, and other factors may allow pathogens to invade the left fallopian tube and ovary, causing inflammation. Patients may experience persistent lower left abdominal pain, increased vaginal discharge with an unpleasant odor, and intensified pain during sexual intercourse or menstruation. Patients can take medications such as metronidazole tablets, cefixime capsules, and Fuke Qianjin tablets under a doctor's guidance to alleviate pain.

4. Irritable Bowel Syndrome: Factors such as high stress levels and irregular eating habits may lead to intestinal dysfunction, causing irritable bowel syndrome. Patients may experience lower left abdominal pain, often accompanied by diarrhea or constipation, with abdominal pain relieved after defecation. It is recommended to take medications such as pinaverium bromide tablets, lactobacillus tablets, and Bifidobacterium quadruple viable tablets under a doctor's guidance to reduce symptoms.

5. Left Ureteral Stones: Metabolic abnormalities and urinary tract obstructions may cause minerals in the urine to crystallize and form stones in the left ureter. When stones move, they may irritate the ureteral mucosa, causing severe lower left abdominal pain, often described as colicky. It is recommended to take medications such as diclofenac sodium sustained-release tablets, tamsulosin hydrochloride sustained-release capsules, and stone-expelling granules according to medical advice to improve symptoms.

In daily life, increasing daily water intake and engaging in moderate physical activity, such as walking or jogging, can promote intestinal motility and help relieve constipation and abdominal pain.

References:

[1] Lin Xiaohui. Analysis of the Combined Use of Azithromycin and Fuke Qianjin Capsules in the Treatment of Chronic Adnexitis[J]. Matrimony and Health, 2024, 30(22):22-24.

[2] Qu Jianglei. Clinical Study on Self-Prepared Stone-Expelling Decoction Combined with Extracorporeal Shock Wave Lithotripsy in the Treatment of Ureteral Intramural Segment Stones[D]. Qingdao University, 2015.