Lower abdominal pain and discharge during pregnancy,can get pregnant after ovulation,odds of falling pregnant at 39 2014 - New On 2016

Abdominal pain is a common experience for many people and can be felt by people of all ages. Appendicitis - This results from an inflammation or infection of the appendix and will cause severe pain in the lower abdomen. Ectopic pregnancy - During pregnancy many women experience mild pain in the lower stomach area due to enlargement of the uterus. Diverticulitis - This is a disease that occurs in the large intestine and will cause a gentle pain in the lower left abdomen. Bladder infection - This condition is more common in women than in men and attributable to bacterial infections. Food poisoning - This is caused by eating contaminated food, which results in nausea, vomiting, diarrhea, abdominal cramping and fever.
Gastroenteritis - A condition that causes irritation and inflammation of the stomach and includes symptoms such as diarrhea, vomiting, nausea and abdominal cramps. Lower left abdominal pain in men can have various causes which can be difficult to diagnose easily. Prostrate - Prostrate infections can cause swelling and inflammation of the prostate gland. Urinary infection - This is a bacterial infection and men who are suffering from enlarged prostrate or kidney stones are more prone to the infection. Varicocele - This condition results from the compression of the testicle which hinders the flow of blood from the veins.
The duration of the pain - The duration of the pain may be instantaneous, lasting a short time or prolonged over a month or year.
What worsens the pain - Pain due to inflammation will be aggravated by sneezing, coughing and harsh movements. If you are experiencing severe pain in the abdomen, then you must consult a doctor immediately.
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Fallopian tubes, named after the Italian anatomist Gabrielle Falloppio, are a pair of long and extremely slender tubes located in the abdominal cavity of women. Pus buildup inside the fallopian tubes can trigger shooting pain in the lower abdominal region. The lower abdominal pain due to fallopian tube infection is best described as a sporadic, sharp pain which gradually radiates to the lower back and the legs as the infection progresses. Excruciating pain during sexual intercourse is another covert sign of fallopian tube infection.
The extent of fallopian tube infection will determine the degree of pain during sexual intercourse. Pus and fluid buildup inside the fallopian tubes is responsible for the agonizing lower abdominal pain during ovulation. An infection of the fallopian tubes can lead to spotting or light bleeding between monthly menstrual cycles. The sudden increase in body temperature is the body’s natural reaction to any infection. Lower back pain, debilitating weakness and the urge to urinate frequently are some of the other signs of fallopian tube infection.
Presentation "Pelvic Infections: Vulvovaginitis, Sexually Transmitted Infections, and Pelvic Inflammatory Disease Prepared by Mrs.
Recently the term sexually transmitted infection (STI) has replaced sexually transmitted disease (STD) to emphasize the infectious nature of these frequently asymptomatic disorders and the need for screening, early recognition, and treatment. STIs The most common STIs are Chlamydia, genital herpes (GH), human papillomavirus infection (HPV), and gonorrhea, Trichomoniasis. INVESTIGATION OF VAGINAL DISCHARGE Patients with a vaginal infection frequently complain of a nonbloody vaginal discharge.
Vaginitis – abnormal vaginal discharge This may include discharge from the upper genital tract, e.g.
Trichomonas is always sexually transmitted (except in theneonate, where vertical transmission occurs). BACTERIAL VAGINOSIS- odorous discharge Bacterial vaginosis (BV) is the most common cause of vaginal discharge, but is often without other symptoms.
Risk factors It is not sexually transmitted, but has been associated with increased sexual activity, lesbian partners, douching and increased risk with intrauterine device (IUD) insertion. Classic features of BV BV discharge include "profuse," "milky," non- adherent discharge that demonstrates an amine or fishy odor after alkalization. Treatment Not indicated in asymptomatic women Not indicated for sexual partners Indicated before certain surgical procedures (e.g. Candidiasis (thrush) – itchy discharge Candida albicans, a yeast, is causative in 90 per cent of cases and can produce pseudomycelium.
The majority of women acquire Candida at some stage with up to 20 per cent of women being asymptomatic carriers of Candida.
Classic presentation of VVC includes vaginal itching, burning, irritation, and possibly post voiding dysuria. Complications of Chlamydia Upper genital infection includes ascending endometritis, salpingitis chronic tubal disease that is immune mediated. TRICHOMONIASIS Trichomonias is caused by the protozoan Trichomonas vaginalis About 50% of cases in women and men are asymptomatic.
Male partners are often "asymptomatic" even though they demonstrate nongonococcal urethritis (NGU) on direct examination. It is associated with upper reproductive tract symptoms, an increased risk of adverse pregnancy outcomes (prematurity, low birth weight), and increased transmission of HIV infection. RX Metronidazole (2 g single oral dose) is the recommended treatment ( Other nitroimidazoles (tinidazole, ornidazole) Metronidazole is not teratogenic in recommended dosages but has been traditionally avoided during the first 12 weeks of pregnancy.
GENITAL HERPES Genital herpes (GH) is the most prevalent STI in the US, with an estimated 50 million adults infected with herpes simplex virus (HSV) and about 1.5 million new cases occurring every year. Unfortunately, only 10% to 20% of infected persons know that they are infected, and 70% of transmissions are from asymptomatic viral shedding from infected partners with no visible lesions.
HUMAN PAPILLOMAVIRUS (HPV) is a common viral STI with an estimated 20 million infected persons in the US and 5 million new cases every year. CHLAMYDIA Chlamydia has the highest incidence of any bacterial STI in the US, with 3 million new cases every year. There can be a variety of reasons behind pains that are felt in various parts of the stomach. If the pain is prolonged and not a mild discomfort, then immediate consultation with a doctor is required as the case may be an ectopic pregnancy, where the embryo is embedded outside the womb and, often, in the tubes.
Food poisoning symptoms can last between 24-48 hours and in some cases needs medical attention.


If the symptoms are persistent, it is important to contact a doctor as there may be serious underlying causes.
The cause of the infection can be bacterial or virus, although bacterial attacks are the most common.
For example, the disruption of blood supply to the colon can cause sudden and severe abdominal pain. Neither the service provider nor the domain owner maintain any relationship with the advertisers. It is intended for general information purposes only and does not address individual circumstances. The fallopian tubes, which are a part of the female reproductive organ, link a woman’s ovaries to the uterus. However, the main cause for fallopian tube infection, known as salpingitis, is bacterial infection. The vaginal discharge will have a thick, creamy consistency accompanied by an extremely foul odor.
Women who are diagnosed with fallopian tube infection may complain of agonizing pain in the lower left and right side of their abdomen.
Women suffering from fallopian tube infection may experience an intense pain in their lower abdomen every time they engage in sexual intercourse. However, if a woman complains of intense pain, often described as a sharp, shooting pain centered around the lower right or left abdominal region, then it may be indicative of the fact that the individual is suffering from fallopian tube infection. Irregular bleeding or spotting between monthly menstrual cycles is due to the damage caused to the fallopian tube caused by bacterial infection. Upper reproductive tract infection in the form of pelvic inflammatory disease (PID) is a serious consequence of unrecognized or inadequately treated lower tract disease. Discharges may be caused by mixed pathogens, with mixed symptoms and clinical signs; requiring laboratory elucidation.
The commonest cause of vaginal discharge is an overgrowth of mixed organisms, mostly gut anaerobes, Gardnerella, Mobiluncus spp. TOP) The role of therapy in pregnancy to prevent preterm labour is still under investigation (local clindamycin may have an adverse effect).
Candida glabrata and Saccharomyces cerevisiae (Baker’s yeast) are uncommon and more resistant to imidazoles. Candida infection may result from the use of broad-spectrum antibiotics and may be worse in pregnancy because of the oestrogen Levels and immunosuppression. Symptomatic infection is classically manifested by green-yellow, frothy vaginal discharge "musty" odor, dyspareunia, vulvovaginal irritation, and occasionally dysuria.
The diagnosis of trichomoniasis in patients and their sexual partners should be followed by screening for other prevalent STIs and empiric treatment of partners.
Prompt early treatment during pregnancy relieves symptoms, reduces the risk of HIV transmission, and may improve pregnancy outcomes. Individuals who are infected with HSV are at increased risk of acquiring and transmitting HIV. It is believed that about 75% of sexually active adults will be infected sometime in their life. Such pains can result from muscle inflammations in the abdominal region or problems in the bowel such as constipation. Symptoms start with normally painless swellings that can lead to painful situations that need immediate surgery. Other factors such as consumption of acidic foods and water contaminated with high mineral contents as well as low fluid consumption can contribute to kidney stones. Therefore, careful medical examination is the best method for preliminary diagnosis of any stomach pains including lower left abdominal pain.
The place it begins is also important in the diagnostic process as cases of appendicitis and diverticulitis can begin with lower abdominal pain. In complicated situations, the doctor may run additional tests and scan the ovarian, uterus, or X-ray the stomach cavity area for proper diagnosis.
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It may be a harmless sign of fertility, a digestive disorder like IBS or a red flag of a life-threatening emergency. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. The primary function of the fallopian tubes, also called salpinges, oviducts or uterine tubes, is to help direct the mature egg from the ovaries to the uterus. Sometimes the yeasty smelling vaginal discharge will be tinged with microscopic droplets of blood.
Women who notice persistent spotting or light bleeding between their periods should consult a gynecologist in order to prevent fallopian tube infection from worsening.
Fitz–Hugh–Curtis syndrome – perihepatitis – occasionally occurs as a complication of PID, with severe subcostal pain sometimes referred to the shoulder tip. Diagnosis: is usually made on clinical findings can be confirmed by seeing the characteristic motility of trichomonads on a saline wet mount.
The large majority of HPV cases are latent infections with no visible lesions and are only diagnosed by DNA Subclinical infections have lesions that are only visible during colposcopy. The symptoms can vary from sharp and strong pain in the lower left abdomen to mild, yet persistently uncomfortable sensations.
Some of the most common causes of pain in lower stomach areas include prostrate and urinary infections.
Having a proper understanding of the nature of the pain is also important when identifying what may be causing it. Usually, pain in the lower left abdomen can be treated with antibiotics and other medications.
Never ignore professional medical advice in seeking treatment because of something you have read on the BootsWebMD Site.
Untreated fallopian tube infection can cause permanent damage to the female reproductive tract and in turn result in infertility.
As the fallopian tube infection progresses the vaginal discharge changes hue from creamy white to a thick yellow color. Chlamydia, gonorrhoea and herpes simplex Organisms that cause vaginal discharge can occur as an overgrowth, e.g. Boric acid (600 mg vaginal gelatin capsules) three times daily for 1 week is an effective treatment for imidazole-resistant species.
Clinical infections are characterized by readily visible "warty" growths called condylomata acuminata on the vulva, vagina, cervix, urethra, and perianal area.


As the reproductive organs, including ovaries, tubes and the womb are located in the lower left abdomen, the pain in this region is more common in women than in men. But depending on the condition diagnosed, surgical intervention may also be required in some cases.
Although VVC is not thought to be sexually transmitted in most cases, male partners with diabetes sometimes reinfect their partners. Because these growths may also mimic condylomata lata, syphilis must be excluded if the lesions are atypical or do not respond to treatment. Due to any infections or disease related to these organs, sharp and persistent pains can be experienced from the lower area of abdomen, specifically in the left region.
Due to the many vital organs in the lower abdomen region, it is advisable to seek medical attention if pain lasts more than 24 hours or severe, sharp pains are experienced. Mittelschmerz (painful ovulation)If you have painful twinges halfway between your periods, you may be feeling your body ovulate. During ovulation, the ovary releases an egg along with some fluid and blood, which may irritate the lining of the abdomen. This is called mittelschmerz from the German words for 'middle' and 'pain' because it occurs mid-cycle.
Lifestyle changes and medication can often help.The chart shows hormone changes during a normal menstrual cycle. Menstrual crampsEvery month, the uterus builds up a lining of tissue called the endometrium, where an embryo can implant and grow.
If you don't become pregnant, the lining breaks down and leaves the body as your menstrual period. It happens when an embryo implants and begins growing somewhere outside of the uterus, usually in the fallopian tube. The symptoms include sharp pelvic pain or cramps (particularly on one side), vaginal bleeding, nausea and dizziness. Pelvic inflammatory diseaseOne of the most serious complications of STIs (sexually transmitted infections) is pelvic inflammatory disease or PID.
This infection can cause permanent damage to the uterus, ovaries and fallopian tubes (seen here, swollen and red). Symptoms include abdominal pain, fever, abnormal vaginal discharge and pain during sex or urination. Ovarian cystsA follicle houses the maturing egg during the menstrual cycle and releases the egg when you ovulate. Occasionally, a follicle doesn't open to release the egg or recloses after releasing the egg and swells with fluid, forming an ovarian cyst. Uterine fibroidsFibroids grow in the wall of the uterus and are sometimes called fibroid tumours, but they are not cancerous.
However, some women may experience pressure in the abdomen, lower back pain, heavy periods, painful sex or trouble getting pregnant. Growths may form on the ovaries, fallopian tubes, bladder, intestines and other parts of the body. When it's time for your period, these clumps break down, but the tissue has no way to leave the body. While this is rarely dangerous, it can cause pain and produce scar tissue that may make it harder to get pregnant. Urinary tract infectionA urinary tract infection (UTI) begins when germs get into the urinary tract. A UTI can cause problems anywhere from the urethra to the bladder and up through the ureters all the way to the kidneys.  Symptoms include pressure in the lower pelvis, painful urination and a frequent urge to urinate. Signs of a kidney infection include fever, nausea, vomiting and pain in one side of the lower back. As the stones move from your kidney to your bladder, they can trigger sudden, excruciating pain in the abdomen or pelvic area. Interstitial cystitis (IC)Interstitial cystitis (IC) is a chronic pain condition related to inflammation of the bladder. Other symptoms include pressure above the pubic area, painful urination and pain during sex. Sexually transmitted infectionsPelvic pain is a warning sign of some sexually transmitted infections (STIs) Two of the most common are chlamydia and gonorrhoea (shown here through a microscope). They don't always cause symptoms, but when they do, they may trigger pelvic pain, painful urination, bleeding between periods and abnormal vaginal discharge. It's important to seek treatment to prevent serious complications and avoid infecting your partner. Pelvic organ prolapseMany women will have some type of pelvic organ prolapse as they get older. Experiancing the pregnancy confusing and have significant physical, localized pain with this. The most common symptoms are pressure against the vaginal wall, feeling full in the lower abdomen, discomfort in the groin or lower back and painful sex.
Pelvic congestion syndromeVaricose veins commonly occur in the legs (seen here in the upper thigh), and they can sometimes develop in the pelvis. Scar tissueIf you've had surgery in the pelvic or lower abdominal region, such as an appendectomy or a caesarean (C-section), or infection in the area, you could have ongoing pain from scar tissue.
Adhesions are a type of internal scar tissue that forms between organs or structures that are not meant to be connected. Irritable bowel syndrome (IBS)Irritable bowel syndrome (IBS) is a chronic digestive disorder that causes recurring abdominal pain, cramps, bloating, and diarrhoea, constipation or both.
These include diet changes, stress management and medications to treat diarrhoea, constipation or gut spasm. The pain affects the area around the opening of the vagina.  It can be constant or recurring and is often described as a burning, stinging or throbbing sensation. It is not caused by an infection, and a diagnosis of vulvodynia is made only after ruling out other causes of vulvar pain.
Pain during sexPain during sex (dyspareunia) can be caused by many of the conditions we've discussed, most of which are treatable. Chronic pelvic painChronic pelvic pain occurs below your belly button and lasts at least six months.



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