Lower Abdominal Pain and Bleeding: Possible Causes

Experiencing lower abdominal pain along with abnormal vaginal bleeding can be concerning and may indicate a range of underlying conditions. It is essential for women to undergo comprehensive gynecological evaluations, including ultrasound scans and blood tests to assess ovarian hormone levels. Below are some common causes associated with these symptoms:

1. Uterine Fibroids

One of the most common causes of both lower abdominal pain and vaginal bleeding is uterine fibroids. These are non-cancerous growths in the uterus that can cause painful contractions, often described as cramping or a feeling of pressure in the lower abdomen. In addition, fibroids can lead to heavy menstrual bleeding, prolonged periods, or shorter menstrual cycles.

2. Adenomyosis

Adenomyosis is a condition related to endometriosis, where tissue similar to the lining of the uterus grows within the uterine walls. This can result in severe, progressively worsening pain before menstruation. Women may also experience heavier than normal bleeding and increasing discomfort with each cycle.

3. Gynecological Cancers

In some cases, abnormal bleeding and abdominal discomfort could be signs of reproductive system cancers such as endometrial cancer, cervical cancer, or fallopian tube cancer. These conditions often present with persistent pelvic or lower abdominal pain and irregular vaginal bleeding, especially after menopause or between periods.

When to Seek Medical Help

If you are experiencing unexplained abdominal pain and vaginal bleeding, it is crucial to consult a healthcare provider as soon as possible. Only a qualified medical professional can perform the necessary tests and provide an accurate diagnosis.

Conclusion

Lower abdominal pain combined with unusual bleeding should never be ignored. While the cause may be benign like fibroids or adenomyosis, it's important to rule out more serious conditions through proper medical evaluation. Early detection and treatment can significantly improve outcomes.