Knowledge | Pelvic Pain in Women: Symptoms and Causes of Adnexal Tenderness



Knowledge | Pelvic Pain in Women: Symptoms and Causes of Adnexal Tenderness

Knowledge | Pelvic Pain in Women: Symptoms and Causes of Adnexal Tenderness


Adnexal tenderness is pain in the female pelvic area involving structures such as the ovaries, fallopian tubes, and ligaments that support the reproductive organs. It may have many causes, including disorders of the reproductive, urinary, or digestive systems.



Symptoms

Adnexal tenderness is not a diagnosis itself but a symptom of an underlying condition. Patients may feel pain on one or both sides of the lower abdomen. The pain may be sharp or dull, intermittent or constant. In some cases, movement, sexual intercourse, or bowel movements can worsen the pain, which may range from mild to severe.


Possible Causes

Adnexal tenderness has many possible causes, including:


Reproductive system conditions: Ectopic pregnancy, in which a fertilized egg implants outside the uterus; miscarriage; endometriosis; ovarian or fallopian tube cysts; pelvic inflammatory disease; and sexually transmitted infections.


Other conditions: Appendicitis, diverticulitis, urinary tract infection, constipation, and kidney stones.


Diagnosis

Because adnexal tenderness has many possible causes, a physician will take a detailed medical history and perform a physical examination, usually including a pelvic examination, to identify the source of pain. Additional tests may include:


Laboratory tests: Blood and urine tests, pregnancy testing, and screening for sexually transmitted infections.


Imaging: X-ray, ultrasound, or CT scan.


Treatment

Treatment depends on the underlying cause of adnexal tenderness. Options may include:


Medication: Antibiotics for infection or pain relievers for pain management.


Surgery: Urgent conditions such as appendicitis or ectopic pregnancy may require surgery.


If you have symptoms of adnexal tenderness, seek prompt medical care to determine the cause and receive appropriate treatment.


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