Causes of pain in the pubic bone in women. Pubic bone - pain in women and men, structure. Video: pain in the lower abdomen - possible causes
During pregnancy, women often encounter new sensations. The condition when the pubic bone hurts during pregnancy can be explained physiological changes- divergence of the pelvic bones associated with the preparation of the birth canal for the passage of the child.
This condition is quite natural only if the pain does not intensify and does not cause severe discomfort. IN otherwise, you need to tell the doctor about your feelings in order to determine the degree of discrepancy of the pubic bone and further tactics of action.
In medicine, the pubis has two names - symphysis and pubic symphysis. Essentially this cartilage tissue, which connects the pubic bones. The symphysis is connected to the bones by ligaments. Normally, they are motionless, but during pregnancy, the hormone relaxin relaxes the ligamentous apparatus, against the background of which the bones of the pubic symphysis become mobile, and inflammation and pain may develop.
U healthy woman The distance between the pubic bones varies within 5 mm; during pregnancy, this distance can increase by 2-3 mm and amount to 7-8 mm. If the discrepancy of the pubic bone during pregnancy was 10 mm, we're talking about O . This is considered the initial stage of the disease, but it does not pose a danger to the mother and fetus, causing only discomfort in the woman.
If the pathology does not progress, there is nothing to worry about. A woman only needs more careful observation from a doctor so that as she develops possible complications choose the right treatment and delivery tactics.
If the discrepancy between the pubic symphysis is from 10 to 20 mm, we are talking about the second stage of symphysitis. If the pubic bone diverges by 20 mm or more during pregnancy, they speak of the third stage of pathology.
Symptoms
With the development of symphysitis, the expectant mother faces the following symptoms:
- acute pain while walking, sitting, spreading legs to the sides, turning the body and other changes in body position;
- lameness or a duck-like gait, which minimizes pain in the pubic bone during pregnancy;
- pain when pressing on the pubic bone;
- extraneous sounds in the form of clicks, crackling, etc.
The pain can spread to the groin and thigh areas. Normally, the pain may be aching or pulling character, its localization is the groin, clitoris and pubic area, with partial transition to the inner surface of the thighs. If we are talking about pathology, symphysitis, then a woman cannot lift her straight leg up while lying down - in this case, medical help is necessary.
To find out the degree of divergence of the pubic bone during pregnancy, it is recommended to carry out. Based on it, the doctor makes an appropriate diagnosis and clarifies the extent of the pathological process.
What are the dangers of ignoring symptoms?
If available expectant mother obvious signs symphysitis must be determined as soon as possible correct diagnosis and pick up medical tactics. Many women believe that if the pubic bone hurts before childbirth before 40 weeks of pregnancy - This is a variant of the norm, the inconvenience of which must be endured. Such an attitude towards the problem is fraught unjustified risk for your own health.
The displacement of the symphysis pubis, associated with weakening of the ligaments, does not threaten pregnancy. But with the development of symphysitis and the addition of an inflammatory process, treatment is necessary. Inflammation can cause the development of...
The inflammatory process can occur with the development of local swelling of the pubic tissue, an increase in body temperature - all this leads to the formation of additional stress on the woman’s body, the risk of infection of the amniotic fluid and the fetus.
Rupture of the symphysis is also possible - another severe complication of symphysitis. This usually occurs at 37-40 weeks of pregnancy, when the fetal head has already descended into the pelvis, and the pressure on the inflamed and weakened ligaments increases. A rupture can occur both before and during labor activity. This condition causes severe pain shock.
Causes
Why does the pubic bone hurt and even ache during pregnancy? The reason is simizitis, which in turn is provoked by the following factors:
- Hormonal disorders that usually develop against the background of excessive synthesis of relaxin. It helps to soften the ligaments of the pubic bone, thus preparing birth canal for the birth of the baby.
- , low position of the fetal head or. These conditions increase the load on the symphysis pubis and cause its more pronounced divergence, which explains why the pubic bone hurts.
- Insufficient intake of vitamin D into the body, imbalance of magnesium, calcium and phosphorus.
- Tendency to diseases of the musculoskeletal system (history of pelvic injuries, etc.).
Treatment
As such, there is no treatment for discrepancies in the pubic bone of the expectant mother. After the birth of the child, the ligamentous apparatus will return to its original state, and the situation will return to normal. To make the pubic bone less painful, the doctor may prescribe rubbing the pubis with Menovazine.
If there is swelling of the pubis against the background of inflammation, a woman may be prescribed drugs with an analgesic and anti-inflammatory effect such as Betalgon or Chondroxide. To compensate for the lack of calcium in the body, you need to take it.
If the pubic bone hurts from the 32nd week of pregnancy or after childbirth, the woman may be prescribed UV irradiation of the pubic area for anti-inflammatory purposes. If there is no inflammation, then you need to come to terms with the situation and wait for childbirth.
Prevention
To prevent severe divergence of the pubic bone, you need to follow these recommendations:
- Minimize physical activity such as walking up stairs and long walks.
- You cannot sit in a sitting position for more than an hour - your body position needs to be changed.
- You cannot transfer your body weight to one leg or the other - the load should be even on both legs.
- When turning over in bed, you should not make sudden movements - first you need to turn top part body, then the pelvis.
Childbirth with pain in the pubic bone
If the discrepancy of the symphysis pubis is 10 mm or more, it is possible to carry out. If the discrepancy is more than 20 mm, we are talking about mandatory operative delivery, as there is a risk of rupture ligamentous apparatus pubic bone. If a rupture occurs, this can lead to complete immobilization of the woman until the ligaments heal, and this may take at least 3 months spent in a cast.
Pain in the pubic area often becomes a reason to contact medical specialists. Unpleasant painful sensations may occur as a result of injury or developmental abnormalities, against the background of infectious, oncological diseases and for a number of other reasons.
Pain above the pubis
Painful sensations in the pubic area may indicate inflammatory processes in the genitourinary system. In men, such pain often accompanies prostatitis, in women - cystitis.
In women, pain above the pubis often signals problems in the gynecological area. Such serious diseases as adnexitis, endometritis, endometriosis are characterized by nagging and aching pain in the center of the suprapubic zone. As a rule, the pain is not constant, occurs periodically, and can radiate to the groin. At the same time it worsens general health patients - they feel unwell, weak, and sometimes shivering.
Unilateral pain often accompanies neoplasms in the ovaries or bladder. The pain may be mild right away, but over time, without proper examination and treatment, it becomes unbearable and is accompanied by discharge.
Severe pain in the pubic area after sexual intercourse may result from a ruptured tumor or cyst. The woman may bleed, develop weakness, hypotension and fever.
If a woman is pregnant, then sharp, intensifying pain above the pubis and bleeding that appears are harbingers of a miscarriage. Ectopic pregnancy is also accompanied by severe pain in this area. The pain may be nagging or cramping, a woman feels severe weakness, dizziness, discharge appears.
Pain at the bottom of the pubis
Pain in the lower pubic area during sexual intercourse may occur when congenital pathology pubic bone: it is too elongated and puts pressure on the urethra. With such an anomaly it’s normal sex life becomes impossible.
Pubic pain during pregnancy
Normally, pregnant women may experience moderate pain in the pubic area - under the influence of the hormone relaxin, a process of softening of the pelvic bones occurs. With excessive softening of the bones of the pubic symphysis, they speak of developing disease- symphysitis. A woman experiences discomfort when going up or down or changing body position, but after the birth of the child everything returns to normal.
At pathological childbirth divergence of the pubic bones or even rupture of the articulation may occur - symphysiolysis. The woman suffers from sharp pain, she needs rest and rigid bandage fixation.
If pain occurs in the pubic area, you should urgently contact medical institution. You will need to consult a gynecologist, urologist, surgeon and traumatologist. Doctors will conduct necessary examination and prescribe treatment.
Pain in the pubic area can result from the following common diseases:
- Inflammatory and adhesions in the pelvic area.
- In gynecology: inflammation of the ovaries, tubes, uterus.
- In urology: prostatitis, orchitis, cystitis, etc.
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A common reason for visiting a doctor is It's a dull pain, localized above the pubic bone. Mostly women come who are later diagnosed gynecological diseases. Men also experience groin syndrome. The symptom is caused by the development of pathologies or the consequences of injuries.
Possible causes of pain in men and women
Unpleasant and sometimes unbearable symptoms are caused by irritation of nerve receptors due to damage or disease. The explanation for the malaise is dysfunction of internal organs.
The cause of discomfort can be determined by its location:
- In the navel area. Passes here transverse colon, so the syndrome appears due to violations gastrointestinal tract. Pathologies, causing pain: colitis, polyposis, dysbacteriosis, Crohn's disease, cancer, hernia, as well as obstruction and deformation of intestinal tubes.
- In the groin. This area contains the inguinal canals, ureter and spermatic cord in men, and the ovaries and uterine ligament in women. Pain in the very lower abdomen directly above the pubic bone indicates pathologies: urethritis, urolithiasis, funiculitis, adnexitis, cyst, neoplasms or tumors.
- Midway between the navel and groin. In women it is characterized by damage Bladder or uterus: cervical erosion, endometriosis, adnexitis, cystitis, pyelonephritis, cyst. In men, this area contains the vas deferens, seminal vesicles, prostate. Therefore, signs may indicate prostate adenoma, prostatitis, inflammation of the genital organs.
- Above the pubis on the sides. On the left is the appendix, on the right, slightly higher, are the kidneys. Symptoms may indicate appendicitis, polycystic disease, colitis, salpingitis, tumor, inflammation or renal failure.
Pelvic organs in women
The painful condition is sometimes explained by injury or physiological changes:
- Manifestations of spasmodic syndrome are caused by fractures, bruises, and organ damage due to an accident or direct blow.
- Women often have pain in the lower abdomen, directly in the suprapubic bone, when carrying a child in the 2nd–3rd trimester. The condition is caused by skeletal changes: separation of bone elements due to fetal growth.
- On early stages ectopic pregnancy severe, sharp pain bothers me. Symptom caused by deformity fallopian tube, to which the egg is attached. At 8–10 weeks the canal ruptures.
- During menstruation, women often feel a nagging discomfort in the pubic area - the tubercle located in the lower abdomen, where the pubic symphysis is located. The spasm from the groin radiates to the back and is explained by the expansion of the uterine canal.
- IN old age Women face pain during menopause and menopause. This is caused by hormonal changes, decreased endurance, calcium deficiency. The body is also rebuilt in girls adolescence, so spasms occur.
Pain - useful symptom, serving as a signal from the body for help. To identify pathology, it is important not only to determine the location of the spasm, but also the nature of the manifestations.
Pain symptoms
Pain in the groin area, above the pubis or near the navel indicates pathologies of the pelvic organs. Manifestations can be expressed by localized spasms or radiate to the lumbar region, abdomen, or leg. Besides pain syndrome, which intensifies with pressure and movement, concomitant manifestations of diseases appear.
Signs of pathologies in women
Often, symptoms of malaise in women are caused by infectious or inflammatory processes of the reproductive system.
To avoid complications, it is important to immediately consult a doctor and describe the characteristic manifestations.
The main gynecological diseases that cause pain in the pubic area:
| Cervical erosion |
|
| Endometriosis |
|
| Ovarian cyst |
|
| Adnexit |
|
The severity of symptoms depends on the stage of the disease. As the disorder develops, the manifestations are weak and some signs are absent. Relapses are accompanied by acute pain, and with infections the temperature rises.
Signs of pathologies in men
Pain above the pubic bone in the groin in men is caused by urological dysfunctions. Manifestations are triggered by inflammation, an increase in the size of the genital organs, or a neoplasm.
Common pathologies that cause pain:
| Prostatitis |
|
| BPH |
|
| Inflammation of the seminal vesicles or vesiculitis |
|
Unpleasant sensations are often localized on one side, which indicates damage to a specific organ, its right or left part. On early stage the pathology is mild and rarely asymptomatic.
Signs of gastrointestinal diseases
Digestive disorders occur in both men and women.
If, in addition to painful tingling, discomfort and spasms, dyspeptic disorders, gastrointestinal dysfunction occurs in the body.
Abdominal cramps may be accompanied by the following pathologies:
| Colitis of the intestines |
|
| Dysbacteriosis |
|
| Umbilical hernia |
|
| Irritable bowel syndrome |
|
| Appendicitis |
|
Even with mild manifestations of the disease, you should immediately go to the hospital. Better to prevent possible violation or detect pathology on initial stage than to treat the complication surgically.
Which doctor should I contact?
To make a diagnosis and prescribe treatment, you need to make an appointment with a doctor. The choice of specialist depends on the symptoms and nature of the pain in the suprapubic region.
Who to go to for an appointment:
- A traumatologist is contacted if the syndrome causes difficulty in movement, the inability to straighten up, or a “duck gait.”
- After accidents and serious damage to the integrity of bones and tissues, they turn to a surgeon.
- If symptoms caused by pregnancy, childbirth, or physiological changes in women need to be examined by a gynecologist.
- Men with suspected inflammatory diseases and pathologies genitourinary system An examination by a urologist will be required.
In any case, after preliminary diagnosis, the doctor will, if necessary, give a referral to another specialist, as well as prescribe studies and tests.
Establishing diagnosis
At the appointment, the doctor examines the location of the pain and determines the disorder by pressing on the disturbing area. Palps and visually checks the likelihood of enlargement of any organ due to inflammation. The patient's task is to accurately reproduce latest events. It is also important to correctly describe the symptoms. What kind of pain, tingling, aching or cutting, where does it go?
After examination and questioning, the doctor refers to additional research to clarify the diagnosis:
- blood, urine, and, if necessary, stool tests;
- MRI or computed tomography;
- Ultrasound of the genitourinary system;
- scraping or smear analysis;
- X-ray.
Additional hardware examinations may be prescribed, depending on the type of pathology. After studying the results, the doctor makes a diagnosis and prescribes drug treatment, home care, rehabilitation procedures. Most often, therapy is performed in a conservative way. However, when chronic forms life-threatening diseases or complications will require surgical intervention.
Pain above the pubic area is a symptom that should not be ignored. It is recommended to analyze possible reasons discomfort to eliminate them. The best prevention the syndrome will become balanced diet, compliance with hygiene rules, control of physical activity, avoidance of stressful situations.
When the pubis hurts, it is always alarming, because the genitals are in close proximity. There are many reasons why pain appears in the pubic area. They all require special attention, because ignoring a symptom can lead to the development of a dangerous disease.
Causes of pain
Pain in the pubic area can occur in both men and women. Factors that contribute to the occurrence and development of pain in the pubic area are the following:
- current or previous pregnancy in women;
- recent childbirth, especially with complications;
- operations on the lower abdomen;
- gynecological or urological operations;
- injuries and damage to the pubic area;
- side diseases;
- overweight.
Injuries are among the most common reasons pubic pain, because this area is sensitive. If the discomfort passes quickly, then there is no danger to health. But if the consequences of the injury do not go away, then you should not delay visiting a doctor.
Inflammation of the pubic bone is common among athletes. The cause of inflammation is most often overload during training. The most important signs are pubic pain, which can radiate to the groin, thigh or bottom part belly.
Initially, symptoms are only noticeable during exercise or movement, such as climbing stairs, running, etc. If you do not take a break from exercise, symptoms begin to appear more frequently, and the pain gets worse even with sneezing.
Women often experience pain in the lower abdomen and pubic area during pregnancy and after childbirth. If the problem goes away over time, then there is no danger. However, it is worth consulting a gynecologist.
Probable diseases Pubic pain is different: weak and strong, aching, stabbing, cutting, etc. This common symptom various diseases . This is most common in women sure sign
- pathologies such as:
- symphysiolysis;
- abnormalities in the development of the pubic bone;
- gynecological diseases;
disorders in the urinary system. Many women experience pain in the pubic area after childbirth. But if the pain does not go away for a long time and only intensifies, then we can talk about a disease such as symphysiolysis. The cause of the violation is rapid or difficult birth when is born big baby
With symphysiolysis, the pain is acute, shooting in nature, radiates to the lower back and pelvic area when moving the legs, and intensifies when pressing on the abdomen. With symphysiolysis, it is difficult to lift your legs and your gait is impaired.
Painful sensations may be caused improper development pubic joint. With this pathology, it is difficult for a woman to have a sexual life, because the unpleasant sensations intensify after sex.
Many gynecological pathologies also cause pain in the pubic area. The pain is aching, nagging, and is often accompanied by vaginal discharge, weakness and increased body temperature.
The most common diseases in men are:
- inguinal hernia;
- birth defects;
- inflammatory processes.
An inguinal hernia is characterized by sudden painful attack, which can occur during heavy physical exertion, less often during urolithiasis, obesity, injuries. During the illness, a tumor-like formation develops in the groin area. Pain when inguinal hernia sharp and sharp, intensifies when pressing on the stomach.
- most common congenital anomaly, leading to discomfort in the pubic area in men. Characterized by the absence of one or two testicles in the scrotum. It is easily treatable if you consult a doctor in time.
Inflammatory processes in the reproductive and urinary systems also lead to unpleasant sensations.
The most common inflammatory disease is prostatitis. The pain radiates to the lower back, the temperature may rise, and chills may occur.
Who to contact and how to treat
Deciding which doctor to consult is not so easy. Pubic pain can be accompanied by many other symptoms: changes in gait, unpleasant sensations with different body positions, excessive sweating, weakness, etc.
It is important to analyze all the symptoms, as well as establish the location and circumstances of the pain. Depending on the clinical picture and you should choose a specialist. Most often, the examination is performed by an orthopedist, surgeon or traumatologist. If the pain is associated with pregnancy or childbirth, then the woman should consult a gynecologist. A urologist deals with pain associated not only with the pubis, but with the entire male reproductive system.
To determine the cause of pain in the pubic area, the doctor first talks with the patient, examines the affected area by palpation and sends it for further examination.
First, after a medical history and a thorough physical examination, an X-ray of the pelvis is performed. X-ray image helps to establish more exact reason pain. Sometimes they carry out ultrasound scanning, if x-rays failed to reveal the complete clinical picture.
IN difficult cases accurate diagnosis can be diagnosed using MRI. Can also be carried out additional examinations for imaging, such as skeletal scintigraphy - this is difficult, but useful in pathological changes in the body that cannot be detected by other diagnostic methods.
Problems in the pubic area can be eliminated with medication or surgically. Pubic inflammation can be effectively treated with anti-inflammatory drugs, and many diseases can be treated with physiotherapy. Although therapy may take several months, surgery is rarely necessary. Surgical intervention is required only with the development of certain pathologies or in advanced cases.
How to relieve pain
Most often, pubic pain intensifies with movement, so during an exacerbation it is better to lie on your back or take another relaxing position. If your lower abdomen hurts or groin area, then you can apply something cold to this place. It is better to wrap ice or a cold object in a thick cloth to avoid frostbite.
You can take a pain reliever. However, constantly relieve pain medicines it is forbidden. They can only be used a few times to relieve a person's condition before seeking medical attention.
Prevention
Pubic pain is caused by excessive strain on the hip joint. When active physical exercise this needs to be taken into account. Also provoke similar symptom may be overweight.
Pregnant women who are rapidly gaining weight should periodically wear a special bandage that supports the abdomen. Thus, the load on the body and in particular on the hip joint is reduced.
To prevent pubic pain caused by muscle strain or injury from sports or high-impact activities. physical activity, it is necessary to warm up the body well before training. Stretching and strengthening exercises for the abdominal and thigh muscles will help. Regular stretching helps prevent muscle tension and imbalance.
Proper and comfortable running shoes should be worn to reduce stress on bones and joints. And if you experience mild pain or after treatment, it is better to avoid sports with sudden movements on a hard surface.
Home preventive measure is a systematic visit to a gynecologist or urologist. An examination by a specialist at least once a year will help avoid many unpleasant problems with the reproductive system. And after receiving an injury, it is better not to ignore visiting a traumatologist.
Conclusion
Pain in the pubis, whether it is on the right or left, throbbing or stabbing, cannot be ignored. This is a symptom of the development of a disease. Therefore, visiting a doctor should be mandatory. And in order not to aggravate the situation, you should be attentive to your health, exercise, eat right and be less nervous.
Pain and its causes in alphabetical order:
pubic bone pain
pubic bone(os pubis) - one of three bones, forming the pelvic bone during fusion. Steam room; the two pubic bones, forming the symphysis pubis, form the anterior wall of the pelvis. Consists of a body and two branches. The branches and body of the pubis form the obturator foramen (foramen obturatoris), closed by the obturator membrane.
The pubic bone in women with the right physique has the shape of a roller with a thickness of approximately thumb arm, which is arched and forms the pubic eminence. This bone hangs in a kind of arch over the entrance to the vagina, fused at its edges with the bones of the pelvis, and does not present an obstacle during coitus.
What diseases cause pain in the pubic bone:
The main causes of pain in the pubic bone:
1. If during pregnancy, especially in the second half, you developed acute pain in the pubis, it became difficult to walk up the stairs, turn from side to side on the bed and get up from the sofa, and your gait changed and became like a duck’s, this may be symphysitis.
This disease is associated with softening of the joints of the pelvis and stretching of the symphysis pubis (which is also called the symphysis - it is a sedentary joint and connects the pubic bones) under the influence of the hormone relaxin. The process of softening the interosseous joints is natural, it helps the child go through easier bony pelvis during childbirth. But in the case when the pubic symphysis swells, becomes greatly stretched, becomes mobile, and frontal bones, accordingly, diverge excessively - pain appears and a diagnosis of “symphysitis” is made. The reasons why this disease occurs are not completely clear. Some scientists are inclined to believe that there is a lack of calcium in the body of a pregnant woman, while others attribute the disease to increased concentration relaxin. Symphysitis may be caused by individual characteristics woman's body structure, hereditary characteristics or her pre-pregnancy problems with the musculoskeletal system.
2. Many women begin to complain of pain in pelvic bones some time after birth. This is symphysiolysis. The syndrome consists of symphysiolysis proper, rupture of the symphysis and pain in the pelvic bones or symphysis. Symphysiolysis is characterized by separation between the two pubic bones and instability. An acute symphysis rupture is very painful and requires rest and a pelvic brace. Pain in the pelvic bones is characterized by tenderness of the symphysis and sacroiliac joints. Complaints usually recur after next pregnancy. A small proportion of patients continue to have serious complaints.
3. Pubic bone fractures usually occur from a direct blow to the pubic bone or from compression of the pelvis. More often they are not accompanied by significant displacement. Patients complain of pain in the pubic bone, which intensifies when moving the legs or palpating. In the supine position, the patient cannot raise his straight leg. This symptom is called the “stuck heel” symptom. Fractures of the pubic bone may be accompanied by bladder contusions. Then urinary disturbances and pain when urinating occur.
4. In some women, the pubis has the shape of a flat saber-shaped strip 3-4 fingers wide, almost half covering the lumen of the vaginal vestibule. With this shape of the pubic bone, its lower edge becomes an obstacle, causing sharp pain when trying to insert the male penis into the vagina. It is felt especially strongly when the penis presses on the periosteum and presses urethra to the sharp edge of the pubic bone. Painful sensations when pressing on the periosteum are very painful and, as a rule, are repeated with every attempt to resume sexual intercourse. All this helps to strengthen the protective conditioned reflex and a woman’s negative attitude towards sex life.
Which doctors should you contact if you experience pain in the pubic bone:
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Does your pubic bone hurt? It is necessary to take a very careful approach to your overall health. People don't pay enough attention symptoms of diseases and do not realize that these diseases can be life-threatening. There are many diseases that at first do not manifest themselves in our body, but in the end it turns out that, unfortunately, it is too late to treat them. Each disease has its own specific symptoms, characteristic external manifestations- so called symptoms of the disease. Identifying symptoms is the first step in diagnosing diseases in general. To do this, you just need to do it several times a year. get examined by a doctor to not only prevent terrible disease, but also to maintain a healthy spirit in the body and the organism as a whole.
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