What causes pain in the pubic region? Pain in the very bottom of the abdomen above the pubic bone in women

Pain in the pubic area is a pathological condition common to both men and women. It may be caused wide range reasons ranging from traumatic injuries and ending with these dangerous diseases as malignant neoplasms. Due to the wide variety of provoking factors when pain It is recommended to visit a doctor and get advice or qualified help.

Why does the pubis hurt in women?

The pubis is the soft tissue area located directly above the genitals. It is separated from the thighs by the coxofemoral grooves, and from the abdomen by the pubic groove. The structure of this organ includes both soft and bone tissue, therefore, if the pubis hurts in women, the doctor considers the causes associated with pathologies of the following nature:

• inflammatory processes in the reproductive and urinary system;
• damage to bone tissue (bruises, fractures);
• congenital anomalies skeletal system.

Mechanical damage

Soreness is an invariable accompaniment of injuries that can be caused by a direct blow or serious compression of the pelvis (for example, when car accident). When fractures occur, the pubic bone is displaced, as a result of which the patient complains of pain in the pubic area, which intensifies when trying to lift the lower limb. Often, along with a fracture, damage to the organs of the urinary system occurs, which entails increased urination.

Pathologies in the development of the pubic bone

Pain syndrome can occur when the pubic bone develops incorrectly, when the pubic joint appears in the form of a saber-shaped bar 3 fingers thick (with normal development, it looks like a curved roller one finger thick). In women with an anomaly, the lumen of the vaginal vestibule is half closed, so they cannot have an active sex life.

If you have pain in the pubis after childbirth, with high probability a phenomenon called symphysiolysis is observed. It is understood as the divergence of bones in the symphysis pubis or their increased mobility caused by too rapid delivery or the birth of a large child. The following symptoms are expressed in the pathology:

• pain in the lower back, pelvis, pubis, which becomes more intense at night and when spreading the legs to the sides;
• increased pain when pressing on the pubic bone;
• difficulty climbing stairs;
• clicking in the pelvis when walking;
• lameness or duck gait;
• Difficulty lifting your legs while lying down.

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Gynecological problems

Pain in the pubic area may indicate gynecological diseases such as endometriosis, adnexitis, ednometritis. The pain above the pubis or in the tubercle itself is nagging or aching, often accompanied by increased temperature, weakness, and irradiation into the perineum. Sometimes with this condition the vagina hurts, the pain intensifies during sexual intercourse or before menstruation.

Other reasons

To other pathologies, causing discomfort among representatives of the fair sex, diseases of the urinary system can be attributed. In particular, pain is characteristic of urethritis, in which there are difficulties with urination, pain and burning in the urethra, a feeling as if bladder not completely emptied.

Another reason why the pubis hurts is an ectopic pregnancy. More often, pain occurs on the right or left and is accompanied by dizziness and weakness. Gradually pain syndrome becomes more intense, cramping, bleeding from the vagina begins.

Important! An ectopic pregnancy is a serious threat to life, so if you suspect it, you should call an ambulance.

Why does the pubis hurt during pregnancy?

In the second trimester, a woman begins hormonal changes body, there is an increase in the production of relaxin, which helps to soften the pubic joint and pelvic bones. Usually this process is asymptomatic, but some pregnant women may develop symphysitis, which is the main reason why the pubis hurts during pregnancy.

When symphysitis appears, the joints become extremely mobile, which causes pain and difficulty moving. As a rule, after childbirth the problem goes away on its own.

Causes of pubic pain in men

Pain in the pubic tubercle occurs more often in men than in women. They can arise completely unexpectedly and acutely or intensify over a long period of time, and be dull or cramping in nature. The intensity and type of pain largely depend on specific diseases or phenomena, the most common of which are:

• inguinal hernia;
• inflammation – prostatitis, vesiculitis, epididymitis;
• birth defects;
• osteomyelitis;
• injuries.

Urological inflammations are always accompanied by painful sensations. Their intensity varies and depends on many factors: the form of the process, stage of development, individual pain threshold. But how not to confuse the pain of cystitis in women with other pathologies?

Inflammation urinary tract beautiful ladies get sick often. Any organ that has undergone an infectious attack changes under the influence of immune responses. Hyperemia, swelling, and pain appear. The typical location of pain during bladder inflammation is the suprapubic region. But there are non-standard situations of displacement of sensations and changes in the intensity and nature of pain. She may be:

• sharp, cutting;
• pulling;
• aching, dull;
• cramping;
• periodic.

Perception largely depends on whether a single inflammation occurs or several organs are involved in the process. There are several irradiation zones painful sensations:

• stomach;
• lumbar region;
• kidney area;
• genitals.

In addition, it is important to separate cystitis in women from painful symptoms of other organs, since manifestations are often nonspecific.

Typical manifestations of bladder inflammation

With cystitis, pain in the lower abdomen - characteristic feature inflammation. This happens because the swollen tissue begins to put pressure on nerve endings, causing them irritation. The source of inflammation is located in the lower abdomen, so all unpleasant sensations are localized in suprapubic region. Many women note the similarity with pain premenstrual syndrome. The sensations are dull, pulling, usually constant, and intensify when the bladder is full. When involved in the process reproductive organs, the pain shifts to the right or left side belly.

Another symptom characteristic of bladder inflammation is pain when urinating. Severe pain accompanies the beginning and end of the process. It is accompanied by burning and itching. The pain with cystitis can be so severe that it creates a fear of urination.

To alleviate the condition before consulting a doctor, a woman is advised to increase her fluid intake. You can brew kidney teas or diuretic herbs; this measure helps flush out bacteria from the diseased organ. Many people find it helpful to use heat on the projection of the bladder.

Atypical manifestations

Often cystitis occurs in combined inflammation, then the picture changes. A situation arises when a person falls ill with one disease, and the pain syndrome indicates another pathology.

Abdomen area

The lower abdomen also hurts with cystitis of non-infectious etiology. The sensations are constant, aching, and have a strong dependence on urination. The main localization is the area above the pubis, with irradiation into the genitals.

Abdominal pain due to cystitis of tuberculous etiology. A nagging, persistent feeling is concentrated in the depths of the small pelvis. Other manifestations indicating inflammation are mild.

When nearby organs are involved in inflammation, adnexitis, ophoritis and others develop, sensations move to the iliac region on the side of the lesion. The pain is constant, intensifying with muscle tension.

Sometimes a woman suffering from a chronic disease, accustomed to the fact that her lower abdomen hurts during cystitis, does not pay attention to alarming symptoms or fights them with familiar methods. Meanwhile, such a symptom can be caused by an abnormally located appendix, the inflammation of which is called appendicitis. The pain is localized in the area above the pubis and is cramping in nature. Reflex reactions arise frequent urge to urination. The lower abdomen can hurt even with a normally located appendix, but the symptoms shift to the right iliac region and are acute and paroxysmal. With this arrangement, diuresis remains normal.

The same localization is maintained when intestinal inflammation or a combination of pathologies. The intensity of the aching feeling in the lower abdomen will depend on the acts of urination and defecation. In addition, colitis accompanies increased gas formation, flatulence and bloating.

If atypical pain occurs, the use of heat is prohibited; this can only increase inflammation and contribute to the spread of infection.

Lumbar region

For cystitis symptomatic picture shifted to bottom part belly. The patient takes medications and drinks diuretic herbs. And the pain not only does not go away, but also changes location. Can the lower back hurt with cystitis, and what does this change mean? The reason may be urolithiasis disease. Manifestations depend on the location and size of the stone. With coral-shaped immobile stones, dull aching sensations appear in the lumbar area, radiating to the iliac and groin areas when moving.

Small stones that have begun to move cause a paroxysmal course of the disease. The condition changes as the stone moves, and its irradiation also changes. Beginning as pain in the lower back with cystitis, the symptoms shift along the ureter, radiating to the thigh on the affected side, to the groin area, to the external genitalia.

Another reason discomfort the process spreads and moves to the kidneys. Infectious lesion kidney – pyelonephritis often has bacterial cause and becomes a complication of pathological changes in the bladder. Do the kidneys hurt with cystitis in such cases? Yes, they hurt, because this is already a combined process. A dull aching pain forms in the lumbar region and is one-sided, in in rare cases when both kidneys are affected, it hurts on both sides. Symptoms may be mild, but more often they are of medium intensity, sometimes “shooting” into the iliac region.

The close connection between the urinary organs leads to the fact that with exacerbation of recurrent cystitis, the chronic pyelonephritis. The symptoms of one disease include pain in the kidneys. At chronic course she wears wavy aching character, increases with hypothermia or poor diet.

Renal region

Sudden sharp sensations in the side and in the kidney area indicate the beginning of the movement of stones and the appearance renal colic. The pain is often unbearable and the person cannot take a comfortable position. There is irradiation in the hypochondrium on the affected side, and a return along the ureter to the groin area. Shooting sensations go through inner surface thighs and genitals. There is frequent urination with pain, as with cystitis, but the kidney hurts with every movement, calming down a little with rest. Severe pain when pressing on the kidney area and in the hypochondrium area from the affected organ.

Sudden lower back pain due to cystitis - alarm signal. Before a medical consultation, a woman can alleviate the condition by taking antispasmodics: no-spa or drotaverine, drinking fluids large quantities provided that diuresis is maintained.

The situation when the kidneys hurt after cured cystitis most likely indicates an inflammatory process in the pyelocaliceal system. In this case, pyelonephritis becomes a complication of bladder pathology, but the symptoms are smoothed out due to the therapy performed. This happens when self-medicating without proper diagnosis.

Another reason for kidney pain after cystitis may not be related to the inflammatory process - cystic neoplasm. This pathology is usually asymptomatic, and the inflammatory process in the bladder could provoke its manifestation. In this case, the back on the affected side and the lower back suffer.

Urogenital area

Inflammation of the bladder rarely occurs as an independent infection; it often occurs secondary lesion when cystitis is a complication of urogenital diseases. Lower back pain may accompany inflammation of the urethra. This disease is also characterized by frequent painful diuresis with pain and bleeding.

Diseases internal organs reproductive system, both in women and men, lead to aching sensations in the lower abdomen, in the groin area, in the perineum, and radiate to the rectum and lower back. Painful symptoms occur during diuresis and defecation. With the development of neoplasms, compression of the urinary tract and stagnation of urine is possible, which provokes reproduction pathogenic microflora. An inflammatory process develops in the bladder, and cystitis causes lower back pain. Chronic inflammation internal genital organs is often associated with impaired blood circulation in them, which provokes the occurrence of foci of inflammation. The pain is not intense, aching, and radiates to the sacral region, lower back, lower abdomen, and iliac region.

How to differentiate bladder inflammation

Despite its specificity, the symptoms of cystitis are similar to other pathologies of the genitourinary system. How to distinguish a disease if the pain is atypical? Let's consider pathological conditions and their differences from cystitis.

1. Allergic or neurogenic cystitis has manifestations characteristic of inflammation of the bladder: frequent painful diuresis, dull nagging pain above the pubis. Distinctive feature– no changes in urine.
2. Urethritis is accompanied by severe pain and burning during urination. There is moderate pain in the lower abdomen. A specific feature is diuretic pain at the beginning of the act and uniformity throughout its entire duration. There are discharges from the urethra of various types.
3. Urolithiasis is characterized by impaired bladder emptying and the development of non-infectious inflammation. Against this background, the woman’s kidneys hurt due to cystitis, but there is no bacterial infection. The difference between pain is its dependence on movement.
4. Gynecological diseases are accompanied by painful sensations in the lumbar region, groin, and perineum. Urination may be painful and vaginal discharge varying intensity, colors and structures. Unlike cystitis, there are no urinary disorders.
5. How to distinguish pyelonephritis from inflammation of the bladder, because often with cystitis the kidneys hurt if the disease is advanced. Pyelonephritis is accompanied by hyperthermia up to 39 degrees, nausea and vomiting. When tapping the lower back, the affected side gives off a sharp pain, which does not happen with cystitis.
6. The kidneys also hurt with another inflammatory process - which is accompanied bloody discharge. How to distinguish it from hemorrhagic cystitis: with inflammation of the bladder, the urine is not so intensely colored, the general condition of cystitis rarely suffers.
7. Appendicitis in an atypical position has similar symptoms, but unlike cystitis, the pain is cramping in nature. There is no disturbance in diuresis.

The pain can be masked as other inflammations. It is not possible to recognize the disease by symptoms alone; a full diagnosis is required. Therefore, if you feel unwell and have the first attacks of pain, you should urgently seek medical help.

Pubis – this is a tubercle formed soft tissues and, which is located in the lower abdomen, above the external genitalia. Pain above the pubis on the right in men occurs in case of development pathological processes that occur in the genitourinary system in representatives of the stronger sex. Pain in this area may also arise as a result education inguinal hernia or with chronic prostatitis.

Regardless of the reason that caused pain above the pubis in men, it can occur suddenly, sharply or gradually intensify and persist for a long period of time. By nature, pain above the pubis on the right in men can be weak or very intense, dull or cramping.

Sharp or sudden onset pain above the pubis demands immediate appeal for medical help from an experienced urologist in Kyiv, because most often this indicates serious illness. If, however, a man getting worse general health , decreases arterial pressure, the temperature rises sharply, the stool is mixed with blood, then you need to call an ambulance.

Today there is many causes of pain in the pubis on the right. Most often they are associated with inflammatory processes, which occur in the genitourinary system in representatives of the stronger sex. The most common causes of pain above the pubis on the right are urolithiasis, pyelonephritis, orchitis(inflammation of the right testicle or its appendages).

A good urologist at the Urology Center in Kyiv warns What this symptom can be observed with different malignant neoplasms in the pelvic organs. The pain usually appears on late stage diseases when the tumor increases in size and puts pressure on neighboring organs.

Most often, pain above the pubis indicates chronic, often asymptomatic, diseases of the male genitourinary system.

If a representative of the stronger sex has chronic cystitis , then its first signal is a violation of urination, which gradually turns into acute stage up to urinary retention. An overfilled, inflamed bladder causes first dull and then severe pain in the lower abdomen.

In addition, pain above the pubis on the right in men may indicate prostatitis.

The inflammatory process in the prostate gland develops, as a rule, slowly, often without obvious symptoms. When they appear Clinical signs , we can say that prostatitis is entering the acute stage. The pain usually starts With pulling sensations , which the man tries to endure patiently. If prostatitis is not treated at the Urology Clinic in Kyiv, the pain above the pubis becomes more pronounced, radiating to the groin and testicular area, especially severe pain appears during urination. In addition to the fact that the man’s health can hardly be called good, he is tormented constant pain above the pubis on the right, his sexual activity is also impaired. Prostatitis not detected in a timely manner an experienced doctor urologist Kyiv, can aggravate the course of another serious disease - prostate adenoma.

Pain above the pubis on the right for men with prostate adenoma characteristic. Most often it appears due to severe narrowing and compression urethra, as a rule, the painful sensations are constant and provoke the urge to night and daytime frequent urination. Prostate adenoma is accompanied significant deterioration of the patient's condition, urinary retention often leads to renal pathologies, sexual function decreases.

All conditions that cause permanent chronic pain or spicy sharp pain accompanied by nausea, drop in blood pressure, require medical care, who turns out to be a qualified urologist at the Urology Clinic in Kyiv.

Pain above the pubis on the right in men treatment

If pain occurs above the pubis, do not In this case, it is not recommended to take painkillers on your own. The slightest pain should be a reason to contact to a good doctor urologist of the Urology Center in Kyiv, who, after conducting a physical examination, collecting anamnesis and receiving the results diagnostic study will find out the real reason pain in this area.

Pain above the pubis on the right for men disappears after treatment of the underlying disease. The choice of treatment method depends on the disease itself, its form and stage, as well as general condition patient's body at the Urology Clinic in Kyiv.