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Published on: 3/17/2025

What Are the Potential Causes of Left Lower Abdominal Pain in Females?

Left lower abdominal pain in females can have many causes, including issues with the ovaries or other parts of the reproductive system, as well as gastrointestinal problems like diverticulitis.

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Explanation

There are several potential causes for left lower abdominal pain in women, which can be categorized into gynecological, gastrointestinal, and urinary tract issues. Understanding these different possibilities is important for proper diagnosis and treatment.

Gynecological Causes

Several issues related to the female reproductive system can cause left lower abdominal pain:

  • Ovarian cysts: Fluid-filled sacs that form on or inside the ovaries that may cause pain, especially if they rupture or become large
  • Ovarian torsion: When an ovary twists on its supporting ligaments, cutting off blood supply and causing severe, sudden pain
  • Endometriosis: When tissue similar to the uterine lining grows outside the uterus, often affecting the left ovary or fallopian tube
  • Pelvic inflammatory disease (PID): An infection of the reproductive organs that can cause pain on one or both sides
  • Ectopic pregnancy: When a fertilized egg implants outside the uterus, often in a fallopian tube, causing one-sided pain

Gastrointestinal Causes

Digestive system issues that can cause left lower abdominal pain include:

  • Diverticulitis: Inflammation of small pouches (diverticula) that can form in the colon, more commonly on the left side
  • Irritable bowel syndrome (IBS): A functional disorder that can cause cramping and pain in various parts of the abdomen
  • Constipation: Infrequent bowel movements or difficulty passing stool can cause discomfort in the lower abdomen
  • Inflammatory bowel disease: Conditions like Crohn's disease or ulcerative colitis that cause inflammation in the digestive tract

Urinary Tract Causes

Problems with the urinary system can also cause pain in this area:

  • Kidney stones: Small, hard deposits that form in the kidneys and can cause pain as they pass through the urinary tract
  • Urinary tract infection (UTI): An infection in any part of the urinary system that can cause pain and discomfort

Other Causes

Some additional factors that might lead to left lower abdominal pain include:

  • Hernia: When tissue pushes through a weak spot in the abdominal muscles
  • Abdominal muscle strain: Overuse or injury to muscles in the abdominal wall

Keeping track of associated symptoms and triggers of the pain can help identify the exact cause. If the pain is severe or persistent, it is important to consult a healthcare provider.

(References)

  • Hammond NA, Nikolaidis P, Miller FH. Left lower-quadrant pain: guidelines from the American College of Radiology appropriateness criteria. Am Fam Physician. 2010 Oct 1;82(7):766-70. PMID: 20879699.

  • Yew KS, George MK, Allred HB. Acute Abdominal Pain in Adults: Evaluation and Diagnosis. Am Fam Physician. 2023 Jun;107(6):585-596. PMID: 37327158.

  • Franco PN, García-Baizán A, Aymerich M, Maino C, Frade-Santos S, Ippolito D, Otero-García M. Gynaecological Causes of Acute Pelvic Pain: Common and Not-So-Common Imaging Findings. Life (Basel). 2023 Oct 9;13(10):2025. doi: 10.3390/life13102025. PMID: 37895407; PMCID: PMC10608316.

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