Why Do I Have a Dull Ache Above My Left Pelvis?

The pelvis is a very important part of a woman's body, and like other parts of the body, it can also develop pathologies. The presence of pain does not necessarily indicate a problem with the pelvis, but could also be due to pathologies in other organs. There are many reasons for pain above the pelvis, especially those caused by diseases, which require prompt identification and targeted treatment to address the underlying issues. So, what could be the cause of dull pain above the left pelvis? Let's take a look.

During ovulation, excessive mental stress can lead to increased psychological burden in women, which can in turn increase the perception of abdominal pain. In such cases, women need to learn to regulate their mindset and provide positive psychological reinforcement to alleviate the pain.

Vaginal inflammation, such as pelvic inflammatory disease and cervicitis, can exacerbate abdominal pain. During ovulation, fluids are expelled from the body, and if there is inflammation, the expelled fluids can irritate the inflamed areas, intensifying the pain. In such cases, it is advisable to undergo an ultrasound scan to detect and treat any inflammation.

Endometrial heterotopia refers to the growth of viable endometrial tissue outside the uterine cavity, which bleeds simultaneously with the endometrium during menstruation. This condition can cause severe cramping in the waist and legs during menstruation. First-line treatments for endometrial heterotopia include non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen, contraceptives, and other hormonal drugs that contract endometrial tissue. In severe cases, minimally invasive surgery may be recommended to remove or destroy endometrial hyperplasia, and hysterectomy may be necessary.

Interstitial cystitis is characterized by intermittent discomfort in the bladder, which may be caused by the breakdown of mucin proteins that prevent excessive acidification on the surface of the bladder epithelium. Women with interstitial cystitis often describe it as the worst urethral infection they have ever experienced, with symptoms of burning and stabbing pain during bladder distension and urination. These symptoms often recur.

The cause of vulvar pain has not yet been identified, but some experts speculate that women with a history of yeast infections may have a higher risk of developing vulvar pain. Approximately 75% of women with vulvar pain also have vulvodynia, which is pain at the entrance of the vagina. This pain can be continuous or intermittent, and may extend to the buttocks and thighs. Activities such as using tampons during menstruation, sitting for extended periods, or even wearing favorite jeans can trigger the pain. About 80% of women with vulvar pain also experience pain during sexual intercourse.