OB-GYN (Obstetrician-Gynecologist) Questions OB-GYN

Lower left abdominal pain during period?

I've had pain on my lower left side, through my left side of my back, and in my left though. Urination is frequent and I have a headache. This has been going on for three days.

Female | 39 years old
Complaint duration: 3 days
Medications: None
Conditions: IBS

2 Answers

Pain in your L lower abdomen, L thigh and L back may all mean the same thing or they can actually mean 3 different things; it depends if they happen in a certain sequence or if they all happen together. Has the timing of which one happens first changed? Or has the intensity of how the 3 different areas manifest their pain changed? Does the pain get better or worse with eating? With movement? With walking? With emptying your bowels or your bladder? Are you able to sleep at night? Or does it awaken you at night? Do you have a fever? Are your bowel habits regular? Are your periods regular? How does this relate to the timing of your period? Does your pain increase with exercise? Are you nauseated? As you can tell from the many questions that I am asking, this could represent muscular pain from the low back/pelvic brim; this pain can start in your back, include your hip/lateral low back, your buttocks and even your upper thigh. Or it could represent your bladder/kidneys with a kidney stone or endometriosis to your bladder/ureter. Or it could represent your GI tract with constipation/diverticulosis/pelvic-abdominal adhesions (scar tissue) from prior surgery? Or it could represent your female trace with a L ovarian cyst that may or may not have ruptured putting pressure on the lower L abdominal wall and surrounding structures; this could be a simple cyst with clear fluid or a complex cyst like a dermoid or an endometrioma which causes terrible pain and scar tissue if they rupture. To map out each of the above possibilities would not be helpful until more information can be given as it relates to your L abdominal pain, Sorry to not be more helpful.
Hello,

So, during your period, you can have pain just about anywhere. So, your back or abdomen, one side or another is totally normal. It also sounds like you have migraine headaches associated with your periods which is not uncommon. The only thing: Although bladder symptoms are not uncommon, if the urinary frequency does not improve, you should get your urine tested to rule out a urinary tract infection.
I hope that this helps.

Warmest Regards,

Joseph A. Adashek, MD FACOG