Pain in the genitals in women occurs with gynecological pathologies, traumatic injuries, neoplasms, local infectious processes. Sometimes they have an irradiating character, are observed with lesions of the musculoskeletal system, lower intestines and urinary tract. The etiology of the symptom is determined on the basis of complaints, anamnesis, gynecological examination, instrumental studies and laboratory tests. In the course of treatment, medical and physiotherapeutic methods are used. If indicated, operations are performed.
Pain in the gums occurs with gingivitis, periodontitis, periodontal disease, stomatitis, developing against the background of local changes or somatic diseases. It is detected with malocclusion, mechanical damage. It can be weak, intense, permanent, short-term. Often occurs when eating, brushing teeth. The cause of the symptom is determined on the basis of complaints, dental examination data and additional studies. Treatment is carried out using general and local means: antiseptics, anesthetics, analgesics, antibiotics, anti-inflammatory drugs. According to indications, dental operations are performed.
Pain in the left half of the head is observed with migraine, paroxysmal hemicrania, hypnic and cluster headache, vertebrobasilar insufficiency. It is detected at the initial stage of brain tumors, with limited arachnoiditis, Horton's disease, some ENT diseases and pathologies of the cervical spine. It can be acute, dull, prolonged, paroxysmal, pressing, bursting, breaking, pulsating. The cause is established on the basis of complaints, interview data, neurological examination, additional studies. As part of therapeutic measures, NSAIDs, triptans, steroids, caffeine preparations, and physiotherapy are prescribed. Sometimes operations are performed.
Pain in the labia area is observed with nonspecific vulvitis and vulvovaginitis, bartholinitis, candidiasis, gardnerellosis, STIs, vulvar kraurosis, vulvodynia. May be constant or intermittent. In most cases, mild or moderate, has a raw or burning character, combined with itching, pathological discharge. Less often strong, pulling, bursting. Sometimes it is supplemented by weakness, general hyperthermia. The cause of the symptom is established according to the data of a gynecological examination, the results of laboratory and hardware techniques. Treatment includes general and local etiotropic therapy, physiotherapy, hormonal agents. Sometimes surgery is indicated.