Another important syndrome for FP/MCH providers is lower abdominal
pain. Sometimes, women may have mild symptoms or may think their
pain is relatively normal, and therefore not seek medical care.
But, lower abdominal pain may be due to a variety of serious
conditions, including pelvic inflammatory disease, known as
The symptoms a woman may experience are lower abdominal pain,
pain during sexual intercourse and vaginal discharge. The main
sign a provider may see on examination is lower abdominal tenderness.
When a pelvic exam including speculum is done, cervical discharge
may be seen, and the uterus, ovaries and fallopian tubes will
be tender. Also, the woman may have an elevated body temperature,
38° Celsius or higher.
The possible infections that can cause this syndrome are gonorrhea,
chlamydia and, sometimes, anaerobic bacteria, which is not an