Treatment of lower abdominal pain by obstetrician-gynecologist Irina Ivanovna Kulbach in Dnipro.

When dealing with lower abdominal pain, patients most often complain of pulling or sharp sensations, discomfort that affects daily activities, as well as recurring or worsening symptoms.

The doctor conducts a thorough clinical evaluation, takes a detailed medical history, and reviews all complaints, ordering additional tests if necessary to identify the causes.

The patient receives a clear action plan: what to do at the moment, which examinations to undergo, and how to monitor changes in their condition going forward.

A distinctive feature of Irina Ivanovna Kulbach’s work is careful ongoing observation and consultations explained in simple and accessible language, which helps patients better understand their health and maintain a comfortable state.

When to See a Doctor

Lower abdominal pain can have various causes and manifestations that are not always related to a single condition. Sometimes the discomfort may occur occasionally, while in other cases it worsens and affects daily life. You should make an appointment with an obstetrician-gynecologist if you notice any of the following along with lower abdominal pain:

• persistent or long-lasting pain that does not subside for several days
• sharp or cramping pains in the lower abdomen
• pain that intensifies with physical activity or changes in body position
• discomfort that interferes with sleep or daily activities
• unusual discharge or changes in the menstrual cycle occurring with the pain
• recurring episodes of pain that happen regularly
• symptoms appearing for the first time and causing concern
• no improvement after self-care measures or previously prescribed treatment
• pain that has worsened after stressful events or lifestyle changes
• complaints occurring during pregnancy or the postpartum period
• problems that reduce quality of life and interfere with work
• need for a second opinion if symptoms persist after treatment

If you notice several of these signs, consulting a gynecologist can help identify the cause of the pain and find the best course of action. Do not ignore symptoms, even if they seem minor—timely consultation helps maintain health and avoid unwanted complications.

Emergency situations or when you need to see a doctor urgently

• sudden severe pain in the lower abdomen that intensifies rapidly
• pain accompanied by heavy bleeding or discharge with an unpleasant odor
• pain combined with a high fever and general weakness
• sudden worsening of your condition against the background of existing abdominal problems
• onset of pain after injury or a fall in the abdominal area

If you experience any of these symptoms, do not wait for a scheduled appointment — seek urgent medical attention. Our clinic offers a doctor-at-home service for quick response in such situations.

Causes and Risk Factors of Lower Abdominal Pain

Lower abdominal pain can have various origins, and understanding the likely causes is important for selecting the appropriate approach to diagnosis and treatment. This section will help clarify the mechanisms most commonly associated with this problem and what to pay attention to.

Main Causes / Mechanisms (Briefly)

• inflammatory processes in the pelvic organs
• menstrual cycle disorders and hormonal imbalances
• adhesions or scars after surgery or childbirth
• functional disorders of the digestive and urinary systems
• muscle tension and overstrain of the pelvic muscles

Risk Factors

• age during the active reproductive period
• chronic inflammatory diseases of the female reproductive organs
• previous surgical interventions and cesarean section
• stress and psycho-emotional strain
• irregular lifestyle and lack of physical activity
• harmful habits, including smoking
• characteristics of the menstrual cycle and duration of menstruation
• frequent infectious diseases

Reversible Causes That Should Be Ruled Out

• infections treatable with antibiotics or antiviral medications
• functional digestive disorders related to diet and lifestyle
• temporary muscle overstrain after physical activity

Every case of lower abdominal pain requires thorough assessment by a physician and possibly further examination. Understanding the causes and risk factors will help seek timely medical assistance and select an appropriate strategy for managing the condition.

Diagnosis

The diagnosis of lower abdominal pain is aimed at identifying possible causes and helps determine the next steps in examination and treatment. The doctor carefully collects information to develop a clear plan of action and reduce the patient's anxiety.

Diagnostic approach

• collecting complaints and conducting a detailed interview about the nature of the pain and accompanying symptoms
• physical examination to identify possible signs of disease and assess the condition of the pelvic organs
• ordering basic laboratory and instrumental tests as indicated
• carrying out additional examinations individually if deeper investigation of the cause is required
• evaluating results and discussing a preliminary plan for further actions
• explaining to the patient the sequence of examinations and answering any questions
• referring to specialists or for extended diagnostics if necessary

Typical investigations as indicated

When examining lower abdominal pain, the following may be required:

• ultrasound examination of the pelvic organs
• complete blood count and biochemical blood tests
• tests for infections and inflammatory processes
• magnetic resonance imaging (MRI) as indicated
• urinalysis and other laboratory tests prescribed individually

What to bring to the appointment

• results of previous examinations and tests
• a list of medications and supplements being taken
• a symptom diary describing the complaints and their progression
• information about past surgeries and illnesses
• a brief menstrual history if necessary

Diagnosing lower abdominal pain requires attentiveness and consistency to provide the most accurate assessment of the condition and to develop a comfortable monitoring plan.

Treatment

Treatment of lower abdominal pain is aimed at alleviating symptoms and identifying possible causes to improve the patient's quality of life. The therapy plan is tailored individually and based on the physician's assessment, taking into account the specifics of the condition.

Therapy Goals

• Reduction of pain and other unpleasant symptoms
• Correction of identified causes and risk factors
• Improvement of pelvic organ function and overall well-being
• Prevention of possible complications and recurrent exacerbations

Main Treatment Approaches

• May include the use of medications as indicated, aimed at reducing inflammation and pain syndrome
• Non-drug methods are used, such as physiotherapy and therapeutic exercise
• Minimally invasive interventions are applied if necessary, in agreement with the physician
• Comorbid conditions are taken into account when selecting therapy
• Therapy is always adapted to the individual needs of the patient and the dynamics of the condition

Physician's Role

• Selects and adjusts the treatment plan based on symptoms and examination results
• Considers possible side effects and interactions with other medications
• Explains to the patient the criteria for treatment effectiveness and monitoring stages
• Monitors the condition’s progression and, if necessary, makes changes to the therapy program
• Collaborates with other specialists for a comprehensive approach if needed

What to Expect: Plan and Monitoring

• Approximate timelines for evaluating treatment effectiveness and symptom reduction are determined
• The physician monitors progress and decides if the treatment plan needs modification
• Follow-up visits are scheduled as indicated for timely adjustment of approaches
• Treatment is adapted based on individual characteristics and the course of the condition

To arrange a personalized treatment plan, schedule a consultation with Dr. Irina Ivanovna Kulbach.

Prevention

Prevention plays an important role in reducing the risk of occurrence and exacerbation of lower abdominal pain. The prevention plan is tailored individually and takes into account the health characteristics of each patient.

Key primary prevention measures

• Maintaining regular physical activity according to the doctor's recommendations
• Quitting smoking and reducing exposure to other harmful habits
• Monitoring chronic inflammatory and other diseases as indicated
• Observing hygiene and preventing infections
• Balanced nutrition and a healthy lifestyle
• Avoiding excessive stress and ensuring adequate rest

Screening and secondary prevention / regular monitoring

• Regular examinations by an obstetrician-gynecologist as indicated
• Monitoring the menstrual cycle and symptoms during consultations
• Conducting recommended tests and examinations based on examination results
• Observing the condition in the presence of chronic diseases or after surgical interventions
• Timely discussing any changes in symptoms with the doctor

Practical advice

• Pay attention to any unusual pain or discomfort and discuss them promptly with your doctor
• Consult your doctor about possible adjustments to the treatment of concomitant diseases
• Try to avoid overfatigue and stressful situations
• Keep up with the regularity of preventive examinations and screenings as recommended by your specialist
• Maintain an optimal level of physical activity and daily routine

Preventive measures help reduce the risk of lower abdominal pain and improve overall condition when symptoms are present; however, they require an individual approach and medical supervision.

Important to Know

Lower abdominal pain is a common symptom that can have various causes, ranging from temporary discomfort to serious conditions. When pain occurs, it is important not only to alleviate the symptoms but also to identify the cause in order to choose appropriate treatment. Early consultation with a specialist helps determine the management approach and reduces the risk of complications. Sometimes, ongoing monitoring with adjustments to the treatment plan is required based on changes in the condition. The course may be influenced by various factors: physical activity, stress, sleep quality, and concurrent illnesses.

• It is important to identify the cause or triggering factors, rather than just “masking” the pain
• Early evaluation helps reduce the risk of progression and complications
• Treatment may be adjusted according to changes in symptoms or patient condition
• General factors such as stress and physical load affect the sensations and course of symptoms
• Self-medication can complicate diagnosis and cause side effects
• Continuous monitoring in a clinic helps control the condition and adjust therapy
• At the clinic, Irina Ivanovna Kulbach provides care for patients at all stages of treatment and follow-up

If you experience lower abdominal pain, it is important to consult a specialist for a comprehensive assessment and to determine an individualized plan. Detailed information about causes, symptoms, and treatment options can be found on our main page, where useful resources for patients are collected.

Self-Care Before the Appointment: What You Can and Cannot Do

Before your visit to Dr. Irina Ivanovna Kulbach, it is important to take safe measures to alleviate your condition and prepare for the consultation. If your symptoms worsen, seek medical help immediately.

What You Can Do Before the Appointment

• Note when and how the pain started, the circumstances, and what worsens or relieves it
• Keep a symptom diary: intensity, time of day, possible triggers
• Bring a list of all medications and supplements you are taking
• Measure your body temperature and any other available health information
• Reduce physical activity and ensure rest before the appointment
• Drink enough water to avoid dehydration
• Avoid sudden movements and stressful situations whenever possible
• Stay calm and try not to panic

What You Should Not Do Before the Appointment

• Do not change or stop taking chronic medications without consulting your doctor
• Do not start new medications without a specialist’s recommendation
• Do not use unverified folk remedies that may distort the picture of your illness
• Do not ignore increasing pain or the appearance of new symptoms
• Do not self-medicate or try different methods to relieve pain without consultation
• Do not delay the visit to the doctor if your condition worsens or if alarming symptoms appear
• Do not attempt to self-diagnose based on information from the internet

If you notice signs of deterioration or urgent symptoms, contact Dr. Irina Ivanovna Kulbach immediately for assistance.

How I Can Help as a Doctor with Lower Abdominal Pain

When dealing with lower abdominal pain, it is important to conduct a comprehensive evaluation of your condition and determine the next steps to improve your well-being. During the consultation, I can assist you in the following ways:

• Discuss your symptoms in detail and review your medical history to identify possible causes
• Assess the severity of your symptoms and identify risk factors to ensure safe treatment
• Analyze any current treatments and their tolerability if you have already undergone therapy
• Develop a plan for further action, including necessary examinations, therapy, and follow-up
• Take into account any comorbidities and medications for a comprehensive approach
• Provide recommendations on lifestyle and daily routines tailored to your condition
• Explain the criteria for monitoring progress and determine when a follow-up visit is needed
• Conduct initial diagnostics and perform differential diagnosis when indicated
• Adjust the therapeutic plan if the current treatment is ineffective or causes side effects

My goal is to provide a comprehensive approach to addressing lower abdominal pain by combining diagnosis, treatment planning, and ongoing monitoring. This approach helps to promptly adjust management strategies and prevent complications, supporting your health at an optimal level.

Here are some questions you can ask your doctor when experiencing lower abdominal pain:

During a visit with Irina Ivanovna Kulbach on the topic of lower abdominal pain, you might discuss:

• When to pay attention to recurring pain or increasing discomfort
• How to understand the cause of the pain and what factors may trigger it
• What to do if previously prescribed treatment does not provide relief
• Possible specifics of pain during pregnancy or after childbirth
• How concurrent illnesses might affect your condition and treatment
• Options for managing and monitoring symptom progression
• Questions about follow-up care in the postpartum period or after surgery

If you experience sudden severe pain, bleeding, or a sharp worsening of your condition, seek emergency help immediately—do not wait for a regular appointment.

Questions to discuss during the consultation:

• What is happening to me and what could it be?
• Why did the pain start right now?
• How can I be sure the pain is specifically in the lower abdomen and not elsewhere?
• What examinations are necessary in my particular case?
• Which tests and investigations are truly mandatory?
• How should I prepare for the appointment and tests?
• What treatment options are available and how do they differ?
• Is this condition fully treatable or could it become chronic?
• What should I do if the prescribed treatment doesn’t help?
• Is it possible to avoid surgery or major procedures?
• How long will the treatment last and how often should I be monitored?
• What signs indicate improvement or worsening of the condition?
• What to do if symptoms suddenly worsen or flare up?

If your symptoms require urgent care—such as severe sharp pain or bleeding—seek emergency assistance immediately. Otherwise, at your consultation you will receive a thorough evaluation, appropriate diagnostic planning, and a treatment plan tailored to your individual needs.

How a Consultation Proceeds

A consultation with an obstetrician-gynecologist for lower abdominal pain involves a detailed review of complaints, assessment of the current condition, and determination of a plan for further action. The scope of necessary examinations is determined individually, based on indications. The appointment does not promise an immediate exact diagnosis but provides an understanding of the situation and the steps ahead.

1. Clarifying complaints and reasons for the visit: the doctor asks what is bothering you, how long the symptoms have been present, what aggravates or relieves them, and the patient’s expectations.
2. Taking medical history and assessing risk factors: discussion of menstrual cycle characteristics, past illnesses, surgeries, childbirths, and other significant details.
3. Reviewing previous treatments and examinations: if you have undergone diagnostics or treatment before, it is important to bring documents and a list of medications used.
4. Examination and basic tests as indicated: the doctor conducts a pelvic exam and may order additional simple tests.
5. Preliminary conclusion: based on the collected information, serious conditions are excluded and probable causes identified.
6. Diagnostic plan: may include ultrasound of pelvic organs, laboratory blood and urine tests, as well as other diagnostics as needed.
7. Discussion of treatment and management plan: the doctor explains possible approaches to reducing symptoms and improving your condition.
8. Follow-up and next steps: schedules are set for reassessment, instructions on monitoring your progress are given, and guidance on when to seek earlier consultation if necessary.

If this is your first visit, emphasis will be placed on thorough data gathering and identifying the cause of pain. If prior treatments have been ineffective, we will carefully analyze possible reasons and adjust the management plan.

This approach helps create an individualized program for examination and treatment, ensuring your safety and comfort throughout the process.

Preparation for the Appointment

To make your visit to the obstetrician-gynecologist as effective as possible and to help identify the causes of lower abdominal pain more quickly, it is important to prepare in advance.

• Bring a list of all medications you are currently taking (names, dosages, and schedules).
• Take any results from previous examinations, ultrasound images, and lab tests.
• Write down your main complaints: when the pain started, what makes it better or worse.
• Do not stop taking prescribed medications without consulting your doctor.
• If there are special instructions — come on an empty stomach, refrain from eating or drinking for 8–12 hours (unless otherwise advised; confirm when making the appointment).
• Avoid using cosmetics and creams in the examination area if this applies to the procedure or check-up.
• Prepare a list of questions you want to discuss during the appointment.
• Wear comfortable clothing to make the examination easier.
• If in doubt, clarify all preparation details when scheduling your visit by phone.

If you have chronic conditions, do not change your medication regimen on your own — this is important for safety and for the doctor to fully understand your condition.

Good preparation for the appointment allows the doctor to better understand your symptoms and select the appropriate diagnostic and treatment methods.

About the Doctor

Irina Ivanovna Kulbach is a top-tier obstetrician-gynecologist with over 40 years of experience. She works with patients experiencing lower abdominal pain, including first-time visits, recurring symptoms, and complications related to other conditions.

The doctor pays special attention to dynamic monitoring and thorough discussion of complaints, providing clear explanations of the examination and treatment plans.

During the consultation, you will receive a detailed analysis of your situation and recommendations for the next steps to manage and improve your condition.

Why Patients Choose Dr. Irina Ivanovna Kulbach

When working with lower abdominal pain, Dr. Irina Ivanovna Kulbach bases her approach on a thorough analysis of causes and differential diagnosis, allowing for an accurate assessment of the patient's condition. She takes into account the impact of comorbidities and drug tolerability when selecting therapy. Special attention is given to monitoring symptom dynamics and timely adjusting treatment based on effectiveness and possible side effects. An important part of her work is clearly explaining the examination and treatment plan, which helps patients better understand their steps and maintain control over the situation.

• Clear treatment plan with a precise sequence of actions and effectiveness criteria
• Examinations only as indicated, without unnecessary procedures, saving patients time and money
• Consideration of comorbidities and medications to ensure safety and optimal results
• Monitoring symptom progression and adjusting therapy when needed
• Interpretation of already completed examinations for a comprehensive understanding of the disease
• Explanation of treatment goals, risks, and alternatives in simple and accessible language
• Focus on preventing exacerbations and complications for the patient’s long-term comfort

This approach enables the creation of individualized treatment and management plans that consider the specifics of each case and the evolving clinical picture. Patients receive not only support and explanations but also consistent guidance throughout all stages of managing lower abdominal pain.

Case Studies

Initial Consultation for Pain of Unknown Cause

A middle-aged female patient presented with complaints of periodic lower abdominal pain that had recently appeared and interfered with her normal daily activities. An important aspect was to exclude serious inflammatory conditions and avoid unnecessary anxiety. The physician conducted a thorough interview and examination, ordered necessary tests to clarify the cause. Based on the results, the patient received a plan for further monitoring and recommendations to reduce symptoms. At a follow-up visit several weeks later, improvement in well-being and stabilization of her condition were noted.

Adjustment of Management Strategy Due to Lack of Treatment Effect

A young woman returned for consultation after a course of therapy that did not provide the expected relief from lower abdominal pain. The physician reviewed the previous treatment and medical history, took into account possible comorbid factors, and adjusted the management plan. The revision included changing the approach to symptom control and additional tests as indicated. As a result, there was a gradual decrease in pain syndrome and an improvement in quality of life over the following weeks.

Chronic Pain with Comorbid Conditions

A mature-aged female patient with a long history of lower abdominal pain came for consultation for comprehensive management. Besides the primary symptom, chronic comorbid diseases and potential drug interactions were considered. The physician performed a detailed analysis of the medical history and developed an individualized monitoring and treatment plan. During subsequent visits, stabilization of the condition and timely adjustments to therapy were observed, taking into account symptom dynamics.

Exacerbation of Pain Syndrome and Development of a Control Plan

A middle-aged woman presented with worsening lower abdominal pain requiring prompt response. The physician conducted an examination, took a clinical history, and ruled out dangerous conditions. Additional tests were ordered, and a plan for preventing recurrent exacerbations was developed. At follow-up visits, her condition stabilized; the patient received recommendations for self-monitoring and timely medical consultation in case of deterioration.

How long does the consultation last?

Usually, a consultation lasts between 30 and 60 minutes. Please confirm the exact duration when booking.

How should I prepare for the appointment?

It is recommended to write down your main complaints, when the symptoms appeared, and what worsens or relieves them.

What should I bring to the consultation?

Bring results of previous examinations, a list of medications you are taking, and any relevant medical documents.

Do I need to come on an empty stomach?

Usually no, unless otherwise specified when you make your appointment.

How many visits are usually required for treatment?

The number of visits depends on the complexity of your case and the chosen therapy; the doctor will discuss this individually with you.

When can I expect to see the first results of the treatment?

The timing depends on the cause and condition; an initial assessment is done during a follow-up appointment.

What should I do if my condition worsens before the appointment?

If your condition worsens, contact your doctor immediately, especially if you experience severe pain, bleeding, or fever.

Can treatment be combined with my current medications?

Discuss all medications with your doctor; do not change or stop taking them on your own.

Is it possible to have an online consultation?

Yes, online consultations are available. Please check the details when booking.

Can I come with already completed examinations?

Yes, please bring all your existing test results for evaluation.

Is it necessary to have follow-up visits and how often?

Follow-up appointments are scheduled by the doctor depending on your condition and the effectiveness of treatment.

Can I get a second opinion from another specialist?

Yes, you may seek a second opinion within our clinic.

What should I do if symptoms return after improvement?

If symptoms recur, contact your doctor for treatment adjustment.

What examinations are usually prescribed?

Examinations are selected individually based on your complaints and medical history.

Can I stop taking medications on my own before the appointment?

Do not stop taking medications without consulting your doctor.

Can I bring examination results from other clinics?

Yes, this helps the doctor get a complete picture of your health.

How is diagnosis conducted for lower abdominal pain?

Diagnosis includes gathering complaints, physical examination, and additional tests as indicated.

What should I do if previous treatment did not help?

During your appointment, the doctor will analyze the results and adjust the management plan accordingly.