Medical expert of the article
New publications
Pubic pain
Last reviewed: 23.04.2024
All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
Lobkom is called a tubercle, formed from soft tissues and located above the external genital organs of a man and a woman. Due to the fat layer, pubis slightly protrudes forward. Pubic pain often appears due to any pathological processes occurring in the osteoarticular articulation.
[What causes pubic pain?
The main causes of pubic pain are factors such as:
- any abnormalities in the development of the pubic bone;
- bruises, fractures and other injuries of both pubic bones (one pubic bone);
- symphysitis - during pregnancy in women, stretching of the pubic joint;
- symphysiolysis - symphysis rupture during childbirth;
- malignant tumor (cancer) of the bladder;
- various infectious diseases.
How does pubic pain manifest?
Various injuries of the pubic bone occur due to a strong direct impact, with an accident, squeezing the pelvis and so on. When the bone fractures the pubic, the victim feels a pressing pain in the pubis, which is amplified by the movements of the legs. Because of the pain present, the victim is not able to raise his elongated leg. This symptom is called "stitched heel".
Symphysitis in pregnant women occurs under the influence of the hormone relaxin. A woman experiences acute pain in the pubic region, lifting about the stairs afflicts her with physical suffering, lifting from a bed or turning over in a dream is accompanied by acute pain. Softening interosseous joints during pregnancy is a natural process, as the female birth canal is prepared for the birth of the baby. But when the tissues surrounding the pubis swell, the joint becomes mobile and unnecessarily stretched, and the pubic bones are too far apart, there is a pain in the pubis. The doctor diagnoses a woman's symphysitis.
Many women after childbirth can also experience pubic pain. This symptom is called symphyolysis and occurs even in those women who during pregnancy did not feel absolutely any pain in the pubic area. Symphyolysis occurs due to rupture of the pubic joint, symphysis, or strong divergence of the pubic bones during childbirth. Often this is due to the birth of a large fetus or rapid delivery. The woman experiences a sharp pain in the pubis, as well as in the sacroiliac joints. To eliminate pain and restore the tissues of the giving birth to a woman provide maximum peace, and the pelvic bones are fixed with a special bandage.
In malignant tumors of the bladder, most patients complain of pain in the pubic region. Usually, the pain is localized to the right or left of the pubic area. The same pain is experienced by a woman suffering from ovarian tumors.
In the event that pubic pain, especially on the left or right side of it, appears suddenly and intensifies with each movement of the trunk, accompanied by weakness of the body, dizziness, cramping and bleeding from the genital tract, it is possible to suspect an ectopic pregnancy.
Osteomyelitis is characterized by the same symptoms that a woman experiences with symphysitis, since osteomyelitis also causes inflammation of the joint of the symphysis. The patient experiences pain in the pubic, lower abdominal area, in the thigh, when turning in a dream or walking, and also walks "in a duck".
Sometimes men complain of pain in the pubic area. This may be a signal of inguinal hernia. Also, chronic prostatitis can cause pain in this area. It is characterized by a pain syndrome in the pubis, sacrum, abdomen, lower back, etc.
In case of pubic pain, it is necessary to urgently go to a medical institution to diagnose a disease that causes painful sensations. To establish a specific diagnosis, you need to contact a gynecologist, traumatologist, urologist or surgeon. These doctors will conduct a series of examinations and prescribe the patient the necessary treatment procedures.
Getting Rid of Pain
Before you get rid of the pain in the pubic bone, the patient needs to undergo a radiograph. If any malaise is at the very beginning of its development, the radiography will not yield any results. With the development of diseases, this method allows you to fix the patient's erosion, osteosclerosis, discrepancy of symphysial surfaces and so on.
In most cases, to eliminate pubic pain, doctors prescribe patients with NSAIDs (non-steroidal anti-inflammatory drugs). Sometimes doctors prescribe to their patients injections of glucocorticoids.
If there is a suspicion of a purulent symphysitis, percutaneous drainage is used.
In the event that the pubic pain does not lend itself to any of the above ways of getting rid of it, the patient is prescribed a surgical procedure. But this happens rarely, as the pain usually goes away without special treatment.