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Lower abdominal pain in women should be suspected pelvic inflammatory disease (see pelvic inflammatory disease).
A pelvic examination should be routinely performed:
– Inspection of the vulva and speculum examination looking for purulent discharge or inflammation of the cervix or vagina,
and
– Abdominal palpation and touch pelvic looking for a pain in cervical motion.
What to do
* Search another cause (urinary or gastrointestinal disease in particular).
** Suspect pathology on pregnancy (threatened abortion, ectopic pregnancy) or a complication (peritonitis, pelvic abscess).