Causes of severe pain during menstruation. Very severe abdominal pain during menstruation

Pain is considered to be a sign of a disorder of any of the functions of the body, a signal of malfunctions. But there is a natural process during which any discomfort is perceived almost as normal. Severe pain during menstruation, especially on the first day, is experienced by most women of reproductive age. In some people, their well-being is so disturbed that it is impossible to do ordinary activities and even just stand on their feet. Some perceive pains doomed, trying to endure, others try to find a way to get rid of them. The question of why there is so much suffering in the initial days of menstruation rests on female physiology. This does not mean that you need to close your eyes to feeling unwell, even if the gynecologist said that there are no pathologies.

Types of pain

For the first time, physical ailments can appear in girls already during the menarche or within 1-3 years after the establishment of the ovulatory cycle. Discomfort covers the first hours of menstruation or may begin in 1–2 days. The severity and strength of pain symptoms are different for everyone: from subtle to unbearable. It is customary for medical specialists to combine such symptoms with the concept of algodismenorea - a menstrual cycle disorder. If the pain is associated with periodic delays in menstruation due to ovarian dysfunction, they speak of dysmenorrhea.

Menstrual pain can be primary: to pursue from the beginning of puberty. In such cases, the suffering of the first day is quite difficult: it is accompanied by nausea, vomiting, diarrhea, and fever.

The secondary appears after a period of relative well-being due to various kinds of diseases, surgical interventions, neurotic deviations, and disorders in the sexual sphere. In such cases, severe severity in the lower third of the abdomen, cramping can be observed.

Why pain is painfully tolerated on the first day depends on a number of interrelated factors, including fluctuations in hormonal balance, the work of the nervous, muscle and vascular systems, and the psychological state of a woman.

Causes of pain

In primary algodismenorrhea, conditionally natural and pathological causes of painful periods are distinguished. At the beginning of the next cycle, the uterine cavity, lined with a dense mucous membrane, without receiving a fertilized egg, begins to contract, pushing out the unnecessary epithelium. The process is regulated by sex hormones. During this period, the walls and neck of the organ are filled with blood and releasing myometrium. Therefore, the first reductions are always transferred especially uncomfortably. Even with complete well-being, women feel squeezing and stiffness in the lower abdomen before menstruation, accompanied by physical fatigue. In this case, the following causes can cause severe pain:

• increased number of prostaglandins - pain neurotransmitters in the myometrium;
• violation of the synthesis of hormones: dopamine, serotonin, adrenaline;
• lack of minerals and hypovitaminosis;
• abnormal development of the connective tissue of the body;
• features of the location and shape of the uterus: deviations, kinks, bends, underdevelopment.

Read also 🗓 What to do if your stomach hurts during menstruation

The reason why the stomach hurts severely before menstruation is a latent neurological disorder, psychological trauma and other mental health conditions of a woman, reflected on the physical level.

Secondary algodismenorea always suggests the presence of pathologies. Common causes of cycle pain disorder in women after a successful period:

• improperly selected contraception, usually an IUD;
• development of systemic diseases: diabetes mellitus, coronary disease, thyroid gland pathologies;
• past inflammation of the internal genital organs;
• surgical abortion, curettage;
• growing uterine tumors, endometriosis;
• nervous or physical exhaustion in the background or in sports.

Ladies older than 40 years of age, perplexed, have recently, so the beginning menopause can manifest itself.

Pain on the first day

Since the body of each woman is individual, pain on the first day of the next menstruation begins and proceeds differently. A characteristic clinical picture: a gradual increase in discomfort 10-12 hours before the appearance of discharge. The syndrome develops as a series of consecutive contractions, cuts in the abdominal cavity. The pain can be felt like stitching, singing, burning, tugging, radiating to the rectum, bladder, hips, and mammary glands. The following symptoms are also noted:

• The initial degree of algodismenorrhea is tolerated as a little discomfort: the pain is quite tolerable, does not require medical relief, and gradually disappears within 1-2 days. At the same time, women do not pay attention to trouble or just relax more.
• With a moderate degree, getting along with pain is no longer possible. Contractions or cramps in the abdomen begin even before menstruation, and in the first hours of discharge become unbearable. Almost always, health problems occur with autonomic and neurological symptoms: severe irritability, sweating, trembling in the extremities, numbness.
• In severe cases, the first pain symptoms appear several days before menstruation, at the beginning of the cycle a woman is forced to lie in bed all day due to excruciating pain and complete inability to perform any actions. Common concomitant symptoms: severe tachycardia, heavy sweat. Recovery may take several days after menstruation.

The causes of a painful physical condition are usually expressed violations of the organs of the reproductive system, a strong hormonal imbalance, and a genetic predisposition.

How to relieve pain

Tolerate even a "natural" deterioration in well-being is very harmful to the nervous system. This can lead to the development of depression, neurosis, significantly complicates life. If the first day is not a consequence of a tumor or other organic lesion, you need to resort to medical methods of help. It is useful to start taking painkillers not at the beginning of the cycle, but a day before the expected discharge. Paracetamol, ibuprofen, drotaverin-based drugs help relieve pain during menstruation. More effective painkillers that combine several active substances. For example, Trigan-D, containing an analgesic and antispasmodic. Usually, the use of a suitable remedy helps to alleviate severe pain.

If the tablets do not help or the effect of them is insignificant and short-lived, you can try physiological methods. The day before the onset of menstruation and on the first day it is recommended to drink more diuretic fluids: lightly brewed tea, decoctions of parsley, dill seeds, elecampane root, and currant compote. This will contribute to a better resorption and elimination of puffiness. Additionally, you can apply dry heat to the stomach and lower back: a heating pad, a bottle of hot water. Some relieve severe spasms is not helped by warming the abdominal wall, but by cold. It is undesirable to use ice; just put a towel dampened with cold water on the lower abdomen.

Additional tips on how to reduce pain during menstruation can be obtained from your gynecologist.

Pain treatment

If the first painful day of the menstrual cycle is not associated with a health disorder, is not accompanied by delays, the discharge has a normal appearance - without massive blood clots and pus, the therapy does not involve any specific methods. In this case, the treatment of pain consists in the timely prevention of symptoms and their maximum relief:

• It is recommended that you choose the right pain medication. For each woman, he has his own: one Ketanov, Ibuklin helps, the other - No-Shpa, Trigan-D or Nise.
• If you feel good, you need to walk more on the first day of your period - the movement contributes to a better discharge of edema, myometrium and mucus.
• It is useful to perform special relaxing stretching exercises, yoga asanas.
• It helps with a light massage of the abdominal wall, which can be performed independently: with palms for 1-2 minutes. perform stroking and rubbing the abdomen in a clockwise direction.

Some women experience a period of menstruation with great difficulties - due to pain and decreased performance. Exhausting discomfort indicates a violation of the state of health and requires the attention of specialists. Only on the basis of answers from laboratory, hardware diagnostic methods, it is clarified why lower abdomen hurts during menstruation and how to eliminate the symptom. It is possible that the detected underlying pathology will not be related to the field of gynecology. But in this case, the therapeutic course should be completed completely, without interrupting.

With varying degrees of intensity of pain in the lower abdomen, they accompany the period immediately before menstruation and all days of physiological bleeding. Only 5 out of 100 women do not experience discomfort on the eve and during menstruation. The spectrum of potential causes of discomfort varies. This includes inflammation, the tumor process, tissue destruction. Measures that are potentially able to make you feel better these days can only be recommended by a gynecologist. The doctor of this profile focuses on the main reason for the deterioration of well-being. If for some women it is enough to take an analgesic pill and relieve cramping, then for others it is necessary to undergo a full course of treatment.

Causes of Menstrual Pain

It should be noted right away that the localization of the underlying disease that causes painful periods is not always associated with pelvic organs. The main causes of discomfort during menstruation:

• Digestive system diseases (inflammatory, destructive) - colitis, enteritis, peptic ulcer
• Problems in the musculoskeletal system (osteochondrosis)
• Infectious and inflammatory lesions of the organs of the urogenital tract (urethritis, cystitis, endometritis, chlamydia)
• Anatomical features of the uterus (bicorn, saddle, with a bend)
• Endocrine disorders (increased concentration of estrogen in the blood)
• The formation of neoplasms of benign or malignant origin (fibroids, cysts, carcinomas)

Predisposing factors are irregular sex life, previous abortions, a history of childbirth. Even a violation in the coagulation ability of the blood leads to additional soreness during menstruation. If blood clots form from the secreted masses, it is more difficult for the uterus to move them into the vagina. Increased contractility of the genital organ is characterized by spasms. They are felt by a woman during menstruation, and experiences severe pain, which is complemented by dizziness, weakness, irritability.

Do I need to drink pills

With dysmenorrhea (painful periods), you can and should drink pills to stop the discomfort in the lower abdomen and in the back. If the pains are severe, they should not be tolerated, since the level of pressure and working capacity are reduced; general health worsens, dizzy. Antispasmodics are allowed to take before a visit to the doctor. A woman needs to inject intramuscularly 1 ampoule (2 ml) of No-shpa. When the discomfort is stopped, you can take the same medication, but in the form of tablets (no more than 3 tons per day). Papaverine has antispasmodic activity (it should be administered intramuscularly).

Anesthetic effect will provide Spazmalgon, Ketanov, Dexalgin. The listed drugs belong to the group of analgesics. They eliminate pain faster after intramuscular injection. In all cases, the prescription of the drug should come from the doctor, on the sensitivity of the body to the drug, an intradermal test should first be performed.

How to reduce pain

Through observation and research, gynecologists have identified methods that help to ease the well-being of a woman, regardless of the root cause of its deterioration:

1. The use of herbal tea. Chamomile, mint, lemon balm, thyme - these medicinal herbs have a calming and anti-inflammatory property. You can take it in addition to the period of menstruation - to strengthen the immune properties and stop the pathogenic processes that have a hidden course. Drinking warms, provides a distracting effect.
2. Unloading the intestines in a natural way, through a laxative drug or the use of microclysters. An overloaded intestine compresses the uterus. As a result, pain, spasms increase, bleeding increases. To reduce menstrual pain - you need to empty the intestines in a timely manner. If this is difficult, you can use a laxative rectal suppository or microclyster (its volume is 30-150 ml).
3. Applying a heating pad to the stomach. It is not permissible in all cases; therefore, it is permissible to implement the technique only after approval by a doctor. Relieves pain, stiffness, allows you to relax and tune in to sleep.

During dysmenorrhea, it is not recommended to use clothes with tight elastic at the waist (tight pants, skirts, belts, corsets). Squeezing the uterus enhances discomfort and bleeding, constricts movement, and prevents the convenient change of pads.

Ways to improve well-being

Non-drug methods during dysmenorrhea can partially normalize well-being. They are based on the use of heat sources, performing massage and changing attitudes. In addition to the psychological aspect, the remaining 2 factors require prior approval by the gynecologist.

Warming procedures

Warm shower - not only allowed during dysmenorrhea, but also useful. It provides a full level of hygiene, relieves soreness, relaxes and warms. The use of hot water is contraindicated. During the procedure, it is advisable to massage the abdomen.

Physical activity

With dysmenorrhea, many exercises are contraindicated. Especially if they involve exposure to the abdominal muscles. The tension of the fibers contributes to an increase in discomfort and an increase in the volume of blood loss. Physical activity aimed at the uterus and genitals is recommended to be reduced to massage. It can be carried out using special oil or without it. Stroking circular movements in the lower abdomen (in the umbilical region) relieve pain, tension, help reduce cramping. The duration of the procedure is up to half an hour.

Diet for menstruation

To reduce pain, you should abandon products that irritate the walls of the organs of the urogenital tract. It is recommended to refrain from the use of acidic, spicy, salty foods. The use of alcohol is strictly contraindicated (alcohol helps increase bleeding and cramping). Although caffeine is one of the substances that irritate the tissues of organs, with menstruation its use is permissible. The reason - due to blood loss in a woman, the level of blood pressure decreases. Coffee supports its performance, preventing the weakening of the body, dizziness and other symptoms.

Psychological attitude

Concentrating on a problem state of health, it is difficult for a woman to relax and thereby reduce uterine cramps. In order not to regard dysmenorrhea as a stress factor, it is recommended:

• do outreach training
• listen to soothing music
• use aromatherapy

Due to soreness in the lower abdomen and back, a woman becomes irritable. At the peak of discomfort, it is advisable to limit yourself to communication with others so as not to cause conflict situations. Rethinking the situation boils down to understanding that pain during menstruation is not a condition that just needs to be experienced, but a signal from the body about the abnormalities in it.

Pain diseases

Gynecologists have established the relationship of dysmenorrhea and diseases that a woman has. The main pathologies that contribute to the development of painful menstruation are shown in the table.

Diseases aggravating with menstruation	Development reasons	Disease treatment
Cystitis	The ingress of pathogenic microflora into the bladder. Predisposing factors: hypothermia personal hygiene the presence of inflammation of the urethra or genitals lack of water procedures before and after intimacy The development of cystitis contributes to the adoption of alcohol and coffee, excessive consumption of spicy, sour and salty foods.	Antibacterial therapy, the use of uroseptic drugs, non-steroidal anti-inflammatory drugs. Additionally, wash the bladder with antiseptic solutions.
The underlying etiology has not been established. Predisposing factors: frequent abortions, problematic births, hormonal problems. This also includes the factor of remote uterine tumors, a change in the vaginal microflora.	Mostly surgical. An overgrown endometrium is excised operatively, then cervical tissue is cauterized. The patient is shown antibiotic therapy and compliance with sexual rest. Endometriosis is prone to relapse.
Inflammation of the appendages	Predisposing factors are hypothermia, inflammation of other organs of the urogenital tract, sexually transmitted infections. An additional factor is irregular sex life.	Antibacterial therapy, hormone therapy (in 90% of cases), non-steroidal anti-inflammatory drugs.
Cyst	A predisposing factor is hormonal instability (interrupted pregnancy, irregular sex life). The formation of cysts is facilitated by inflammatory processes within the organs.	Sometimes the mere presence of a cyst aggravates well-being during menstruation. When a tumor causes pain and increased blood loss, it is eliminated. Less often - in a conservative way (inhibit hormonal drugs), more often - through surgery. If the cyst does not bother the patient, the neoplasm is not affected (neither medically, nor surgically).

Cystitis

It is classified into acute and chronic form. It is an inflammation of the bladder, accompanied by a wide range of symptoms:

• dysuria (pain and irritation inside the urethra when urinating)
• pain in the lumbosacral spine (has a shingles)
• increase in body temperature to subfebrile marks
• general weakness caused by intoxication

With menstrual pharynx, the uterus is open enough to facilitate the full evacuation of blood masses. But this physiological phenomenon constricts the reproductive organ before the penetration of pathogenic microflora. The movement of pathogens of cystitis from the bladder into the uterus leads to inflammation of the same. The reverse process may also occur - cystitis due to menstruation. Inflammation occurs when pathological microorganisms present in the menstrual blood get into the bladder. In both cases, this aggravates the condition of the woman, since the pain comes from two sources simultaneously: the uterus and the bladder.

A severe gynecological disease is always manifested by violent symptoms. It is characterized by the departure of large fragments of the uterine mucosa during menstruation. Outwardly, they resemble the liver. Discomfort increases with the detachment of tissues from the genital organ. When rejection of these clots occurs, bleeding intensifies, and soreness in the lower abdomen increases. Hyperthermia is not characteristic of the course of endometriosis. Additional symptoms of pathology are pain during intercourse, pain in the lumbosacral spine, weakness.

Inflammation of the appendages

Adnexitis is a lesion of the fallopian tubes and ovaries (these organs are combined in the term “appendages”). Typical symptoms are pain in the lower abdomen, but at a certain point (on the site of localization of inflammation) at rest and during menstruation. Other signs:

• Heavy menstrual bleeding
• Vaginal discharge of viscous purulent masses between menstruation
• Pain during intercourse (with chronic adnexitis)
• Refusal of intimacy due to discomfort and decreased libido (with acute inflammation of the appendages)

Since pathogenic microflora is present in the blood, body temperature rises to high numbers. This contributes to the development of weakness, dizziness, hypotension. Chronic adnexitis is the leading cause of ectopic pregnancy. The fallopian tubes are glued together with pathological secretion, which prevents the full movement of the fertilized egg into the uterus. As a result, it remains inside the tube and pregnancy develops there. At the same time, menstruation can be saved. The phenomenon reduces the vigilance of a woman - she does not suspect that she has an ectopic pregnancy.

In this case, the sources of pain during menstruation are inflamed appendages and the fallopian tube, which stretches under the influence of the growing fetus and creates debilitating discomfort.

Cyst

Benign neoplasm of the ovaries. In rare clinical cases, it tends to degenerate into a malignant tumor. Clinical manifestations - pain during menstruation, nausea, vomiting, dizziness, pallor of the face, darkening before the eyes. During menstruation, a woman is almost completely destabilized - on the first day of bleeding, she is forced to adhere to bed rest. Under the influence of motor activity, cyst rupture may occur. In this case, an emergency ambulance call is shown.

When is a doctor consultation needed?

Indications for contacting a specialist:

1. During menstruation, the degree of pain predisposes to loss of consciousness.
2. In addition to pain in the lower abdomen and in the back, large fragments of mucous membranes stand out.
3. The discomfort is so strong that the analgesics are ineffective.

If a woman’s well-being is weighed down by a decrease in blood pressure and related symptoms, this is a good reason to record with a gynecologist. The phenomenon can lead to the development of anemia, which is unfavorable for well-being. A visit to the gynecologist should also be in the case when a burdened condition occurs every month, if there is a history of problematic birth and previous curettage. An important basis for a visit to a specialist is maternity planning.

Diagnostics

To identify the root cause of dysmenorrhea, the patient will undergo the following types of diagnostics:

• Survey and inspection. The doctor reproduces the clinical picture of the patient’s condition, plans further interventions, pre-establishes the diagnosis.
• Laboratory study of blood, urine. Depending on the factor that contributed to dysmenorrhea, inflammation, anemia, and an infectious process are detected. Laboratory way to determine the state of hormonal balance.
• Ultrasound of the uterus, appendages, bladder, gastrointestinal tract. It allows you to detect almost all pathogenic processes of the organs of the urogenital and digestive tract.

Other diagnostic methods are prescribed taking into account the alleged diagnosis, which led to the development of dysmenorrhea. Sophisticated methods of radiation imaging (CT, MRI) are necessary to clarify the characteristics of the tumor, the degree of blood supply to the tissues, and the spectrum of inflammation. When dysmenorrhea is associated with osteoarticular pathologies, the patient is referred for an X-ray examination. Even if such a diagnosis is only assumed.

Treatment

During painful periods, it is recommended to take non-steroidal anti-inflammatory drugs (Diclofenac, Ibuprofen, Voltaren). Rectal administration of any of the listed drugs in the form of a suppository relieves pain, relieves stress inside the genital canals.

The following appointments help eliminate the main pathologies that cause dysmenorrhea:

• Antibiotic therapy. Relieves inflammatory and infectious processes.
• Hormonal drugs. Corticosteroids are administered; substances produced by the pituitary gland.
• Vitamin Therapy. Entire complexes or individual vitamins are prescribed.
• Analgesics. Stop pain, normalize the general state of health.
• They introduce drugs aimed at normalizing the level of blood pressure (with a decrease in its performance).
• Dyspeptic disorders stop antiemetic drugs.

Additionally, the patient is prescribed a course of physiotherapeutic treatment (undergoing enterophuresis, magnetotherapy, UHF). To eliminate pathological secretions from the surface of the genitals, the treatment of tissues with antiseptic solutions is necessary. If a woman has anemia (caused by massive blood loss), injection of iron preparations is indicated. When sexually transmitted diseases are detected, the treatment is not only a woman, but also her sexual partner.

Prevention

In order not to subsequently encounter the problem of severe pain during menstruation, it is recommended:

1. Refuse abortion
2. If you do not want to become pregnant - choose the optimal method of contraception and stick to it
3. Do not supercool
4. Timely stop inflammation of the organs of the urogenital and digestive tract. Do not allow the transition of pathology into a protracted form
5. Do not abuse alcohol

Other preventive measures - the use of an intrauterine device strictly within the prescribed time frame (do not exceed the period of operation). It is important for a woman to conduct an ordered sexual life - to avoid casual intimate relationships. Attention should be paid to the issue of strengthening immunity, since 90% of diseases are a consequence of weakening the protective properties of the body. It is preferable to refuse to lift weights in everyday life, not to associate professional activity with exhausting physical labor.

Video: Painful menstruation - causes

Menstruation is a physiological process that is inherent in every healthy woman. It is associated with some discomfort and the need to carry out specific hygiene procedures, but 70% of women note not just unpleasant sensations, but also real pain. Medicine classifies pain during menstruation as it distinguishes between its two forms.

Table of contents:

Primary dysmenorrhea

This term refers to pain during menstruation that occurs in adolescence. A distinctive feature of primary dysmenorrhea is that pain does not occur immediately, but 12-24 months after the first menstrual cycle. They can be constant, “sustained” at one level of intensity, but they can develop and become stronger from cycle to cycle.

Causes of pain during menstruation in girls

  The main reason for the appearance of pain during menstruation in adolescence is considered to be a violation of the production of hormones, in particular prostaglandin, which is responsible for the intensity of uterine contractions during menstruation. In violation of the synthesis of this hormone is produced in significantly larger quantities than necessary - hence the pain.

An important role in the formation of primary dysmenorrhea is played by the psychoemotional factor - often girls mentally prepare themselves for the upcoming discomfort and the threshold of sensitivity decreases: even a small pain that cannot be classified as pathological is very acute. Gynecologists note that primary dysmenorrhea may be associated with endometriosis - a pathology associated with the growth of the uterine mucosa into other organs of the reproductive system. In this case, heavy bleeding will also be accompanied by heavy bleeding.

note: pains with menstruation of a primary nature can be caused by various factors and causes - for example, a banal lack of magnesium in the blood. Therefore, a young woman should undergo a full examination to establish the exact cause of the pain syndrome.

Secondary dysmenorrhea

So they differentiate pain during menstruation, which occur in a woman over the age of 30 years due to organic changes in the organs of the reproductive system. Secondary dysmenorrhea is characterized by the appearance of pain a couple of days before bleeding and their end simultaneously with menstruation. At the same time, a large amount of secreted blood is noted, the presence of clots in the discharge.

Causes of menstruation pain in adult women

If primary dysmenorrhea occurs against the background of hormonal disorders, then by the age of 30 the woman has already passed the “test” of pregnancy and childbirth - the hormonal background is balanced. Therefore, secondary dysmenorrhea occurs for the following reasons:

• any inflammatory diseases of the organs of the reproductive system;
• the formation of a large number of adhesions is an adhesive disease, which is a complication of surgery;
• pathological expansion of venous vessels located in the pelvis;
• benign tumors / neoplasms - for example, fibromyoma, polyps of the cervix or cervical canal and others;
• malignant tumors;
• endometriosis.

note: The cause of pain with menstruation of a secondary nature may be an intrauterine contraceptive.

Treatment of pain during menstruation

Primary dysmenorrhea is treated only with hormone therapy - the gynecologist and endocrinologist examine the young woman for violations in the hormonal system and prescribe corrective treatment with specific drugs. As a rule, pain during menstruation either disappears completely, or becomes not so intense. Secondary dysmenorrhea is treated only with complex measures - it is not enough to prescribe only painkillers, it will be necessary to conduct a full course of treatment of the revealed pathological process.

How to eliminate pain during menstruation: pills and non-medications

Taking analgesics and antispasmodics will, of course, give a good effect - the pain will stop for a while, the woman will feel significant relief. But after all, the constant intake of any medicines, including those with analgesic properties, leads to the development of pathological processes in the liver, stomach and heart. In addition, addiction will develop over time, and a large dose of medication will be required ...

In any case, the use of exclusively analgesics / antispasmodics is not an option. You can take some measures to alleviate the condition without medication:

1. Foot bath. Water for it should be hot, but not boiling water! The procedure can be carried out once a day, at a convenient time, the time - no more than 10 minutes. note: It is strictly forbidden to conduct hot foot baths for those women who, in addition to pain during menstruation, have abundant discharge with blood clots.
2. The alternation of water procedures. It is necessary to conduct a series of sitz baths alternately with hot and cold water. This procedure is acceptable twice a day - in the morning and in the evening, helps to fight stagnant processes in the pelvic organs. note: if a woman is diagnosed with a malignant or benign neoplasm, then sitting baths are contraindicated.
3. Diet. If you exclude fats, carbohydrates and sugar from the diet, then the likelihood of pain during menstruation is reduced significantly. But keep in mind that you need to adjust the diet a month before the menstrual cycle - this method is preventive.
4. Dry heat. In the area of \u200b\u200bthe anatomical location of the uterus, you need to attach dry heat - a heated dry towel, a small bag with heated sand or salt. note: this method can cause heavy bleeding, so if there is a tendency to such a phenomenon, any heating procedures are contraindicated.

Knowing that with menstruation there are always pains, you can take some measures as a preventative measure. For example, to go in for sports - gynecologists are well aware that it is precisely women who are overweight who have pain in menstruation. It is enough to spend a little time every day in the gym, go swimming in the pool and even regular exercises will give excellent results. If a woman is engaged in sedentary work, then it is necessary either to change her labor activity, or to ensure motor activity.

Treatment of pain with menstruation folk remedies

Recipes of traditional medicine, which are used to relieve pain during menstruation, will not be able to eliminate the cause of the pathological phenomenon. But to significantly alleviate your condition, taking decoctions of medicinal herbs, is quite realistic. There are several options for the preparation of painkiller decoctions:

1. The cinquefoil is goose. Take 50 grams of dry grass and cook the broth in a water bath (300 ml of water, heating time - 15 minutes). Then strain the finished medicine, cool and take a quarter cup twice a day for all periods. Squeezed "cake" is applied to the stomach (just above the pubis) with an exacerbation of pain.
2. Elecampane. Take 500 ml of water for 3 tablespoons of dry source, boil everything in a water bath for at least 10 minutes and leave to infuse for 4 hours. Then take the resulting broth in 1 tablespoon at least 3 times a day. Admission course: a week before the start of menstruation, during them and 2 days after the end of the discharge.
3. Stinging nettle. This recipe can be used only in spring and summer - the medicine is prepared from nettle juice, which is diluted with water in a ratio of 1: 1 and is taken 1 tablespoon three times a day for menstruation.
4. Common oregano. We prepare alcohol tincture: take 20 ml of medical ore per 20 grams of dry oregano and infuse the mixture for 10 days. A week before menstruation and until they are finished, take 30-40 drops of tincture once a day. note: This recipe is contraindicated in women with diagnosed diseases of the cardiovascular system.

If pain during menstruation is accompanied by heavy bleeding, then it will effectively take herbal preparations. They are prepared according to one scheme: 100 grams of dry collection is taken, 500 ml of water is poured and boiled over an open fire (not in a water bath) for 20 minutes. Then the decoctions are infused and taken 3 days before the onset of menstruation and throughout them. What herbs can be included in herbal preparations:

1. The cinquefoil is erect, shepherd’s bag, elecampane, oak bark, yarrow.
2. Maggot, white mistletoe, shepherd’s bag.
3. Goose cinquefoil, valerian root, yarrow.
4. Maggot, horsetail, centaury.

note: the use of any decoction from the category of "traditional medicine" must be authorized by a gynecologist. In some cases, in the presence of serious pathological processes, it is contraindicated for a woman to take any medications without a doctor's prescription.

Pain during menstruation can be a purely physiological factor, but can indicate a pathology in the reproductive or endocrine system of the body. Therefore, the independent use of painkillers, decoctions of herbs can hide the true clinical picture - the doctor will not be able to make an accurate diagnosis in a timely manner, the woman’s health will inevitably worsen.

Tsygankova Yana Alexandrovna, medical observer, therapist of the highest qualification category.

Menstrual pain  - This is a negative manifestation of menstruation, which affects the majority (approximately 75%) of girls and women capable of conception. Depending on the physiological characteristics and body structure, pain during menstruation can be of a different nature and intensity: someone may feel some tension and discomfort in the lower abdomen, and someone needs to drink painkillers. Most often, such sensations are not pathological - this is normal. But in the case of very frequent and very severe pains that cannot be endured, it is necessary to consult a gynecologist who will prescribe a comprehensive examination and will be able to determine the cause and solution of the existing problem.

Pain before menstruation.

Pain before menstruation - This is also a normal phenomenon and it is not felt by about 25% of all women. While 75% of the remaining women are forced to endure pain of a different nature every month. Scientifically menstrual pain is called dysmenorrhea or algodismenorrhea. She mainly affects young girls and nulliparous women. In most cases, pain before menstruation begins to appear 1-2 days before menstruation, as well as on its first day. If you find a way to deal with pains before menstruation, and they do not cause you much inconvenience, then do not worry about this and run to the doctor - this is quite normal.

As everyone already understood, the main manifestation of algodismenorrhea is pain in the lower abdomen. On the second or third day of menstruation, the pain gradually disappears. The type of pain can be different: aching, tugging or stitching (paroxysmal), giving to the bladder, rectum, lower back.

In addition to pain, many girls have to endure such additional menstrual symptoms: lack of appetite, nausea and even vomiting, changes in emotional state (depression, apathy, irritability), excessive sweating, gastrointestinal tract disorders (diarrhea, constipation), soreness in the nipples.

These are painful sensations in the chest, which are accompanied by some moments in the menstrual cycle and this is practically the norm for most women. Judging by the statistics, approximately 60% of women in the world feel chest pain before menstruation.

The sensitivity of the mammary glands is enhanced at the 2nd stage of the menstrual cycle and its duration can reach one week. The symptom disappears completely 2-3 days before the onset of critical days. Often, slight pain and swelling of the nipples can be noticed before ovulation, quite often this sensitivity persists after it. The breast may become a little denser, swell when the blood rushes to the mammary glands.

If you breast pain before menstruation, even if there is even more than a week before the start of critical days, then you can understand that ovulation begins.

At this time, the female body prepares for conception, releasing an egg ready to merge with the sperm into the world. Conception is a process prescribed by nature, and therefore the body begins to prepare for the formation and growth of the embryo, which affects the chest. Since she takes the most direct part in the life of the child, and over the long 9 months she will change even more.

Therefore, you should understand that if you are of childbearing age, then minor and short chest pain is not correct. On the contrary, this means that the natural mechanism of triggering the lactation process is triggered.

Pain after menstruation.

Pain after menstruation  - A more rare phenomenon than pain before and during menstruation. But despite this, in many women, after menstruation, the lower abdomen hurts. The causes of this pain can be quite different things, and their diagnosis is often difficult. In the general case, this can be explained as follows. During menstruation, the uterus contracts. If a girl / woman has a low threshold of sensitivity for pain receptors, then with each contraction of the uterus, she can feel pain. The hormonal background also has a strong effect on this. When estrogen levels increase, menstruation is more painful. In addition, critical days become plentiful and long. Restructuring of the hormonal background, and, in particular, an increase in estrogen levels, is most often observed in women older than 30 years. Pretty strong pain after menstruation  - This is an individual symptom, since even the duration of critical days is different for girls (4 to 7 days).

In some cases, the cause of severe pain can be the incorrect location of the uterus. In this case, pulling pains appear necessarily. Still drawing pains can cause a spiral inserted into the vagina. The spiral is an obstacle to the normal contraction of the uterus during menstruation. Of the most common causes of pain after menstruation can be called stress, sleep disturbance, overstrain.

If the duration pain after menstruation  does not exceed 2-3 days, then do not worry and start treatment. The female body is not a mechanism that works without interruptions. It is very unpredictable, sometimes unexpected and not quite right things can happen. If the pain begins after each menstruation, i.e. regularly, and lasts more than a week, you must make an appointment with a gynecologist.

Pain in the abdomen during menstruation is such a common symptom that some women perceive it as an integral sign of menstruation. Therefore, girls who do not have a stomach ache during menstruation often wonder why this happens. In fact, the correct menstrual cycle goes without pain, and severe pain is not the norm.

First you need to figure out why there is pain with menstruation and in front of them. The most common causes are:

• hormonal changes;
• premenstrual syndrome;
• primary algodismenorea;
• secondary algodismenorea.

These pathological conditions disrupt the correct course of the menstrual cycle. There are delays in menstruation, a woman is concerned about atypical discharge, soreness in the abdomen.

Hormonal imbalance

Changes in the hormonal background are always reflected in the menstrual cycle. This is manifested by its various failures, including abdominal pain. Incorrect operation of the thyroid gland and pituitary gland plays a decisive role.

The presence of endocrine diseases, for example, diabetes, also often negatively affects the monthly cycle.

Premenstrual syndrome

If a woman has a stomach ache before menstruation, a common cause is premenstrual syndrome. In this case, abdominal pain similar to menstruation occurs. In addition, emotional lability, nausea, headaches, and pressure fluctuations are disturbing.

Primary Algodismenorrhea

With primary algodismenorrhea, pain during menstruation is not associated with pathology of the reproductive system. It occurs due to a violation of hormonal and nervous regulation and is an independent disease.

Essential, spasmogenic and psychogenic varieties of this pathology are distinguished.

Essential is an independent disease, the causes of which are not fully known. It is assumed that the pain threshold is reduced in the pain perception system. As a result, pain appears in those processes that normally do not cause it.

Psychogenic algodismenorea develops after suffering pain during menstruation. A woman has a fear of future menstruation, which causes pain. Both reasons reinforce each other. In medicine, this is called a "vicious circle." The psychogenic form occurs in adolescent girls, and its appearance is associated with various stress factors.

Spasmogenic type occurs due to spasm of the smooth muscles of the uterus. The disease is manifested by pain in the lower abdomen, which. Additionally, nausea, a feeling of dizziness, diarrhea, headache, and libido fluctuations may disturb. A woman is disturbed by weakness, insomnia, irritability, decreased mood.

Secondary Algodismenorea

Secondary is not an independent disease, but a symptom of gynecological diseases.

The secondary form is divided into congenital and acquired. In the first case, they are noted from the very beginning of their appearance, and the reason lies in the anomalies in the location or development of the reproductive system.

Acquired occurs in inflammatory processes in the pelvic organs (adnexitis, endometritis), endometriosis, neoplasms, or even increased excitability of the nervous system.

In addition to the characteristic abdominal pain, symptoms of the underlying disease are also noted: vaginal discharge of an unusual color, with an unpleasant odor, spotting, fever.

If the stomach before menstruation does not hurt

Many girls are surprised why they do not feel pain during menstruation. Or, menstruation used to be accompanied by pain, and then it stopped bothering.

The correct monthly cycle should be regular and painless. Unfortunately, such a norm has become rare. Therefore, if there are no other pathological manifestations, many women are simply accustomed to endure pain for several days or take pain medication.

If the stomach does not hurt during menstruation, there are no signs of a cycle violation, then the woman is all right. Moreover, you do not need to strive to take any medications, especially hormones, without the supervision of a doctor. If this condition is still embarrassing for some reason, it is better to consult a gynecologist.

Often, soreness during menstruation is significantly reduced while taking hormonal contraceptives. The improvement is due to the fact that OK stabilize the hormonal background, as a result of which menstrual pains disappear.

In a healthy woman, childbirth has a positive effect on the hormonal background and the menstrual cycle. If earlier the stomach hurt during menstruation, then after the birth of a baby it often goes away, or menstruation becomes less painful.

Doctor examination and treatment

No need to put up with a painful period. It is better to be examined by a gynecologist. The doctor will conduct an examination, may additionally prescribe an ultrasound, blood tests, hormonal background examination, taking smears from the vagina.

For the treatment of secondary algodismenorea, it is necessary to find the root cause and eliminate it. Most often these are inflammatory diseases, therefore antihistamines, antibiotics, and vitamins are prescribed.

The constant use of painkillers does not eliminate the cause, but only temporarily removes the pain. If painful periods are associated with hormonal instability, combined oral contraceptives are used for treatment. They indirectly reduce the production of prostaglandins and thus relieve unnecessary painful contractions of the uterus. The girl gets rid of pain not only during menstruation, but also in front of them.

Conclusion

Painless menstruation is absolutely normal. No need to endure abdominal pain during menstruation. Consultation with a gynecologist and the right treatment will help solve this problem.