Pain during menstruation. Diseases that cause pain. Ways to alleviate the condition with painful periods

Pain syndrome worries many women during menstruation. The most unpleasant sensations occur in the lower abdomen. The reason is the contraction of the muscular layer of the uterus, which occurs during this period. However, some types of pain indicate gynecological diseases. And they need to be able to identify for timely treatment.

Pain is the signal of the body about the ongoing changes and disorders. It cannot be ignored because it is a symptom of diseases of the reproductive and urinary system. However, not in all cases, pain is a cause for concern.

THE NOTE! Acute pain is a serious reason to call an ambulance. It can occur due to inflammation of the cyst or appendicitis, even during menstruation. In this case, you must refrain from taking any medication and wait for the doctor to arrive. Self-treatment is dangerous.

THE NOTE! Only a specialist can determine the exact cause of pain during menstruation. However, for this you need to know not only the nature of the pain, but also the localization.

Video - Painful menstruation

Cystitis

Cystitis often worsens during menstruation. There are sharp and pulling pains in the lower abdomen, which are aggravated by urination. There may also be a feeling of heaviness in the lower abdomen and severe aching pain in the lumbar region. It is worth considering that cystitis has other characteristic features by which it is easy to recognize:

• burning and itching in the vagina;
• severe redness and irritation;
• increased body temperature;
• headaches and dizziness.

THE NOTE! An exacerbation during menstruation is due to the fact that, due to the outflow of blood, the spread of infection occurs many times faster. Also, menstrual blood becomes a good environment for the development of bacteria if the rules of hygiene are neglected.

It is easy to relieve the symptoms of cystitis, but treatment can take a long time. If you let the disease take its course, it can develop into a chronic form. Most often, a general urinalysis and ultrasound of the genitourinary organs are prescribed to make an accurate diagnosis. Cystitis is treated with antibiotics. Additionally, a diet is prescribed for the duration of treatment, excluding spicy and fatty foods from the diet.

THE NOTE! During treatment, it is necessary to refuse to take a bath and wash only in the shower, otherwise the cystitis may worsen. The water temperature should be no more than 38-39 degrees.

Video - How to treat cystitis at home

Inflammation of the appendages

Pain is intense in nature. With inflammation of the appendages, there is a sharp, pulling or aching pain. It starts to bother 1-2 days before the onset of menstruation and stops on the second day of menstruation. In some cases, it disappears at the end of menstruation. Other symptoms are also observed:

• itching and burning in the vagina;
• elevated body temperature (up to 39 degrees);
• abundant or, conversely, meager periods;
• nausea;
• pain and discomfort when urinating.

THE NOTE! Inflammation of the appendages is an infectious-inflammatory disease. It occurs due to hypothermia, colds and stress. It can also develop against the background of sexually transmitted infections.

The pain is localized in the lower abdomen on the left and right sides. It manifests itself in an acute form of inflammation of the appendages. If the symptoms are ignored, the disease will become chronic over time.

However, the hidden form is considered the most dangerous. In this case, there are no signs of the disease. Then inflammation of the appendages is diagnosed using ultrasound and laboratory tests.

Treatment is based on antibiotics aimed at the destruction of pathogens. To enhance the effect, candles are prescribed. You also need to follow the diet prescribed by the doctor and lead a healthy lifestyle.

endometriosis

Unbearable pain and heavy discharge are the main symptoms of endometriosis. Scanty periods during this disease are extremely rare. A few days before menstruation, there is pain in the lower abdomen, which radiates to the lower back. In addition, brown discharge may appear. There are other signs of the disease:

• irregular cycle;
• big delays;
• nausea;
• vomit;
• problems with urination;
• constipation.

During menstruation, the pain becomes strong and constant. They mostly have a cramping or aching character, but their intensity is still different. This reaction is due to excessive rejection of the endometrium and damage to blood vessels.

THE NOTE! Endometriosis is rare in women taking hormonal drugs.

An accurate diagnosis is made on the basis of research. Endometriosis is diagnosed using ultrasound, computed tomography and laparoscopy. After the examination, it is possible to determine the method of treating the disease. There are only two methods:

• hormonal treatment;
• surgical intervention.

THE NOTE! Endometriosis resolves after pregnancy and childbirth. However, during this disease it is very difficult to get pregnant. If this happens, doctors recommend not abandoning the baby. However, an ectopic pregnancy should be ruled out immediately.

Video - How to treat endometriosis at home

Ovarian cyst

The occurrence of acute and unbearable pain in the ovaries during menstruation is the main sign of the presence of a cyst. Pain can be constant or intermittent. They can occur at any period of the cycle, but worsen during menstruation and ovulation.

Localization of pain depends on the site of the cyst. It can hurt both the right and left ovaries, as well as both at once. You may also feel tingling and throbbing. But there are other symptoms as well:

• large delays in menstruation;
• pain during intercourse;
• disorders in the urinary system (painful urination);
• enlargement and asymmetry of the abdomen;
• hirsutism (growth of facial hair).

THE NOTE! It is not the cyst itself that is dangerous, but the torsion of its legs or rupture. Therefore, it is important to identify the cyst in time and begin its treatment.

An ovarian cyst is easily detected on ultrasound. Small formations can be cured with hormonal drugs. Large and numerous cysts are removed surgically. To avoid surgery, it is necessary to identify the cyst at an early stage, until complications begin. Not treated with medication:

• numerous formations;
• large cysts (5-10 cm);
• cysts discovered shortly before menopause;
• cysts that appeared during menopause.

uterine fibroids

During this disease, pain lasts until the last day of menstruation. As a rule, the intensity only increases with each time. At the initial stage, there are pulling and aching pains, which, when complicated, acquire an acute cramping character.

The pain is felt not only in the lower abdomen, but also gives to the lower back. It can also spread all over the back before menstruation and in the first days. In addition, the sensitivity of the breast is significantly increased. Also, with uterine fibroids, there are:

• dark brown discharge before, during and after menstruation;
• cycle reduction;
• a significant increase in the duration of menstruation up to several weeks;
• profuse bleeding (less often scanty);
• the presence of clots in the secretions.

THE NOTE! A common cause of fibroids is hormonal imbalance. Increased production of estrogens, female sex hormones, leads to the formation of a tumor.

In some cases, it is possible to notice fibroids during a gynecological examination. It is also detected using ultrasound, hysteroscopy, laparoscopy, endometrial biopsy and laboratory tests. It is treated with medication. A course of taking hormonal drugs is prescribed. However, surgery may be needed to treat large tumors.

Video - Uterine fibroids: signs, symptoms, treatment

Conclusion

Moderate pain at the beginning of menstruation is normal. As a rule, they pass during the first two days of the cycle. But acute pain syndrome is a cause for concern. Especially if there are additional symptoms. In this case, it is necessary to consult a doctor to exclude the presence of infectious-inflammatory and chronic diseases.

It is impossible not to notice the approach of critical days: unpleasant symptoms are literally “knocked out” of the life schedule. My head hurts, my stomach hurts, everything falls out of my hands. It is pain during menstruation that is more difficult to tolerate than other signs.

However, such symptoms can be fought and not experienced before menstruation.

Pain in the abdomen and chest

Pain in the lower abdomen, at the site of the projection of the uterus, has a medical name: dysmenorrhea. At the same time, the chest often bothers, but such a symptom can be alleviated if you do not touch the nipples, do not wear a tight bra. Specific sensations in the chest:

- feeling of heaviness, fullness

- Uniform, aching pain.

Strong symptoms can appear in the lower abdomen, because sharp pains during menstruation are explained by the physiological process of menstruation itself. The uterus contracts to release the endometrium. That is why in the menstrual blood there are mucous lumps of a dark red color.

Other causes of dysmenorrhea

The occurrence of dysmenorrhea is also explained by other reasons: the production of prostaglandins, hormonal imbalance, inflammation in the uterus. If painful periods are not associated with extraneous pathology, do not interfere with living in a normal schedule, severe pain is simply tolerated. But it is better to drink painkillers, and nothing else needs to be done.

It is important to understand why the discomfort occurs in order to know what to do. Sometimes it is enough to take a pill to relieve pain, but there are situations when you need to see a doctor. For example, if the medicine does not help, the ailment becomes unbearable, this may mean an ectopic pregnancy.

What pain is the strongest?

In almost all women, pain during menstruation continues on the 1st, 2nd days of the cycle. During this period they are at their strongest. Feel almost constantly, evenly. First appear in the lower abdomen. However, immediately before bleeding, many women have both chest and head pain at the same time.

Why is this happening, what to do in such periods? The female reproductive system is controlled by the brain (hypothalamus, pituitary gland). The breast, brain, genitals are connected by a group of hormones that regulate all cycles, from the first menstruation to menopause. That is why painful periods are notable for headache and chest pain. The difference in the level of progesterone, its sharp decrease, leads to such a state even before their appearance.

Feelings in the chest

Unlike uterine headaches, they can last the entire period of menstruation, and the chest bothers only before critical days. It is on these days that the most blood flows into the chest, the glands acquire characteristic symptoms:

- heavy, swell

- become denser

- there is pain in the nipples

- increases sensitivity.

Pain stops during menstruation in the chest on the 1-2nd day of bleeding. If this does not happen, the symptom intensifies, you should consult a doctor. Persistent discomfort can be the cause of ovarian dysfunction. In this case, the chest signals a hormonal failure of a global nature. You should contact a gynecologist, mammologist, endocrinologist and do breast diagnostics.

Why does everything hurt?

Often a woman before critical days is disturbed at the same time by her head, chest, and lower abdomen. Why are periods so painful for women? This is due to the same hormonal changes. In addition to them, the following factors act:

- fluid retention (manifested in small swelling of the tissues of the brain and the whole body)

- taking contraceptive pills (the jump in estrogen increases)

- a woman experiences irritation, stress, emotional breakdowns

- genetic predisposition: scientists have proven the role of heredity.

However, these reasons converge to one factor - hormonal. The level of hormones drops so sharply that the head “splits”, the chest “aches” and pulls, intensified contractions in the lower abdomen. These symptoms in women have different intensity and different combinations, because each organism differs in its reaction to a sharp drop in estrogen, an increase in progesterone.

Consequences of dysmenorrhea

It should be noted that painful periods throughout the bleeding phase are rare. As a rule, the strongest sensations occur 1-2 days before and during bleeding. It turns out that a woman suffers severe pain every month for 4 days. For the nervous system and the whole organism, this is stress, which can lead to health and mental disorders. That is why it is important to do everything to get rid of them.

These symptoms often alternate with the following:

- nausea

- tearfulness

- irritation

- dizziness.

Close people should be sympathetic to the irritability and malaise of a woman before her critical days. After all, painful periods give her great discomfort, and she has to be treated every month.

Varieties of dysmenorrhea

Dysmenorrhea is divided into 2 types:

- primary

- secondary.

The most common is primary dysmenorrhea. In this case, painful periods are explained only by a physiological factor. These are contractions of the uterus just before and during the onset of bleeding.

Secondary dysmenorrhea is a disease that has developed as a result of an already existing disease of the genital organs. In this case, the chest and head may not hurt. Or, for example, the chest will hurt the entire period of blood loss, and not just before menstruation.

Causes of secondary dysmenorrhea

With secondary amenorrhea, it is necessary to diagnose and undergo treatment for the underlying disease. Pathologies that cause painful periods include inflammatory, neoplastic diseases, as well as other factors. For example:

- inflammation of the cervix, body of the uterus, appendages

- polyps, fibrous nodes, benign and malignant tumors

- diseases of the intestines, kidneys, urinary system

- ectopic pregnancy, uterine contraceptive (spiral).

After passing the diagnosis, the pathology is treated or the causative factor (spiral) is eliminated. If the causes of painful periods are not associated with the disease, treatment is based on pain relief. Such treatment is called symptomatic.

Treatment of menstrual pain

Tablets

What to do to quickly relieve pain? You need to take painkillers, for example:

— Ketolong

- Spazmalgon.

The course of treatment for painful periods, caused by an increased production of prostaglandins, is based on the suppression of these substances. In this case, take:

– Naproxen

— Aspirin

— Ibuprofen

- Acetaminophen.

Treatment will be effective if you start drinking the medicine before menstruation (10 days in advance). Finish taking on the 2nd day of the cycle. Acetaminophen helps relieve severe pain in both the abdomen and chest.

Contraceptives

If medical treatment does not help, you can take combined oral contraceptives. They also help if the stomach hurts after menstruation, then the reception continues for several months. In this case, it is necessary to ensure that it corresponds to the treatment regimen indicated in the instructions. However, this method of treatment is suitable for women who do not plan to become pregnant.

Many women and girls complain of severe pain during menstruation. The intensity varies: from slight discomfort to unbearable burning pain, accompanied by fainting, vomiting, dizziness,.

It is important to timely identify the provoking factors of such a disorder, to help alleviate the condition. It should be understood that regulation is a natural process in the female body. But if it is dysmenorrhea, then the outcome of pain during menstruation can be extremely unfavorable.

Types of pain

Severe pain during menstruation are:

1. Primary, not associated with pathologies and diseases. They appear in girls during puberty, and continue until the menstrual cycle is completely normalized.
2. Secondary, acquired as a result of pathological changes in the genital organs and some diseases. Pathology is observed more often in women after 30 years of age, accompanied by excessive sweating, headache, vegetovascular dysfunction, arrhythmia, tachycardia. With age, they can become a permanent phenomenon, so they are different.

Other types of menstrual pain with the onset of menstruation include:

• colic in the abdominal cavity due to increased production of female sex hormones, an increase in glandular tissue in volume;
• pain, burning in the chest;
• pain in the lower back as a common phenomenon, although it can be caused by an inflammatory course in the genitourinary system;
• a feeling of overstrain in the pelvic area in violation of the water-salt balance;
• increased uterine contractions as a result of hormonal imbalance;
• compaction, engorgement, enlargement of the mammary glands;
• the appearance of swelling in violation of the outflow of blood.

On a note! To get rid of pain in the back, lower back, it is enough to take an antispasmodic, a comfortable position and apply heat (heating pad). You can get rid of the onset of menstruation by taking a contrast shower, making a laxative massage with circular movements of the palms.

Causes of pain during menstruation

Most often provokes pain during menstruation, increased production of the hormone progesterone. This is a non-dangerous phenomenon when the glandular tissue additionally increases in volume. The main thing is to take timely measures to facilitate well-being.

The main cause of pain during regular periods in adolescent girls is primary algomenorrhea or a condition that can last up to 3 years until the menstrual cycle returns to normal. The girls additionally noted:

• emotional instability;
• asthenia;
• increased levels of adrenaline, dopamine, norepinephrine in the blood;
• failure in the system responsible for the production of hormones;
• constipation;
• increased heart rate;
• spasms of small vessels of the upper and lower extremities;
• cyanosis on the skin;
• blanching of the face and body;
• insomnia;
• migraine.

Other causes of pain during menstruation in girls:

• underdevelopment of the uterus;
• cavity bend back and forth;
• abnormal development of the uterine cavity, leading to difficulty in the outflow of blood with the advent of regulation.

With congenital pathologies in the structure of the uterus and fallopian tubes, an increased level of serotonin is observed in the cerebrospinal fluid. Girls suffer from low body temperature, gastrointestinal disorders, diarrhea, swelling on the face, and allergies.

REFERENCE! Primary severe pain during menstruation is not an independent ailment, but rather a symptom of an internal failure provoked by connective tissue dysplasia. Primary algomenorrhea may well be congenital with abnormal development of connective tissue, scoliosis, myopia, flat feet, varicose veins, and dysfunction of the gastrointestinal tract. If pain during regulation has become an obsessive phenomenon, then girls are recommended to undergo a full examination.

The cause of pain during regulation in women after 30 years is secondary algomenorrhea. It proceeds with moderate (severe) severity, often leads to aggravating symptoms:

• profusion of menstruation;
• decrease in working capacity;
• bloating;
• hiccups
• dizziness;
• hand numbness;
• fainting;
• increased heart rate;
• joint pain;
• itching on the skin;
• nausea, vomiting;
• taste distortion;
• unmotivated weakness;
• anorexia.

In women suffering from diabetes, there are violations of the endocrine system, and with the approach of menopause, a depressive state, an unstable psycho-emotional background, and pain in the uterus during intercourse appear.

IMPORTANT! Such signs should not be ignored, regardless of the root cause that led to painful periods. It is necessary to immediately visit a gynecologist, undergo the proposed examination.

Causes of secondary algomenorrhea can be severe pathological. Can call:

• infectious and inflammatory course in the genitals, appendages;
• adhesions in the pelvis;
• polyposis neoplasm;
• malignant, benign tumor in the uterine cavity;
• varicose veins in the peritoneal cavity;
• fibroma;
• adenoids;
• lack of progesterone, calcium in the blood;
• pelvic endometriosis;
• ovarian cyst;
• bending of the uterus;
• polyposis;
• pelvic neuritis.

Painful menstruation can be the result of:

• medical abortion;
• prolonged use of intrauterine contraception;
• non-compliance with the rules of personal hygiene;
• introduction of infection;
• complicated childbirth;
• caesarean section;
• thyroid dysfunction;
• hormonal imbalance that led to a violation of the cycle;
• decreased libido;
• hereditary predisposition;
• carrying out laparoscopy, abdominal surgery on the uterine appendages;
• scarring of the cervix, the formation of an adhesive process;
• malnutrition;
• frequent stress;
• mental fatigue.

On a note! Minor pain with the advent of menstruation is considered the norm. So, the uterus is activated, begins to contract intensively, pushing out exfoliated particles of the mucous membrane. A hormone-like prostaglandin also acts, leading to pain, the degree of manifestation of which directly depends on the concentration of this hormone in the blood.

When should you take the tablets?

Medical treatment with the onset of painful periods is an extreme measure. You can not drink pills thoughtlessly. It can be addictive, additional side effects.

If the pain during menstruation is not very disturbing, then it is enough to take an antispasmodic, 1 tablet of No-shpa, Spasmalgon, Analgin to relieve spasms. It is better to refuse potent drugs (Ketanov, Aspirin). You can not neglect the dosages when taking painkillers. It is recommended to drink 1 pill first, wait a little time. If relief does not follow, then you can take 1 more tablet.

On a note! It is not enough to drink remedies for menstrual pain with 1-2 sips of water. To facilitate well-being, rapid dissolution of the tablet form of the drug, you must drink at least 1 glass of liquid.

If the drugs become unsuccessful for relieving pain on critical days, then you can take a non-steroidal anti-inflammatory, analgesic (Dicycloverin, Drotaverin, Spasmalgon). In severe cases, it is permissible to drink Nimesulide, Ibuprofen. Not bad help with manifestations of dysmenorrhea hormonal contraceptives. However, treatment should be carried out under the supervision of specialists, since even a slight intervention in the hormonal background can result in serious violations of the reproductive system.

IMPORTANT! If the pain during menstruation only intensifies, what should I do when they do not stop for 3-4 days in a row? It is better to immediately consult a doctor. Also alert should be the discharge of large blood clots with an unpleasant odor, increased discharge on the 2nd day of menstruation with the appearance of severe pain in the lower abdomen, fever, burning, itching when urinating.

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

As an alternative, in the absence of the effect of taking painkillers, you can use:

• low-dose hormonal drugs that can reduce prostaglandin production;
• plant phytoestrogens to normalize hormonal levels;
• non-hormonal homeopathic preparations (Analgin), leading to the regulation of the menstrual cycle, minimizing painful symptoms, improving overall well-being and the state of the nervous system;
• derivatives of testosterone (progesterone) to reduce the contractile activity of the uterus, suppression of prostaglandin production;
• gestagens to influence the secretory function of the endometrium, eliminate the excitability of nerve fibers with localization in the muscle layers of the uterus;
• non-steroids used when women do not want to use oral contraceptives;
• NVPS (Mig, Nimesil, Diclofenaek, Ketoprofen) as painkillers to normalize the menstrual cycle;
• oral contraceptives to reduce blood loss with the onset of menstruation, suppress the ovulation process, contractile activity of the uterus and nervous overexcitation.

On a note! If the pain is severe, and pills and home treatment do not lead to relief, then it is recommended to consult a gynecologist. You can not abuse medicines, swallow pills in large doses. It is important to understand that increasing the dosage of antispasmodics can lead to reverse side effects.

Exercise for painful periods

Physical exercises are recommended for women with painful periods to keep the muscles of the uterus in good shape. Of course, there is no need to exercise hard. It is enough to choose an easy sport acceptable for yourself and pay attention to it for 15-20 minutes daily.

It is appropriate to simply walk briskly more often to normalize general well-being with the onset of menstruation, yoga can be useful, taking comfortable statistical positions with the body at rest, without sudden movements. This does not involve the necessary muscles, but it increases endurance and the level of physical fitness, puts in order the muscles of the press, peritoneum, and pelvic floor.

It is useful to master the technique of breathing exercises, which helps to relax the muscles of the pelvis, relieve spasms in the uterus, and alleviate painful contractions. It is recommended to combine breathing exercises with regular physical exercises in order to direct actions towards loosening the muscles of the uterus, minimizing menstrual pain.

Phytotherapy for painful periods

To relieve pain during menstruation, herbal teas, infusions of valerian, motherwort, chamomile, cloves, cinnamon, raspberries, oregano, hogweed, lemon balm containing phytoestrogens will help. Here are some good recipes:

• raspberry leaves (2 tsp) pour boiling water (1 cup), leave for 0.5 hours, take in small sips throughout the day;
• ordinary oregano, prepare an infusion: 1 tbsp. l. pour boiling water, leave for 0.5 hours, strain, take in sips throughout the day;
• chamomile flowers + lemon balm (leaves), prepare collection: 1 tbsp. l. pour boiling water, leave for 40 minutes, strain, take warm throughout the day.

Herbal infusions are quite effective, have no side effects and taste good. It is useful to brew dry raspberry leaves, mint, chamomile, lemon balm and drink like tea.

REFERENCE! Do not confuse painful periods with PMS, which may coincide with the onset of menorrhagia. Also, abnormal uterine bleeding can be caused by a fibroma in the uterus.

Other ways to deal with pain

It is not true when they say that heat applied to the abdomen during painful periods increases bleeding. Of course, applying a very hot heating pad is not recommended. But heat for 10-15 minutes is quite appropriate to eliminate pain.

Normally, on the eve of menstruation, slight aching sensations in the abdomen are acceptable. If they intensify, do not go away for a long time, pathologies of the organs of the reproductive system, peritonitis, appendicitis and others should be excluded.

For what reasons does the lower abdomen begin to hurt before menstruation

Menstruation is an important part of a woman's life. Menstruation (menstruation, menarche) is a natural process, accompanied by bloody discharge from the uterus. First starting in adolescence, they last until the onset of menopause. Why, and what to do to alleviate the condition, it is useful for all women to know.

The first menstruation is a signal that the girl's body is ready for pregnancy. The time of occurrence of monthly discharge is individual and largely depends on heredity, physiological characteristics, hormonal levels and other factors.

For most women, menstruation brings little to no discomfort other than spotting for a few days. Moderate pain in the lower abdomen during menstruation is considered normal. But for some, the first 2-3 days of a new cycle become a real flour.

Many women experience severe pulling or cramping menstrual pain in the lower abdomen. They are joined by aches in the lower back and legs, dizziness. The satellites of menstruation are the following states:

• stool disorder;
• frequent urge to urinate;
• nausea and vomiting;
• tachycardia;
• general weakness.

Often, the intensity of pain in a woman over a long period is approximately the same. But it can change: become more pronounced or almost disappear. This happens after childbirth, gynecological operations or other significant health events.

Physiological causes

The biochemical processes taking place in the body have a great influence on the appearance of pain on “critical days”. A high level of hormone-like substances - prostaglandins - causes more intense.

The level of sex hormones in the female body depends on the phase of the monthly cycle. Just before the onset of menstruation, the production of large amounts of estrogen and progesterone affects the physical and emotional state.

Up to 90% of women these days are experiencing a whole range of unpleasant symptoms, which are called premenstrual syndrome (PMS):

If PMS becomes a hindrance to a normal life, a doctor's consultation is necessary. In some cases, hormonal therapy helps, sometimes it is enough to undergo a course of treatment with homeopathic remedies, drink vitamin complexes.

Pathological causes

The growth of the inner lining of the uterus - endometriosis - can not only disrupt the normal monthly cycle. Severe pains in the lower abdomen with this pathology are spastic or aching in nature, sometimes a woman feels them already 2-3 days before the onset of menstruation.

Uterine fibroids, infectious diseases of the reproductive organs, and a viral disease transferred shortly before the start of the cycle will also provoke pain in the lower abdomen during menstruation. Strong stress or unusually large physical exertion does not affect the well-being of a woman in the best way.

Non-gynecological causes

It happens that pain in the lower abdomen during menstruation is confused with signs of serious illness. Among them are not only gynecological pathologies, such as inflammation of the appendages, ectopic pregnancy, or rupture of one of the ovaries. The reason that a woman has a severe pain in the lower abdomen can be appendicitis, renal colic. Pain can occur when peritonitis or a heart attack begins.

A woman needs to urgently call an ambulance in such cases:

• severe weakness, dizziness;
• nausea;
• pallor of the skin;
• cold sweat.

What drugs will relieve pain

In cases where there is no longer the strength to endure pain on the right or left lower abdomen that accompanies menstruation, doctors recommend taking medication. An effective drug is No-Shpa, which relaxes smooth muscles and soothes pain. Not bad help Spazgan, Trigan and other combined analgesics.

Ibuprofen-based non-steroidal anti-inflammatory drugs are effective in combating ailments that recur every month.

In cases where menstruation is very painful, the doctor may advise replacing tablets with injections. This form of administration of an anesthetic allows you to feel relief in the lower abdomen after 5-10 minutes.

Taking oral contraceptives helps to normalize a woman's own hormonal levels. Not only does the stomach stop hurting, but the condition of the skin improves, therefore, when taking birth control pills, most women note that menstruation began to begin without the slightest discomfort.

How to help yourself

There are many ways to relieve periods without medication. Heat helps relieve spasm: hot heating pads or dry warm compresses should be applied to the stomach and legs.

A fragrant bath with herbs and essential oils will relax the muscles, soothe and relieve pain. Contrasting sitz baths will improve the outflow of blood and relieve discomfort. You need to take them twice a day.

Physical exercises

Women who play sports rarely complain of ailments on certain days of the month. And although doctors do not recommend intensive training during this period, moderate physical activity will not hurt.

Playing sports, walking in the air, lack of stress are the basis of good health. There is a special set of exercises that can be performed without leaving home. It helps to improve blood circulation in the pelvic organs and relax.

You need to lie on the floor, bending your knees, and resting your feet on the floor, stretch your arms along the body. Taking jerky breaths, slowly raise and lower the stomach. It is important to relax as much as possible. The exercise should be repeated 5-7 times.

Another exercise: lie on the floor, moving your buttocks against the wall, you need to rest your feet against the wall. Then, bend your knees and maintain this body position for up to 5 minutes.

Lying on the floor, pull one leg to the chin, holding the other near the floor. Stay in this position for 2 minutes, then change legs.

From pain, the knee-elbow posture helps well: you need to lean on your knees and elbows, lowering your head. Maintain this pose for 2 minutes.

Diet

One of the latest theories about the appearance of menstrual pain is a low supply of calcium in the female body. If you replenish it, this period will pass much easier. Therefore, 10 days before the discharge should begin, it is worth switching to a diet based on dairy products.

Pain in the abdomen during menstruation in just a couple of hours brings some women to complete incapacity. However, a comprehensive view of the problem today can help most of them.

How to get rid of pain during menstruation? This question worries more than 40% of all women of childbearing age. One - enough to drink a few glasses of delicious juice. Others have to take a long and hard time to heal. But what can we really do?

Menstrual pain symptoms

Unpleasant sensations in the peritoneum can begin as early as 5-8 days before the start of the exit of the inner lining of the uterus. Initially, there is an infrequent weak "sipping" in the area of ​​​​the ovaries, to which, over time, sharp jerking pains are added along the entire height of the uterus.

Directly menstrual pain symptoms:

• cramping and twisting uterine spasms
• feeling of a foreign body in the abdomen
• drawing, squeezing pain in the uterus, passing to the intestines and in the lower back, intestinal spasms
• shooting pains in the ovaries, kidneys, along the entire length of the spine, in the head

Cause of pain during menstruation

The main "culprit" of pain during menstruation is the hormone-like substances prostaglandins. They irritate the nerve endings of the tissues in which they have developed, which causes uterine contractions and the release of the endometrium with secrets and blood.

Another common cause of menstrual pain- endometriosis. The very endometrial cells of the uterus that should come out during menstruation grow into the surrounding peritoneal tissues or rise into the ovaries. Active synthesis of prostaglandins causes them to exfoliate, swell and break down at the same time as everyone else.

Some teenage girls physiologically do not have time to fully form before the onset of the first menstruation. This applies both directly to the structure of the body, and the balance of hormones responsible for the cycle.

Why severe pain during menstruation in adolescents?

Yes, just an underdeveloped or improperly located uterus does not allow a free exit of menstrual blood. As it contracts, it literally puts pressure on the surrounding organs and irritates trillions of highly sensitive pain receptors. Teenage estrogen-progesterone background "adds fuel to the fire."

Most often, discomfort in the lumbar region during menstruation is caused by swelling and excessive strain, as well as radiating (radiating) pain.

The processes of the vertebrae dig into the swollen muscles of the back and injure them. And the reflex mechanisms of the spread of nerve impulses make you feel menstrual pain literally throughout the body.

Why does my lower back hurt so much during menstruation?

Existing ailments can also contribute to this unpleasant phenomenon:

• fibroma
• cervical dysplasia
• endometriosis
• polycystic ovaries

Why does the back hurt so much during menstruation in those who have given birth?

The uterus of the woman who carried the child, although it returns to normal, nevertheless acquires somewhat different sizes. During menstruation, this "extra" volume is enough to infringe on the nerve endings of the small pelvis, squeezing blood vessels and worsening blood microcirculation in the lower back.

Why does the back hurt so much during menstruation in those who have given birth?
The female uterus can increase in size not only during pregnancy, but also under the influence of the progression of nonspecific postpartum diseases:

• fibroids
• endometrial hyperplasia
• pelvic organ prolapse

IMPORTANT: All such gynecological defects affect the back with irradiating (reflected) pain sensations.

How to relieve pain during menstruation?

Significantly reduce painful manifestations before or during menstruation help:

1. Food enriched with potassium and calcium. The lack of these elements significantly increase the frequency and strength of uterine contractions.
2. Surgical intervention or special gynecological treatment of functional problems of the uterus
3. Complex hormonal treatment to restore the required balance of biologically active substances acting on the uterus
4. Medications and supporting pharmaceutical preparations
5. Traditional medicine and exercise

How to relieve pain during menstruation?

Be sure to take care of your health and eat right. Pharmacies and simple gestures will help to cope with the remaining problems.

Tablets and drugs for pain during menstruation

To get rid of discomfort, doctors recommend antispasmodics, complex analgesics and non-steroidal anti-inflammatory drugs. Among others, the most in demand:

• no-shpa
• papaverine
• tempalgin
• spazmalgon
• baralgin
• ibuprofen

If the above pills and drugs for pain during menstruation are not suitable (give unacceptable side effects), then paracetamol can also be used. To achieve high-quality pain relief, it should be taken at a dose of 3-4 tablets every 6-8 hours. However, the official instructions for the medicine indicate the possible danger of such self-treatment.

What helps with severe pain during menstruation?

In some women, menstruation is extremely painful: the sensations during uterine contraction are comparable in strength to labor pains. At the same time, the spasm also "moves" to the intestines, which causes painful three-day diarrhea.

In such situations, ketanov and tamipules are saved (2 tablets every 12 hours). The first, however, is sold by prescription. Both drugs have a very mild effect on organ systems and practically do not cause side effects.

What helps with severe pain during menstruation yet? In extreme cases, analgin and solpadein can be used.
However, it is quite difficult to predict the strength and extent of the side effects of these drugs on the nervous system. Even with the third and subsequent receptions.

Folk remedies for menstrual pain

In addition to herbal decoctions of horsetail, tansy, meadowsweet and oregano, sweet pepper is considered an extremely effective remedy for pain during menstruation. At the same time, it is used as a salad base or freshly squeezed juice.

Other folk remedies for menstrual pain:

• asparkam tablets (usually used for other purposes)
• dried and fresh apricots, grapes, bananas
• pumpkin, sesame and sunflower seeds
• wheat bran and wheat germ

Treatment of severe pain during menstruation

There aren't a lot of exercises that can help relieve stomach pain during your period, but they do exist! For example:

• it is necessary, sitting on a fitball / legs wide apart and crouching, make circular movements with the pelvis in both directions alternately
• it is necessary for the maximum possible time to take the pose “mother washes the floor” from a standing position, it is advisable to touch the feet while tilting your hands
• you need to sit or lie in a "knuckle up" in different positions-turns alternately

Treatment of severe pain during menstruation with physical activity another kind is contraindicated due to the possibility of heavy bleeding. By the way, ready-made tincture of water pepper will help to regulate them.

REVIEW: I suffer terribly in the first three days after the start of menstruation. I save myself with sedalgin or ibuprofen. It seems to me that nothing but pills or injections can relieve this terrible pain!!!

REVIEW: God forbid to be treated with analgin! Now I know how high drug addicts feel. Maybe. The gynecologist said that he has this effect on many people. Girls! Be careful!

REVIEW: Once they brought me a whole bucket of sweet pepper from the dacha. I used it in salads for a week and ate it. Menstruation went in a week. And I did not feel the moment of their onset at all. Since then, I eat pepper at the first opportunity I get. Which is what I recommend to you.

REVIEW: Naproxen relieves my severe period pain. A friend advised. And the gynecologist insists on taking hormonal contraceptives. Until I refuse. I'm afraid of various side effects.

REVIEW: And I was advised indomethacin suppositories. Well helped. But now the stomach hurts, and nothing can cure it. I'm going to the doctor one of these days.

REVIEW: The first day of my period begins with an injection of a mixture of analgin, papaverine and diphenhydramine. Otherwise, I climb the wall or lose consciousness.

I have been doing yoga for two years. After four months of training, I began to notice that the intensity of monthly pain is gradually decreasing. Today, I hardly use any medication. This is despite the fact that earlier Ketanov could not do without injections.

How to relieve menstrual pain:advice and feedback show that drug self-treatment is held in high esteem. First, we drink drugs, and then we consult with specialists. After all, you need to start from the other end!

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