If the time of menstruation hurts the lower abdomen. Why does the lower abdomen hurt after menstruation. Inflammation of the reproductive organs

Mild pain that accompanies menstruation may cause minor discomfort, but from a medical point of view, this situation is considered a normal physiological phenomenon. Another thing is when the pains in the lower abdomen during menstruation are very strong, cramping in nature and are accompanied by nausea, fainting, dizziness. Such symptoms indicate that serious problems have appeared in the woman's body that require a response from doctors.

Why does my stomach hurt during menstruation

Most often, a woman is concerned about abdominal pain on the first day of menstruation, although sometimes they can occur long before or already during critical days. The causes of pain syndrome in most cases are the following phenomena and pathologies:

Infectious lesions of the pelvic organs, causing inflammation.
Endometriosis.
Polycystic ovary syndrome.
Hormonal disorders.
Intrauterine device.
Sexually transmitted infections.
genetic predisposition.
Lack of vitamins and minerals in the body.
Previous abortion.
Sedentary lifestyle.
Alcohol abuse, malnutrition.
Neoplasms in the uterus.
Spontaneous miscarriage.

Main symptoms

Doctors consider severe pain in the lower abdomen during menstruation as a disorder of menstrual function. According to statistics, in every third representative of the weaker sex, such sensations are accompanied by additional symptoms:

upset stomach, vomiting, nausea;
loss of consciousness.

Pain syndrome, as a rule, appears on the first day of the cycle and subsides by the third day. It can have a jerking, cramping, aching character, sometimes severely. Often, against the background of debilitating sensations, a woman's mood and psycho-emotional background change. She can be whiny, irritable, anxious and even aggressive. Sleep is disturbed. It is important to understand that such manifestations cannot be prolonged and should disappear without the use of medications within a few days after the onset of menstruation.

Depending on the main symptoms, doctors distinguish several degrees of painful menstruation:

Light degree. It is characterized by periodic moderate soreness, which does not affect the woman's performance in any way. Such sensations are easily tolerated without taking painkillers. But even a mild form cannot be ignored, as it can very quickly develop into a pronounced syndrome that will significantly disrupt the usual way of life.
Average degree characterized by rather long, pulling pains in the lower abdomen during menstruation, accompanied by nausea, weakness, chills. Often a woman cannot work normally and lead a normal life. This situation requires medical correction and diagnosis of the causes.
Severe degree- these are very strong, in the middle, on the left, radiating to the lower back and accompanied by high fever, diarrhea, vomiting and even fainting. A severe degree is usually associated with an inflammatory process and pathologies of the genital organs. In this case, immediate hospitalization is required.

Diagnostics

If the stomach hurts during menstruation, in order to correctly diagnose the cause of the pain syndrome, the gynecologist conducts a series of examinations of the following nature:

examination in a gynecological chair;
palpation of the mammary glands;
complete history taking.

Also, in order to confirm the alleged diagnosis, the patient receives a number of referrals for the following diagnostic measures:

ultrasound examination of the pelvic organs;
clinical blood test;
blood test for hormones;
hysteroscopy;
in especially severe cases, consultation with an endocrinologist, surgeon, and even a psychiatrist is required.

Situations where medical attention is needed immediately

Despite the fact that pain during menstruation is a fairly common occurrence, there are a number of situations in which medical help is needed as soon as possible:

the pain is so severe that the usual rhythm of life is completely disrupted;
does not go away after taking painkillers and lasts more than three days;
accompanied by high fever, vomiting, severe headache, profuse bleeding with clots;
present in women taking contraceptives, and has a cramping character;
occurs during the first menstruation.

What to do before visiting the doctor

If there is pain in the abdomen during menstruation, what should a woman do before visiting a gynecologist? Depending on the degree of its severity, you can independently, without medication, reduce discomfort until the doctor determines the cause of their appearance.

Light physical activity, and especially swimming, contributes to the formation of special hormones - endorphins. They are natural painkillers that completely stop the discomfort.
Exercises aimed at relaxing the muscles will also help relieve discomfort.
By applying heat to a sore spot, you can at least for a while relax and feel the joy of life again. To do this, it is enough to attach a heating pad or a bottle of warm water to the stomach in the area of \u200b\u200bthe uterus. Important: the water should be exactly warm, not hot, and you need to keep it for no more than 15 minutes. Otherwise, you can cause more bleeding.
It is important to monitor the level of calcium in food. Scientists have proven that it significantly reduces pain, improves mood and activates the process of removing fluid from the body. One cup of yogurt per day is enough to provide the body's daily need for calcium.
Anxiety, fear and bad mood only increase the discomfort. It is necessary to try by any means to cheer up and saturate your day with positive emotions. A cup of tea with chocolate, a glass of warm milk relaxes well.

Prevention

A few simple recommendations will help reduce the severity of abdominal pain during menstruation or completely prevent its occurrence:

It is necessary to visit the office of a gynecologist at least twice a year. This will help to identify failures in the body in time.
The use of properly selected contraceptives is a reliable protection against unwanted pregnancy and sexually transmitted diseases.
It is better for nulliparous women to refuse the use of an intrauterine device.
Compliance with sleep and nutrition contribute to the cyclicity of the menstrual cycle, which significantly reduces the risk of painful periods.

Severe pain on critical days is not a disease, but a signal that it is necessary to visit a doctor as soon as possible, which will help to identify the true cause of discomfort.

Update: December 2018

Moderate pain during menstruation occurs in about 70% of girls and women of childbearing age. The pain syndrome that accompanies menstruation can be of varying intensity. Unsharply pronounced pain, only slight discomfort, especially in nulliparous women, is considered a normal physiological phenomenon.

However, if every month a woman experiences unbearable, severe pain during menstruation, accompanied by diarrhea, dizziness, fainting, vomiting and other symptoms that make a woman unable to work, there really are obvious “critical days” - this is usually referred to in medicine as a disease of algomenorrhea. Such symptoms indicate that a young woman has various disorders in the hormonal, vascular, sexual, nervous or other systems of the body.

If the causes of painful periods are established, then the treatment of these disorders can significantly alleviate the condition, improve the tolerance of such a natural process in a woman's body as menstruation. In this article, we will tell you why girls and women experience painful periods, the causes and treatment of such a disorder.

What other symptoms can accompany painful periods and why is it considered a disease?

In medicine, very painful periods are considered as the most common menstrual disorders. Between the ages of 13 and 45, almost all women experience mild discomfort and soreness on the first day of their menstrual bleeding. And only 10% of them complain of very strong cramping spastic pains from uterine contractions, which are also supplemented by the following symptoms:

79% of women experience diarrhea
84% vomit
13% headache
23% dizzy
16% fainting

The main symptom of algomenorrhea is pain in the lower abdomen, which appears on the 1st day of menstruation or 12 hours before it begins, it gradually subsides by 2-3 days, it can be aching, twitching, stabbing, radiating to the rectum, bladder, also maybe . Against the background of unbearable pain during menstruation, a woman's psycho-emotional state is disturbed, irritability, drowsiness, depression, insomnia, anxiety, and weakness appear. Painful periods poison a woman's life, the expectation of another bleeding adversely affects the psyche, the emotional sphere of life, leads to conflicts in the family, at work.

With a mild degree of algomenorrhea - short-term, moderate pain during menstruation does not lead to loss of working capacity and activity, such pain can be tolerated without additional pain medication, however, the causes of painful periods should be clarified, since even a mild degree of algomenorrhea can become more pronounced in the future, with more severe discomfort. Sometimes, after childbirth, a mild degree of algomenorrhea stops in women and uterine contractions become not so painful, its increase during pregnancy and contraction after pregnancy further weakens spastic pain during menstruation.

With an average degree - pulling pains in the lower abdomen are complemented by general weakness, nausea, chills, and frequent urination. Psycho-emotional disorders also join - depression, irritability, intolerance to pungent odors and sounds, performance is noticeably reduced. This degree of algomenorrhea already needs medical correction, and the causes of pain should also be clarified.

In severe cases, very intense pain in the lower back and abdomen is accompanied by headache, general weakness, fever, pain in the heart, diarrhea, fainting, vomiting. In a severe case of painful menstruation, a woman completely loses her ability to work, usually their occurrence is associated either with infectious and inflammatory diseases or with congenital pathologies of the genital organs.

The main causes of primary painful menstruation in adolescent girls

Primary algomenorrhea appears with the first menstruation or develops within 3 years after the onset of menstruation. It mostly happens in easily excitable, emotionally unstable girls, with an asthenic physique, in combination with. Depending on the accompanying "set" of symptoms, primary painful periods are divided into:

Adrenergic type

In this case, the level of the hormones dopamine, adrenaline, norepinephrine rises, provoking a failure of the entire hormonal system of the body. Girls develop constipation, severe headache, body temperature rises, heart rate increases, insomnia appears, legs and arms become bluish in color with spasm of small vessels, the body and face turn pale.

Parasympathetic type

It is characterized by an increase in the level of the hormone serotonin in the cerebrospinal fluid. In girls, on the contrary, the heart rate decreases, nausea with vomiting appears, body temperature decreases, gastrointestinal disorders are expressed by diarrhea, swelling of the limbs and face often appears, allergic reactions on the skin, girls gain weight.

Modern research establishes the fact that primary painful menstruation is not an independent disease, but a manifestation of deeper internal disorders, that is, symptoms of the following diseases or abnormalities:

Congenital malformations of connective tissue development

In gynecological practice, it has long been established that approximately 60% of girls with primary algomenorrhea are diagnosed with genetically determined connective tissue dysplasia. In addition to painful periods, this disease is expressed by flat feet, scoliosis, myopia, and dysfunction of the gastrointestinal tract.

This is a very serious disease that occurs more often in girls with elongated limbs, flexible joints, cartilage tissues, most often magnesium deficiency is detected during the growth of the child, which can be established by passing a biochemical blood test.

Diseases of the nervous system, neurological disorders

In girls with signs of a reduced pain threshold, with emotional instability, with various psychoses, neuroses and other neurological disorders, pain perception is exacerbated, so the pain during menstruation in such patients is pronounced.

Bends of the uterus anteriorly and posteriorly, underdevelopment of the uterus, malformations of its development - bicornuate, two-cavity uterus

The occurrence of very painful periods, due to abnormalities in the development of the uterus, is due to a problematic, difficult outflow of blood during menstruation from the uterine cavity. This provokes additional uterine contractions, causing pain during menstruation.

Causes of secondary algomenorrhea in women

If pain during menstruation occurs in a woman who already has children, or she is over 30 years old, then this is considered as secondary algomenorrhea. Today, every third woman has it, most often in a moderate form, since it reduces performance and is aggravated by concomitant symptoms, and is also accompanied by heavy menstruation. In addition to pain in the lower abdomen, painful periods occur with other symptoms, which are usually divided into several characteristic groups:

Vegetative symptoms - bloating, vomiting, nausea, hiccups
Vegetative-vascular symptoms - dizziness, legs, fainting, heart palpitations, headaches during menstruation
Psycho-emotional manifestations - taste disturbance, odor perception, irritability, anorexia, depression
Endocrine-metabolic symptoms - increased unmotivated weakness, joint pain, itching of the skin, vomiting

The intensity of pain during menstruation depends on the general health of the woman, on age and concomitant diseases. If the patient has a metabolic disorder (and other disorders of the endocrine system), then endocrine-metabolic manifestations are added to additional symptoms during menstruation, with disorders of the cardiovascular system, vegetative-vascular symptoms may be more pronounced, with the approach of premenopause in women (see. ), increases the likelihood of psycho-emotional instability, depressive symptoms.

Often, women with secondary algomenorrhea occur, which definitely cannot be ignored, and this is an urgent reason for contacting a gynecologist for examination and treatment. If primary painful periods, the causes of which are associated with congenital anomalies and pathologies, are very difficult to treat, then the occurrence of secondary algomenorrhea is mainly associated with acquired diseases of the female genital organs, the treatment of which must be carried out without fail, these are:

infectious - inflammatory diseases of the female genital organs and the accompanying adhesive process in the small pelvis
malignant and benign (polyps) tumors of the uterus and appendages
varicose veins in the abdominal cavity, in the pelvic organs
pelvic neuritis

Also, in women over 30 years old, the appearance of very severe pain during menstruation can be caused by the following reasons, provoking factors:

means of intrauterine contraception
, other intrauterine interventions, due to cicatricial narrowing of the cervix
adnexal surgery, birth complications, or complications after caesarean section
mental and physical overwork, constant stress, violation of the regime of rest and work

Why should painful periods be treated?

Given the above, it should be understood that the natural physiological function - menstruation, should not cause significant general malaise in a woman, depriving her of working capacity. In order to reduce the pain of menstruation, treatment should not consist in pain relief, but in eliminating the cause of this phenomenon. Of course, it is possible to hope that this will change, for example, with the birth of a child, but if this does not happen, especially if painful periods occur in a woman after the birth of children, you should contact a gynecologist to find out the cause of pain during menstruation.

To endure pain is not only physically difficult, but also very harmful to the nervous system, and the regular use of NSAIDs and analgesics does not eliminate the cause of painful periods, moreover, the body gets used to them and painkillers have a number of side effects.
The appearance of very painful periods is an indicator that some kind of failure is occurring in the body, a disease, this is a wake-up call to the fact that it is imperative to find the cause of the body's inadequate response to the natural process.

Painful periods can and should be treated. Read more about that in our next article. To determine the cause of primary algomenorrhea, a gynecologist is examined, tests for hormonal status, ultrasound of the pelvic organs are taken, and the girl should also be examined by a neurologist, osteopath, and psychotherapist. With secondary algomenorrhea, a hormonal examination, ultrasound, diagnostic laparoscopy, and diagnostic curettage are also performed.

A woman or girl with painful periods should keep a diary of observations, a menstrual calendar, in which she describes in detail the sensations, the number of discharges, the duration of the cycle and the duration of bleeding, all the symptoms that occur during menstruation, in order to then help the doctor determine the cause and choose the method of therapy.

Text: Olga Kim

There were pains in the lower abdomen - it means that menstruation is coming soon. Which of the women does not know this “sign” ... Yes, unfortunately, almost every woman experiences pain during the “red days”. Moreover, pain in the lower abdomen during menstruation can be different for everyone, which means that help can be different.

Pain in the lower abdomen during menstruation: what is the reason?

Pain in the lower abdomen during menstruation- how they spoil life! Fortunately, not everyone - women experience this period in different ways, for some, surprisingly, it passes quite quickly and easily, almost without reminding of themselves, while others expect menstruation every month with horror. Some experience such pains in the lower abdomen during menstruation that “at least climb the wall”, painkillers do not help, they cannot sleep normally, and this greatly interferes with the rhythm of life.

Doctors associate this symptom with a disease such as dysmenorrhea. The disease is quite common, but not so easily and quickly treatable, with this disease there are a lot of contraindications and consequences. Dysmenorrhea is just one of the possible causes of pain in the lower abdomen during menstruation, but if every period is also painful for you, most likely you have it. There are primary and secondary dysmenorrhea.

The primary is associated with a violation of the level of the female sex hormone prostaglandin. The fact is that, as you know, menstruation is the body's response to the non-fertilization of the egg, i.e. no pregnancy. And just in the period from the end of ovulation to menstruation, the hormonal background in the female body changes, which leads to pain in the lower abdomen during menstruation. If a woman produces a lot of the hormone prostaglandin, then migraine, nausea, and general malaise are added to the pain in the abdomen. If these signs are observed regularly, you should consult a doctor.

With secondary dysmenorrhea, pain in the lower abdomen during menstruation speaks of an inflammatory process in the body, and it may not be associated with the genitals at all. In this case, you need to urgently consult a doctor and find the source of inflammation. Pain in the lower abdomen during menstruation can occur as a result of numerous abortions, difficult childbirth, operations, viral diseases and injuries. Also, pain in the lower abdomen during menstruation can be a consequence of the use of an intrauterine device as a means of contraception.

Pain in the lower abdomen during menstruation: how to get rid of them?

Each woman should choose her own method of getting rid of pain in the lower abdomen during menstruation. The simplest helpers in this situation are various painkillers, they certainly help, but you need to look at the root and avoid such pain.

Doctors advise to lead a healthy lifestyle, give up smoking, alcohol and coffee. The famous motto "to keep everything in order - take care of your appendages" is more relevant than ever - keep your lower abdomen warm and do not sit in the cold. Weights are meant to be carried by men, so come back from the store light. Spend more time outdoors and find time to relax. You also need physical activity. If active sports are clearly not for you, do yoga, sports are not sports, but physically you can get tired there and how. Don't like yoga? Then go in for oriental dances that are now fashionable, the girls of the East have always been famous for their excellent female health.

Pain in the lower abdomen during menstruation is a problem that women have struggled with for centuries. If she doesn't bother you too much, you might be lucky. If you can endure such pains, and apart from them you do not feel any more ailments, it is better not to take the pills, but to wait out this period, let the body cope with this process. But if you experience unbearable pain every time, you can and should consult a doctor. Women's diseases are sometimes very long and difficult to treat, it is better not to start them.

Severe pain during menstruation can have various causes (diseases, intrauterine device). Many women are concerned about pain in the lower abdomen on the first day of menstruation. Gradually they weaken. Dysmenorrhea can have a different character:

weak;
moderate;
strong;
pulling;
cramping pain.

Medical indications

Doctors distinguish the following types of dysmenorrhea:

primary - develops against the background of various pathologies;
secondary - caused by various diseases.

There are 3 degrees of pain during menstruation:

I degree (moderate intensity);
II degree (medium intensity at which performance decreases);
III degree (severe pain).

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Minor pain during menstruation is considered normal. This is due to the fact that during menstruation, the upper layer of the uterus is separated and rejected. When it is reduced, pain appears. Pain in the lower abdomen during menstruation can vary in intensity, depending on the sensitivity and number of pain receptors in the tissues of the uterus. Often they disappear after pregnancy and childbirth.

The increased content of prostaglandin and its uneven distribution in the tissues of the genital organs affect uterine contractions on critical days. In this case, the following symptoms may be observed:

sweating;
cardiopalmus;
nausea;
an increase in the volume of the abdomen;
puffiness;
thirst;
chills.

Young girls may experience sexual infantilism. This phenomenon lies in the fact that the muscles of the uterus are not sufficiently developed. They are difficult to stretch, which leads to stagnation of blood. Rarely, the cause of pain on the first day of menstruation is a passive lifestyle. This is due to the reduced tone of the smooth uterine muscles and stagnation of blood in the pelvic area. Muscles exert more force to contract the uterus. The woman is in severe pain.

Lack of calcium and magnesium in the body can cause painful periods. These elements are responsible for neuronal conduction in the body and muscle function. Their deficiency leads to convulsions. Neuropsychogenic causes of primary dysmenorrhea are typical for girls of transitional age who have just begun menstruation. This creates feelings of anxiety and fear. The onset of menstruation at this age is subconsciously associated with pain.

Specialists identify several pathologies that cause very severe pain during menstruation. They can last 3-7 days. The reasons for their occurrence:

hyperthyroidism;
endometriosis;
intrauterine methods of contraception;
inflammation in the uterus and appendages;
tumors of various origins.

Rarely during menstruation, the following symptoms appear:

severe pain;
discharge with blood in the middle of the cycle;
weakness;
dizziness;
headache;
nausea;
vomit;
lack of appetite;
fainting;
subfebrile temperature;
violation of the psycho-emotional state.

These symptoms are uncomfortable and may be due to a serious illness. When they appear, it is recommended to seek help from a gynecologist. If necessary, a full examination is carried out.

Accompanying illnesses

In some cases, pain during menstruation is the result of hyperthyroidism. This is a thyroid disease in which an excess of the thyroid hormones thyroxine (T3) and triiodothyronine (T4) is produced. Their high concentration contributes to the appearance of pain syndrome. With this disease, irregular menstruation, weakness, headache, scanty discharge (every month) are observed. The cycle is shortened T3 and T4 are dew hormones. They provoke rapid, rapid growth of the follicle. Ovulation occurs without the maturation of the egg.

Endometriosis is a disease in which fragments of the endometrium (the detachable layer of the uterus) penetrate other organs and tissues. This causes inflammation and bleeding. A similar pathology is diagnosed in 7-10% of women of childbearing age. The cause of the development of endometriosis is considered hereditary dependence. Rarely, reproductive function may be lost.

Physicians distinguish the following types of illness:

genital endometriosis (affects the organs of the reproductive system);
extragenital endometriosis (penetration of endometrial fragments into the urinary tract).

With genital endometriosis, pain during menstruation occurs a week before the cycle. The disease is accompanied by the following symptoms:

aching pain extending to the rectum or sacral region of the lower back;
nausea;
vomit;
weakness in the body;
fainting.

With extragenital endometriosis, severe and acute pain during menstruation is manifested, which will require the help of a doctor to eliminate. This condition may indicate the following pathologies:

acute appendicitis;
intestinal colic;
peritonitis;
renal colic.

Most often, a benign tumor is diagnosed in women older than 30 years. Tumor formations tend to twist, disrupting blood circulation in the genital organs, which leads to tissue necrosis. A bacterial infection penetrates through dead tissue, which is the cause of sepsis.

The following symptoms are typical for uterine fibroids:

prolonged heavy menstruation, blood clots;
anemia (as a result of a large loss of blood);
severe cramping pain;
weakness;
nausea;
vomit.

Fibroids can compress the bladder or rectum, resulting in impaired urinary and defecation functions. Symptoms such as cramping pains reduce a woman's quality of life. The introduction of an intrauterine device for contraception can lead to the following consequences:

profuse bleeding during menstruation;
pain before and after intercourse.

Inflammation of the reproductive organs

Often dysmenorrhea occurs with the following pathologies:

salpingitis;
endometritis.

Salpingitis is an inflammation of the fallopian tubes. This condition is characterized by a pulling, throbbing pain in the lower abdomen. Rarely, inflammation accompanies sexually transmitted diseases or bacterial infections. Pain during menstruation appears 3 days before the start of the cycle.

Endometritis is an inflammation of the lining of the uterus. Reasons for its development:

gynecological examination;
childbirth;
abortion;
unprotected intercourse during menstruation.

Alain-Masters syndrome can cause pain during menstruation. The nature of this syndrome lies in the traumatic rupture of the uterine ligaments. Trauma occurs due to the following events:

childbirth of a large fetus;
abortion;
uterine tamponade.

In some cases, pain in the pelvis becomes burning, radiating to the lower back or lower limbs. The pain tends to increase with physical exertion and in a sitting position. Tuberculosis of the genital organs occurs in patients with a pulmonary form of the disease. Koch's wand with blood flow enters the genitals, continuing to multiply. Symptoms blurred:

weakness;
sweating;
loss of appetite;
pain in the lower abdomen.

The pain is more pronounced in the off-season. They occur due to adhesions in the affected areas. In these places, the outflow of blood is disturbed, stagnation occurs. Nerve cells are irritated by toxic waste products of microorganisms. Toxins reduce the ability of the ovaries to recognize female sex hormones and respond to their effects. There may be symptoms similar to an acute abdomen, indicating appendicitis or an ectopic pregnancy.

Therapy Methods

To find out why the pain appeared on the first day of menstruation, you will need the help of a doctor. The gynecologist will draw a parallel between menstruation and the onset of pain, and will deduce their dependence. If dysmenorrhea is suspected, the following examination methods are used:

palpation;
laboratory diagnostics (smears, cultures for the presence of infection, analysis for the determination of hormones in the blood);
Ultrasound allows you to identify some pathologies of secondary dysmenorrhea (fibroids, polyps, foci of inflammation);
MRI can detect neoplasms in the genitals (rarely used if ultrasound gives a blurry picture);
hysteroscopy (endoscopy of the uterus) reveals adhesions in the reproductive organs;
laparoscopy (a method of examining the tissues of the abdominal cavity, in which a microscopic camera is inserted through a puncture);
encephalography allows you to identify the etiology of headaches that accompany menstruation;
in some cases, you have to undergo an additional examination by an endocrinologist, urologist, surgeon, neuropathologist, psychiatrist.

Treatment of dysmenorrhea requires an integrated approach.

There are several ways to eliminate pain syndrome:

non-drug method;
medicinal method.

The first method includes:

warming the abdomen with a warm heating pad helps relieve cramps;
a warm bath relaxes the muscles and calms the nervous system;
regular moderate physical activity;
acupuncture;
acupuncture;
breathing exercises;
electrophoresis;
diet;
reduction of stress, normalization of sleep.

These methods are aimed at maintaining the tone of the smooth uterine muscles, calming the nervous system, and affecting the points responsible for the health of the reproductive system. The diet focuses on consuming foods rich in calcium and magnesium.

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Medical treatment includes:

painkillers;
hormonal birth control pills (regulate the concentration of hormones in the genitals);
sedatives (stabilize the psychological state of a woman);
other medicines, depending on the pathology that caused dysmenorrhea.

Drugs are taken after consultation with a doctor.

17.03.2016

Many women and girls are worried that the lower abdomen hurts during or before menstruation. In fact, this is normal and not always worth worrying about. The uterus begins to secrete, this happens every month, but not during pregnancy.

Excess contents come out and thereby the uterus contracts, causing unpleasant pain. In order to start to panic, you need to understand whether the stomach hurts during menstruation, causing cramps.

Diagnostics

If a woman or girl experiences severe pain in the abdomen, and they continue for a long time, then this is not normal. If the pain makes it difficult to move, even in the supine position, a strong heaviness is felt, then an urgent need to consult a doctor. Maybe it's dysmenorrhea.

This disease can occur in half of all girls. Basically, at the first stage it is impossible to identify the causes of the disease, and it passes in a mild form, only in 5-15% of women it develops into a severe one. Young girls often suffer from this disease. During menstruation, a sharp pain begins, sometimes vomiting, dizziness and even fainting. Therefore, it is necessary to provide yourself with bed rest for about 2-3 days.

Symptoms

If dysmenorrhea is primary, then it may have arisen as a result of physical exertion or psychological problems.

With the secondary, there may be the following reasons:

swollen pelvic organs;
pelvic veins expand;
hormonal failure in the body;
venereal diseases;
dysplasia;
inflammation of the pelvic organs and others.

With primary dysmenorrhea occurs:

sensation of pain;
weakness;
nausea;
constipation;
insomnia;
possible skin redness.

And during the secondary stage:

diarrhea;
heartbeat quickens;
vomit;
body temperature drops.

Sometimes the most important symptom is pain during sex.

The reasons

The causes of pain in the lower abdomen can be diseases of the genital organs, for example, inflammatory:

endometritis;
oophoritis;
salpingitis;
ovarian cyst;
polyps;
endometriosis;
uterine myoma.

If a woman uses intrauterine contraceptives, such as spirals. In addition, there may be obstetric problems: miscarriage, abortion, pathological problems during pregnancy.

When is it necessary to see a doctor?

If a girl or woman feels pain in the lower abdomen, in any case, she needs to contact a gynecologist, at least for prevention. This should not be delayed, it is better to immediately understand your problem than to spend a lot of money on treatment and surgery later. You should immediately go to the doctor if:

profuse menstruation with painful sensations;
body temperature is greatly increased;
before that, there was no pain in the lower abdomen;
suspicion of pregnancy;
pain lasts more than 7 days;
sharp pain.

Treatment Methods

Treatment takes place in two ways: with the help of medications and surgery. There are three types of drug treatment:

Gestagens are hormones that renew the tissues of the uterus, relax its muscles.
Contraceptives are special oral hormonal contraceptives that can suppress ovulation. The pressure on the uterus gradually decreases, respectively, and on the lower abdomen.
Anti-inflammatory - they are prescribed if the above drugs are contraindicated for a woman, the reasons may be different. This remedy should be used only during menstruation.

Surgery comes into play when a girl or woman begins to have a severe pain in the lower abdomen.

Can stress affect lower abdominal pain? Of course it does. In addition, not only for the entire period of menstruation, but also for the condition, well-being. If there are problems at work, in school, in the family, all this can affect health, as well as cause pain in the lower abdomen.

Folk methods

Not only medicines can numb the pain, but also various procedures that relax the uterus. It's both useful and enjoyable.

Beverages

Green tea will help to cope with pain, especially if you put a little lemon balm or oregano in it. You can make the following infusion yourself: chop a celery root and pour a glass of water (cold), let it brew for two hours in a warm place and take about 2 teaspoons three times a day.

Water procedures

Warm water can relax the muscles of the uterus. Abdominal pain will subside or completely disappear. You can use a bath or shower, using both methods will have a positive effect.

Warm

It is necessary to make sure that the room is warm, thereby achieving a minimal effect of relaxation of the uterus, and its contractions will decrease. Most often, a heating pad or a bottle filled with warm water is used. It is enough to lean the object against the painful place for a while.

pain reliever

You can just take pills that muffle the pain, they can be analgin, ketonal, ibuprofen. The contraction of the uterus is eliminated and the pain disappears. Many gynecologists advise taking medication before the onset of menstruation.

sedative

If troubles occur in life that make you nervous, then perhaps the lower abdomen hurts due to stressful situations. Then you should take a sedative, best of all will help valerian or motherwort.

Contraceptives

They will help get rid of pain affecting the lower abdomen, if they are strongly manifested. After a while, these pills will help get rid of not only pain, but also other troubles of menstruation, for example, profusion of menstruation and a cycle will be established.

Physical training

With the help of walks in the fresh air, with light running, classes in a fitness club or at home with ordinary gymnastics, you can dull the pain in the lower abdomen.

Diet food

Sometimes due to malnutrition, there are problems with the genitals. The lower abdomen starts to hurt. Therefore, it is necessary to calculate your diet, eat only light and healthy food. Meat and milk a week before menstruation should, in general, be excluded. But not all types of vegetables and fruits have beneficial properties for the uterus, they can also adversely affect a woman's well-being.

If all these remedies do not help get rid of discomfort when the lower abdomen hurts, then the doctor is always ready to advise what to do. Therefore, you should not delay, you need to go straight to the hospital so that a much more serious illness does not develop in the future.