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

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 menopause. Why the lower abdomen hurts during menstruation, and what to do to alleviate the condition, 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 appearance of monthly discharge varies individually and largely depends on heredity, physiological characteristics, hormonal levels and other factors.

For most women, menstruation does not bring virtually any discomfort, except bloody discharge within a few days. Moderate pain in the lower abdomen during menstruation is considered normal occurrence. But for some, the first 2-3 days of a new cycle become real agony.

Many women experience severe pulling or cramping menstrual pain in the lower abdomen. They are accompanied by aches in the lower back and legs, and dizziness. The following conditions are associated with menstruation:

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

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

Physiological reasons

Great influence on the appearance of pain in “ critical days” are exerted by the biochemical processes taking place in the body. High level hormone-like substances - prostaglandins - cause more intense.

Level of sex hormones in female body depends on phase monthly cycle. Just before the onset of menstruation, production large quantity estrogen and progesterone affects physical and emotional well-being.

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

If PMS becomes an obstacle to normal life, you should consult a doctor. In some cases it helps hormone therapy, sometimes it is enough to undergo a course of treatment with homeopathic remedies and drink vitamin complexes.

Pathological causes

Sprawl inner shell uterus - endometriosis - can not only disrupt the normal monthly cycle. Severe pain in the lower abdomen with this pathology has spastic or aching character, sometimes a woman feels them already 2-3 days before the start of menstruation.

Uterine fibroids, infectious diseases reproductive organs and transferred shortly before the start of the cycle viral disease will also cause pain in the lower abdomen during menstruation. Severe stress or unusually large exercise stress.

Non-gynecological reasons

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

The woman needs to be called urgently “ ambulance" in such cases:

• severe weakness, dizziness;
• nausea;
• pale skin;
• cold sweat.

What drugs will relieve pain

In cases where you can no longer endure the pain in the right or left lower abdomen that accompanies menstruation, doctors recommend taking medications. An effective drug is No-Spa, which relaxes smooth muscles and soothes pain. Spazgan, Trigan and other combined analgesics help quite well.

Non-steroidal anti-inflammatory drugs based on ibuprofen are effective in combating ailments that recur every month.

In cases where periods are very painful, the doctor may advise replacing tablet medications with injections. This form of painkiller administration allows you to feel relief in the lower abdomen within 5-10 minutes.

Taking oral contraceptives helps normalize a woman’s own hormonal levels. Not only does the stomach stop hurting, but the condition of the skin also 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 ease your periods without medications. Heat helps relieve spasms: hot heating pads or dry warming compresses should be applied to the stomach and legs.

An aromatic bath with herbs and essential oils will relax muscles, soothe and relieve pain. Improve blood flow and relieve discomfort contrasting sitz baths. They need to be taken twice a day.

Physical exercise

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

Sports, walks in the fresh air, lack of stress are the basis wellness. There is a special set of exercises that can be performed without leaving home. It helps improve blood circulation in the pelvic organs and relax.

You need to lie on the floor with your knees bent, your feet resting on the floor, your arms extended along your body. Taking short breaths, slowly raise and lower your 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 towards the wall, with your feet resting against the wall. Then, bend your knees and maintain this body position for up to 5 minutes.

Lying on the floor, you should pull one leg up to your chin, holding the other near the floor. You need to stay in this position for 2 minutes, then change legs.

The knee-elbow position helps with pain: you need to lean on your knees and elbows, lowering your head. Maintain this position 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.

There are women who consider critical days to be the most terrible days in their lives. Dysmenorrhea, or very severe pain during menstruation, the causes of which can only be identified by a gynecologist, simply unsettles women. Such symptoms are not normal, but indicate serious problems with health. You cannot hesitate here; you should consult a doctor for help as soon as possible.

What is the menstrual period

Menstruation, or menstruation, is the process of shedding a certain part of the endometrium, during which bleeding occurs. menstruation is considered the beginning menstrual cycle. During this period, a woman cannot become pregnant. And a woman may experience the most severe pain on the first day of her period. We will consider the reasons below.

During monthly bleeding, intense contraction of the uterine muscles occurs. Vascular spasms occur, which prevents good nutrition tissues, and therefore severe pain occurs during menstruation. The reasons here lie in elevated level prostaglandins in the blood. That is, throughout the entire month, the uterus prepares for fertilization of the egg, and its internal cavity is covered with small blood vessels, which should nourish the embryo in the event of conception. If pregnancy does not occur, then these tissues become unnecessary for the body. He seeks to get rid of them by bleeding.

The situation is reminiscent of a “mini-birth”, where the uterus contracts and tries to push out unnecessary tissue, opening the cervix. Moderate pain is quite acceptable here, but severe pain indicates health problems. You don’t need to endure them and you need to do everything possible to get rid of monthly pain.

Severe pain during menstruation: causes

As a rule, behind such an uncomfortable state lies a number of different factors, these are:

• disruption of a woman’s hormonal levels;
• inflammation of the uterus or appendages;
• endometriosis, including adenomyosis;
• fibroids (fibroids) or any other formation in the uterus;
• polyps in the uterine environment;
• disruption of progesterone production;
• ovarian cyst;
• ectopic pregnancy.

Can cause stress and prolonged nervous tension severe pain during menstruation. A specialist will help determine the reasons. So, you should contact a gynecologist if you have prolonged menstruation, which lasts more than seven days and is accompanied by very severe pain. You should go to the doctor if your body temperature rises to 38°C. Symptoms that occur for the first time in a woman are especially alarming.

Type of dysmenorrhea

There are primary and secondary dysmenorrhea (painful menstruation). The first occurs as a result of a failure in the production of progesterone. This is a kind of response to the non-fertilization of the egg. A woman experiences pain during the release of an egg from the ovary. In the absence of ovulation, the body begins to rebel and experiences a number of ailments. These are abdominal pain, migraine, dizziness and nausea, vomiting, diarrhea, constipation, neuropsychological disorder, etc.

Secondary dysmenorrhea occurs if there is a place or appendages. In addition, pain in the lower abdomen may indicate an inflammatory process. abdominal cavity, pregnancy. There may be consequences surgical intervention, injury or viral disease. Similar ailments are provoked by some methods of preventing unwanted pregnancy. For example, a spiral.

Types of ailments

Severe pain during menstruation, the causes of which often indicate health problems, can be different, these are:

• headache (migraine);
• unpleasant sensations high blood pressure in the eye area;
• sudden jumps in blood pressure;
• discomfort in the heart;
• nausea, dizziness and vomiting;
• excessive sweating;
• depression, irritability;
• mood swings;
• sleep disturbance;
• fast fatiguability;
• swelling;
• excessive breast sensitivity;
• lower back pain;
• disruption gastrointestinal tract(flatulence, constipation, diarrhea, etc.).

It has been proven that most women experience some discomfort during menstruation (especially on the first day) between the ages of 13 and 45 years.

About pain syndrome of varying severity

Change chemical composition blood during menstruation affects brain function, which causes migraines. This condition can be caused by a violation of the water-salt balance. In order for the body to fully carry out the procedure of cell rejection in menstrual period, it accumulates liquid, which then participates in this process. Causes swelling of the limbs, joints and brain tissue. All this provokes a strong headache during and before menstruation.

Lower abdominal pain

Severe abdominal pain during menstruation, the causes of which are different for each woman, occurs in many people. Moderate pain is considered normal, while severe pain indicates certain gynecological disorders.

Pain in the abdominal area can be mild, moderate or severe. Manifest in the depths of the pelvis as a dull, pulling or pressing pain. They can be constant or pulsating. It is considered normal pain syndrome, which begins to appear before the appearance of critical days and disappears immediately after the end of menstruation.

Severe pain in the lower abdomen during menstruation, the causes of which are often unknown, can occur in combination with migraines and be accompanied by disorders of the gastrointestinal tract. This condition cannot be considered normal. In this case, you should undergo a full medical examination.

Consequences of painful menstruation

Very severe pain during menstruation, the causes and consequences of which must be identified by a gynecologist, leads to complete loss of ability to work. Have an impact on well-being psychological condition women.

Mild and moderate form does not cause complications. Average pain syndrome, provoked by diseases of the genital organs and pathologies, can progress in connection with the development of gynecological disease. In this case, the pain itself does not have any effect on the complication of the symptom.

Menstruation should not be accompanied by very severe pain that deprives a woman of full legal capacity. Treatment for such symptoms is not limited to painkillers, but should also be sought the real reason and eliminate it. Severe pain is debilitating. They are difficult to endure not only physically, but also emotionally, because it harms the nervous system. In addition, the constant use of anti-inflammatory drugs and painkillers causes addiction and a number of side effects.

Very painful critical days signal a serious problem in the body. It is simply necessary to treat such periods.

Diagnosis of painful menstruation

Severe pain during menstruation, the causes and treatment of which will help to establish correct diagnosis, are a real problem for women. To begin with, the lady should visit her gynecologist, who can prescribe the following:

• hormone analysis;
• performing pelvic ultrasound;
• laparoscopy;
• curettage to examine intrauterine material;
• general clinical examination;
• Dopplerography of blood vessels.

In addition, a woman should constantly keep a diary of her monthly cycle and a calendar of critical days. All the symptoms that were present during this period are entered there. Duration of menstruation, abundance. All this helps to establish the severity of the disease. The specialist may also advise you to undergo examination by a neurologist, psychotherapist and osteopath. Often, at the end of the examination, a diagnosis of algomenorrhea is made. Depending on the severity, treatment is prescribed.

Treatment of menstrual pain

Menstrual pain affects 90% of women aged 18 to 35 years. Such pain is often intense, so timely administration of an effective analgesic helps patients restore the rhythm of life and completely eliminate menstrual pain.

Dialrapid is a fast-acting analgesic that eliminates pain of any intensity. Potassium bicarbonate acts as a pH buffer, ensuring the drug is completely dissolved in water, and subsequently creating a microenvironment around active substance- diclofenac potassium. It is this microenvironment that promotes accelerated absorption and helps the drug to be completely absorbed by the body. Dialrapid shows a pronounced effect in the first 5 minutes after application. The powder is absorbed by the body almost as quickly as an injection, and unlike tablet analogues, it has a high peak plasma concentration.

Folk remedies that can reduce pain

Very severe pain during menstruation, the causes of which lie in diseases of a number of organs, can be eliminated by traditional medicine.

Pain symptom will help remove. To prepare the infusion, pour a tablespoon of the herb into a mug (300 ml) of boiling water. Let it brew for an hour. Take 50 mg every hour and reduce the dose as the pain subsides.

Severe pain before menstruation, the causes of which are individual for each woman, can be relieved by water pepper. Two tablespoons of the plant are poured with half a liter of boiling water, after which the mixture is boiled over fire for another 10 minutes. Before use, the herbal infusion must be cooled and strained. Take 100 grams three times a day.

Collecting the following herbs will help relieve pain: knotweed, centaury, horsetail, in a ratio of 1:3:1:5. Here a tablespoon of the mixture is steamed with a glass of boiled water. They insist for an hour. Drink one sip at a time

Elecampane root helps cope with pain. Pour a teaspoon of boiled water into a glass, wait an hour, and filter. Take a tablespoon in the morning, lunch and evening.

These and others folk recipes are able to overcome menstrual pain, so they cannot be discounted.

Preventive measures

Severe pain during menstruation causes many problems. How to treat it without medications and what to do so that such a symptom does not bother you in the future? So, the following measures help eliminate the cause and have a preventive effect on the body:

• Correct daily routine.
• Full sleep.
• Physical exercise, including swimming.
• Diet menu with a predominance of raw vegetables and fruits.
• Drink the right amount of water, at least 1.5 liters per day.
• Refusal bad habits(alcohol and cigarettes).
• Relaxation and relief from stress and depression.
• Yoga, acupuncture, massage, electrophoresis with novocaine.
• Soothing herbal tea.
• Bath with essential oils.

Such events will have the best impact on a woman’s health, her well-being and will reduce the pain of menstruation. They can relieve such discomfort forever.

THERE ARE CONTRAINDICATIONS. YOU MUST READ THE INSTRUCTIONS OR CONSULT A SPECIALIST.

Normal periods come regularly and last 3-5 days. These days, the woman quickly gets tired and feels unwell. However, this does not cause too much discomfort and does not interfere with the usual way of life. However, some people feel severe abdominal pain. Sometimes it is so painful that a woman is forced to abandon everything, stay at home, take painkillers. Such pain during menstruation is a sign of pathology. The cause may be diseases and hormonal disorders. It is impossible to endure and hope that the malaise will go away on its own. We need to go to the doctor.

Content:

When pain during menstruation is considered a pathology

The lining of the uterus (endometrium) is regularly renewed, resulting in menstruation. The removal of dead epithelium from the uterus is carried out by contracting its muscles. In this case, compression of the nerve endings and compression of the blood vessels occurs, which causes pain in the lower abdomen. The pain radiates to the sacrum and lower back. They usually appear on the eve of menstruation and in the first 2 days after their arrival.

Painful menstruation (dysmenorrhea) is a pathology. In addition to pain in the lower abdomen and back, associated ailments appear varying degrees expressiveness. If a woman has a regular cycle, the nature of her periods corresponds to the norm, then the unpleasant symptoms quickly pass without causing her much suffering. In severe cases, serious treatment is required.

Types of dysmenorrhea

There are two types of dysmenorrhea:

1. Primary (functional), not associated with any diseases. Usually, menstruation becomes painful 1.5-2 years after the onset of puberty, when the cycle normalizes, ovulation occurs regularly. Often, pain during menstruation significantly weakens after the first birth.
2. Secondary (acquired), associated with pathological changes in the genital organs and various diseases. Occurs most often in women over 30 years of age. Usually accompanied by vegetative-vascular disorders (dizziness, excessive sweating and others), as well as tachycardia and cardiac arrhythmia.

If over the years the intensity pain during menstruation remains constant, then such dysmenorrhea is called compensated. If the pain during menstruation becomes stronger every year, then it is called decompensated.

Degrees of dysmenorrhea

There are 4 degrees of dysmenorrhea, differing in the intensity of pain.

0 degree. Abdominal pain is mild, painkillers are not required.

1st degree. The pain is moderate and quite tolerable. Natural associated symptoms are mild depression, headache, indigestion. The malaise can be completely eliminated by taking a painkiller.

2nd degree. Pain during menstruation is severe, accompanied by symptoms such as nausea, dizziness, chills, general weakness, migraine, irritability. The duration of illness increases. Painkillers and sedatives help make you feel better.

3rd degree. Severe abdominal pain appears in a woman 2-3 days before the start of menstruation and continues until its end. At the same time, the temperature rises, the head hurts very much (to the point of vomiting), tachycardia and pain in the heart occur. Fainting may occur. The woman is completely incapacitated. Improve condition by ordinary means fails.

Addition: Pain during menstruation can vary in nature (cramping, pulling, aching, stabbing), radiating to the lower back and hips.

Causes of painful menstruation

Functional pain during menstruation can occur as a result of the pathological location of the uterus, the formation of adhesions and scars after an abortion, hypersensitivity the woman’s body to the changes occurring in it, emotional excitability. Heredity plays an important role. The occurrence of pain can be caused by vitamin deficiency and lack of magnesium and calcium in the body. A sedentary lifestyle is also a cause of progressive dysmenorrhea. A factor such as hormonal disorders in the body also contributes to the occurrence of pain during menstruation. An excess of the hormone prostaglandin causes increased contractions of the uterus and constriction of blood vessels.

The appearance of primary dysmenorrhea is facilitated by the use of an intrauterine device. Secondary dysmenorrhea can appear as a result of pathologies such as endometriosis, uterine fibroids, ectopic pregnancy, inflammatory diseases pelvic organs. Severe pain during menstruation occurs due to the formation of polyps and cysts in the uterus.

Video: What are the causes of painful periods

How to reduce period pain

If the pain is moderate, the cycle is regular, menstruation is normal in volume and duration, then with the help of some techniques you can ease painful sensations.

Recommendation: In case of severe pain, it is recommended to visit a doctor and make sure there are no diseases that are asymptomatic. In some cases, chronic inflammatory diseases and even tumors may not manifest themselves in any way. A pain symptom may be the only signal of trouble.

If after gynecological examination the woman has not been diagnosed with any diseases, then at home the condition can be alleviated in the following ways:

1. Massage the abdominal muscles in a clockwise direction, which will help relieve tension in them and ease cramps. It is also good to massage your lower back.
2. Take a warm shower, which helps relax muscles and dilate blood vessels.
3. Lie on your side with your legs tucked to your stomach (fetal position).
4. Take no-shpa to eliminate spasms in the uterus, ketonal or ibuprofen (have a strong analgesic effect), valerian (as a sedative).
5. Make lungs physical exercise(tilts, body rotation). Yoga helps with menstrual pain.
6. Apply compresses with sea salt to the lower abdomen during menstruation. Before and after menstruation, it is useful to take relaxing short (15-20 minutes) baths with the addition of this salt.
7. Drink soothing chamomile and mint tea (add 1-2 teaspoons of honey to 1 glass of tea). It is useful to take an infusion of parsley and strawberries.
8. If you are not allergic, you can rub essential oil into the skin in the area of ​​the sacrum and lower abdomen. The procedure is carried out 2 times a day, 2 days before menstruation and in the first 2-3 days after their onset. A mixture containing 50 ml of St. John's wort oil, 5 drops each of yarrow and sage oils helps relieve severe pain during menstruation.
9. In case of pain and heavy bleeding, ice should be applied to the lower abdomen for 15 minutes (on top of clothing, put it in a bag).

Swimming is recommended. During swimming, muscles relax and nervous tension is relieved. The body intensively produces endorphins (the so-called joy hormones, pain-relieving substances).

Video: Exercises against period pain

When to see a doctor

Clear signs serious pathologies most often there are severe pains that last a long time (more than 2 days). Moreover, the painful sensations are so strong that the woman is forced to postpone all her affairs and stay at home. Abdominal pain is accompanied by diarrhea, nausea and vomiting. Dizziness, headache, stabbing pains in the abdomen may be signs of excessive blood loss and anemia.

Severe cramping pain in the abdomen occurs with an ectopic pregnancy. In this case, the woman requires urgent surgery.

When painkillers and no-spa do not help, the pain and volume of discharge intensify, consulting a doctor is simply necessary. If severe pain suddenly appears during menstruation against the background of cycle disruption or weight loss, this may be a sign of a tumor. You need to be examined by a gynecologist urgently.

Drugs prescribed for dysmenorrhea

Menstrual pain affects 90% of women aged 18 to 35 years. Such pain is often intense, so timely administration of an effective analgesic helps patients restore the rhythm of life and completely eliminate menstrual pain.

Dialrapid is a fast-acting analgesic that eliminates pain of any intensity. Potassium bicarbonate acts as a pH buffer, ensuring the drug is completely dissolved in water, and subsequently creating a microenvironment around the active substance - potassium diclofenac. It is this microenvironment that promotes accelerated absorption and helps the drug to be completely absorbed by the body. Dialrapid shows a pronounced effect in the first 5 minutes after application. The powder is absorbed by the body almost as quickly as an injection, and unlike tablet analogues, it has a high peak concentration in plasma 1.

To eliminate pathological pain during menstruation, the doctor prescribes non-steroidal anti-inflammatory drugs along with antispasmodics. They are able to suppress the production of prostaglandins, thereby reducing uterine contractility.

Widely used to treat dysmenorrhea oral contraceptives– low-dose hormonal drugs that prevent the formation of excess prostaglandins. Also used herbal preparations based on phytoestrogens, which help improve hormonal levels, as well as homeopathic remedies of non-hormonal action (menalgin). Gradually accumulating in the body, they help regulate the menstrual cycle, reduce pain and improve condition nervous system.

Appointed complex preparations, containing vitamins, calcium, iron, magnesium, as well as plant extracts (for example, time factor). It is recommended to start taking medications in advance, before the start of your period. Then, by the time they occur, the required dose has accumulated in the body, and the drug acts more effectively.

Physiotherapy methods - UHF and electrophoresis - help reduce pain during menstruation. In this case, the procedure is carried out in advance. Before the onset of menstruation, special solutions (novocaine, sodium bromide) are applied to the stomach and exposure to ultrasound or electrical impulses is performed. Warming and pain relief occurs.

Prevention of dysmenorrhea

To make your periods less painful, it is recommended to stop drinking alcohol on menstrual periods, avoid stress, avoid catching colds, move more, and do yoga. It is necessary to limit the consumption of sugar and foods that cause bloating these days. It is useful to eat chocolate, which stimulates the production of endorphins, as well as foods containing calcium and magnesium.

Video: Yoga classes during menstruation

1. There are contraindications. You need to read the instructions or consult a specialist.

Many women know what the discomfort that occurs during menstruation is. But why does this phenomenon occur and is it normal? You need to know the answer to this question.

Many girls are interested in the question, why does the stomach hurt during menstruation? During the menstrual cycle, from the first day, the endometrial layer begins to grow. This is necessary so that the fertilized egg, when the egg is fertilized, can firmly strengthen itself in the uterine cavity.

If this does not happen, then the uterus begins to actively contract, thereby expelling the mucous membrane. This process is considered completely normal. But at the same time, the woman should feel a slight pain in the lower abdomen.

When the pain is very severe and difficult to tolerate, this condition is usually called dysmenorrhea. In medicine, there are two types of illness.

1. Primary view. It occurs when the body begins to produce excessive amounts of prostaglandins. This leads to strong contractile functionality of the uterine cavity. Severe stomach pain during menstruation on the first or second day, and continues until the start of a new menstrual cycle. This pathological process is observed in girls aged 16-25 years. Additional symptoms often occur in the form of headache, stool upset, and nausea. When performing ultrasound diagnostics, no anomalies are observed in the pelvic organs.
2. Secondary view. Occurs several years after the appearance of the first menstruation. Most often it occurs in women over 30 years of age. The cause of severe pain is pathological change in internal organs. Overexcitation, the presence of an intrauterine device, an acute or chronic inflammatory process, and endometriosis can also be decisive factors.

If your stomach hurts during menstruation is not severe, but it stops and does not affect your lifestyle, then you do not need to see a doctor. If you have severe pain in the lower abdomen during menstruation, you must undergo ultrasound diagnostics. Perhaps there is an inflammatory process or tumor formation in the pelvis.

Anxious symptoms during menstruation

Why the lower abdomen hurts during menstruation has become a little clearer. But at what point does a woman need help? When should you go to the doctor? Exist alarming symptoms, indicating pathology.

They are:

• in intense painful sensations, against which you have to take a day off from work;
• painful sensations that do not go away two to three days after the start of menstruation;
• heavy bleeding that lasts more than two days. And along with the blood, large dark clots come out;
• long-term use of contraceptives that do not lead to a decrease in pain;
• development of severe pain in women over 35 years of age;
• long-term use of antispasmodics and analgesics that do not reduce the intensity of pain;
• increased bleeding;
• violation of the monthly cycle;
• a sharp decrease in body weight.

If a woman complains of abdominal pain during menstruation, then she should not put off going to the doctor. He will conduct an examination, identify the cause of the pathology and prescribe appropriate treatment.

Intestinal canal disorder

When the lower abdomen begins to hurt, not every woman can survive this condition. But call pain during menstruation a rare occurrence difficult. It is diagnosed in every second girl aged 16 to 35 years.

During menstruation, intestinal upset may occur. Abnormal bowel movements are observed as a result of the influence of prostaglandins, which promote contraction of smooth muscles.

This process does not pose any danger. On the contrary, the advantage of this phenomenon is that it frees the woman from unnecessary tension and strong pushing, which are more common with constipation and heavy bleeding.

Accept antidiarrheal drugs there is no point. It is enough to wait one or two days and everything will return to normal.

Causes of the pathological condition in the abdomen during menstruation

When your stomach hurts severely during menstruation, the cause may be hidden in serious disorders. Unpleasant sensations are usually difficult to remove antispasmodics. At the same time, the woman feels weakened and exhausted, so she constantly lies in bed.

Severe pain during menstruation occurs when:

• hyperthyroidism. This disease occurs due to excessive activity thyroid gland, which produces a huge amount of prostaglandins. In this case, the patient will complain of prolonged menstruation;
• sexual infantilism. This process is diagnosed when the uterine cavity is underdeveloped or its abnormal location in young girls. If on the first day the pain manifests itself strongly, and weak sensations continue for two or three days, then the child should be shown to a teenage gynecologist. Perhaps the culprit is the lack of elasticity of the uterus, which prevents the removal of blood due to the narrowing of the cervical canal;
• endometriosis. The inner uterine layer in the form of the endometrium can extend beyond the organ. If the patient experiences severe pain and menstruation is heavy, then the cause may be an enlargement. Another sign is discomfort during sex;
• inflammatory diseases of the uterine cavity and appendages. In addition to pain, the patient complains of increased temperature, chills and nausea. As additional symptom nagging pain appears in the lower abdomen after menstruation. In infectious diseases, the discharge appears bad smell and itching occurs in the perineal area;
• cyst, fibroma, tumor formations. Their manifestation is observed precisely on critical days. If the patient experiences severe pain in the abdominal area, the discharge becomes thicker, more abundant and interspersed, the process is accompanied by difficulty urinating, then most likely there is some kind of suspicious formation on the mucous membrane of the uterus or ovaries.

Why severe pain occurs during menstrual flow, only a doctor can say after an examination. There is no point in delaying a visit to the doctor, because in any case pathological process proper treatment must be provided.

Doctor's recommendations for menstrual pain

Doctors unanimously say that severe pain cannot be tolerated, because it adversely affects the general and psychological well-being. To reduce the manifestation of painful sensations, you need to follow some recommendations.

1. You can apply a heating pad to a sore stomach, as well as do a light and relaxing massage in the lumbar region and lower abdomen. Such measures help reduce the intensity of contraction of the uterine cavity.
2. You can take antispasmodic or painkillers in the form of Ibuprofen, Ketonov, Spazmolgon, No-shpa.
3. For normalization mental state and relieve stress from the nervous system can be consumed sedatives on herbs: Novopasit, Phytosed, valerian tincture, Afobazol.
4. If painful sensations appear due to disrupted hormonal levels, then prescribed contraception(Regulon, Lindinet 20). You should not take them on your own, as the remedy may not be suitable.
5. Regular exercise will help get rid of unpleasant sensations. physical activity. Only exercises should not cause a lot of stress on the body. A woman can do yoga, Pilates, gymnastics, and exercises.
6. Have the patient take a bath with sea salt, sage, or chamomile for 20 minutes. You can take them every day, except for menstruation. To relieve spasms and activate blood flow, doctors advise using a contrast shower.
7. To normalize the menstrual cycle and prevent the development of inflammatory processes, doctors advise taking special gynecological herbal preparations, which are sold in pharmacies. You can also make infusions based on parsley, mint, and chamomile.
8. A few days before the onset of menstruation in the lumbar region and bottom part belly you can rub a mixture based on essential oils. It consists of nutmeg, yarrow, marjoram, St. John's wort. Before this, it is necessary to test for an allergic reaction.
9. Go swimming. Regular use of the pool promotes natural relaxation muscle structures, improving blood flow and endorphin production.
10. In some situations, experts recommend applying a heating pad with ice to the lower abdomen. The duration of the procedure should not exceed 15 minutes. This method helps relieve pain.

In addition to all this, gynecologists advise adhering to preventive recommendations.

• Give up bad habits such as smoking and drinking alcohol.
• Try to avoid hypothermia and severe stressful situations.
• Limit your intake of spicy, spicy foods, and also reduce the amount of coffee you drink per day.
• Include foods that contain probiotics in your diet: kefir, fermented baked milk, yogurt.

Do not forget that regular sex life helps improve blood flow and relax muscle structures.

When you experience abdominal pain during menstruation, and it is unbearable, you cannot ignore it. You need to undergo an examination, identify the cause of the pathology and take medication.

Causes of pain (painful menstruation) during menstruation

During menstruation, the uterus rhythmically contracts in order to expel everything that has served its purpose and is unnecessary. Some women have very sensitive pain receptors in the abdominal cavity, and they react with pain to any contraction. And for some, the uterus is located in its own way, tilted back, and then it puts pressure on the nerve centers, which causes a feeling of heaviness in the lower abdomen, aching in the sacrum and lower back.

The activity of the uterus and female hyperesthesia largely depend on hormonal levels. With an increased amount of the hormone estrogen, which is more often monitored in women after 30 years, periods are not only painful, but also very heavy and long. If all the hormones are jumping, then you suffer from both PMS and algodysmenorrhea.

The appearance of pain is also associated with a violation of the natural balance in the body between sex hormones (primarily progesterone) and prostaglandins, towards the predominance of the latter. Prostaglandins are specific chemical substances, which play a key role in the appearance of most symptoms associated with discomfort during menstruation. They are produced by the tissue of the uterus and stimulate its contraction. The higher the level of prostaglandins in the body, the greater the force of contraction of the uterine muscle and, therefore, the strength of pain. An excess of prostaglandins can also create other accompanying manifestations: nausea, vomiting, headache, sweating, chills, tachycardia.

Heavy menstruation, insomnia and weight loss are sometimes observed with increased activity of the thyroid gland, which regulates the production of hormones.

Menstruation, along with abdominal pain, also occurs when the uterus is positioned incorrectly, its underdevelopment (sexual infantilism), inflammation in the genitals, endometriosis and other diseases, and increased excitability of the central nervous system.

Abdominal pain during menstruation is more common in young nulliparous women, and may be a sign of infertility. In addition, painful periods are observed with intrauterine contraception (IUC).

Gynecologists note that over the past 10 years, the number of girls whose periods are accompanied by abdominal pain has almost doubled. This is due to environmental degradation, poor lifestyle, poor nutrition girls.

Other symptoms of menstrual discomfort include:

• Pain in lumbar region backs
• Leg pain
• Nausea
• Vomit
• Stool disorder (diarrhea)
• Weakness
• Increased irritability

Algodismenorrhea can be primary and secondary

Painful periods caused by underdevelopment, abnormal position of the uterus, etc. anatomical features women are called primary algodismenorrhea. The same term refers to painful periods caused by endocrine metabolism disorders that are not associated with organic damage to the woman’s genital area.

Pain during menstruation caused by inflammatory processes, cysts, fibromatous nodes, endometriosis, intrauterine device (IUD), gynecological and abdominal operations is called secondary algodismenorrhea.

You should definitely see a gynecologist if:

• Period pain lasts longer than usual
• The pain suddenly gets worse
• There is more bleeding than usual and the woman has to use more than one sanitary pad or tampon every hour
• There are symptoms indicating the presence inflammatory process: fever, chills, sweating, muscle or joint pain, etc.
• There are symptoms indicating the possibility of infection: discomfort in the genital tract preceding menstruation, unprotected sex, unusual discharge, itching, odor, problems with urination

You should urgently call an ambulance if:

• Lost consciousness
• Feel dizzy again when you stand up
• Experiencing sudden, intense pain in the lower abdomen or pelvic area that forces you to bend over or sit down
• Notice the presence of pieces of tissue in your menstrual blood, which are often silvery or grayish in color
• There is a possibility that you are currently pregnant (for example, an ectopic pregnancy)

Painful periods - severe pain in the lower abdomen during menstruation - treatment:

Gynecologists do not advise relying on painkillers these days. If the pain is too severe, then still take a painkiller. It is better to select painkillers individually, since many of them have side effects.

There are a number of drugs that can relieve pain and restore the cycle without harm to the body in a fairly short time. For example, combination drug"Time Factor", which combines plant extracts with phytohormonal action, vitamins and microelements, not only delicately normalizes the various phases of the menstrual cycle, but also improves mood, alleviates PMS symptoms and supports good mood and performance.

After taking the medicine, lie down for a while under a warm blanket. Try to relax so that the pain is distributed throughout your body, then your stomach will hurt less.

And most importantly, always keep your feet warm and your head cold (as in the famous saying)

In addition, papaverine hydrochloride (and analogues of No-Shpa, Papazol, etc.) can be used to relieve pain during menstruation.

You can use diclofenac anti-inflammatory suppositories; one suppository is enough for severe pain during menstruation.