Premenstrual pain: why does the lower abdomen pull before menstruation? Stomach pain after menstruation as before menstruation: main causes and treatment

Absolutely any woman knows. Naturally, sometimes this sign is not present, but in most cases it is still present, which is very convenient, because the girl probably knows that the menstrual cycle is about to begin one of these days, for which she needs to prepare.

Absolutely any woman knows how. Naturally, sometimes this sign is not present, but in most cases it is still present, which is very convenient, because the girl probably knows that the menstrual cycle is about to begin one of these days, for which she needs to prepare.

Almost every girl and woman feels the arrival of menstruation, not paying attention to the expected date. In order to predict the onset of menstruation, representatives of the fair sex only need to listen to their belly, which swells a little before menstruation, and in some individual cases it hurts very much.

Natural causes of discomfort

Many experts say that pulling or pain in the lower abdomen can only happen if the woman has certain problems associated with the female reproductive organs. The second half of the medical staff is convinced that this is a natural process that haunts almost every girl or woman throughout her life.

A painful lower abdomen does not actually always indicate problems. A woman should not worry every time her stomach tightens before her period. But such peculiar pain is acceptable only when it does not interfere with normal daily activities. When discomfort makes a woman inactive, she cannot get out of bed and easily carry out everyday activities, this indicates pathology or a certain disease that she does not yet know about.

Normal pain before menstruation can be very different: aching, pulling, reminiscent of contractions during the birth of a baby, but its intensity is so low that it is practically unnoticed. One of the main reasons for the appearance of heaviness in the abdominal area is a decrease in endorphins, the so-called hormones of happiness, in the body. It is known that this hormone is produced by progesterone and the female hormone estrogen. About a week before the start of menstruation, progesterone levels reach their maximum. But after a few days, these values ​​change and the level of both hormones that promote the production of endorphins drops. Accordingly, happiness hormones become scarce. Such changes in hormonal levels are immediately felt by a woman: pain occurs, the woman becomes more sensitive and nervous. Sometimes experts recorded even short-term changes in the mental abilities of women.

The second natural cause of abdominal pain is the so-called PMS (premenstrual syndrome). He is familiar to almost all female representatives. If you notice that your lower abdomen is tight before menstruation, and this is all accompanied by depression, an inexplicable desire to cry, aggression, depression and other nervous disorders, know that your period will soon come. This syndrome tires women, making them lethargic and helpless. Some girls experience an increase in appetite during this period, and some suffer from swelling of the legs and chest. All this can be called the reasons for the appearance of pain in the lower abdomen before menstruation.

Pathological signals

Not always when it means that everything is fine with women's health. Excessive pain can occur due to serious diseases that cannot be ignored. The main pathological causes are:

  • congenital problem associated with uterine displacement;
  • dysfunction of the endocrine system, in particular the thyroid gland;
  • the presence of a cyst or fibroid in any reproductive organ of a woman;
  • fibromatous nodes.

If you notice that premenstrual pain is excessive and interferes with your daily activities, you should immediately seek help from a professional gynecologist who will find the main cause of your pain and help eliminate it.

As for other causes of pain, we can distinguish the so-called luteal phase. This is the period of time between the release of the egg and the immediate onset of the critical days. This period can last from 10 to 14 days. If you count, then pain in this case haunts a woman for half of her entire life, and this is not normal. Therefore, if you notice that unpleasant intense pain bothers you for about 6 months in a row, you should immediately visit a doctor.

Often pain appears due to the destruction of the walls of an already mature follicle. The fact is that this follicle constantly accumulates special yellowish chemicals. At this moment, increased secretion of estradiol, progesterone and other hormones occurs. At such moments, the uterus is ready to be fertilized, and if conception does not occur, the corpus luteum stops producing hormones. It is at such moments that heaviness appears in the lower abdomen.

After a decrease in progesterone and estrogen in the female body, endometrial detachment may occur. This process provokes the appearance of spasms and contractions in the lower abdomen, which are very reminiscent of the pain that haunts us during childbirth. This process is called uterine endometriosis and is a fairly serious disease that requires treatment. Without consulting specialists, a woman can deprive herself of the opportunity to become pregnant and give birth to a child, and this is a very terrible price to pay for irresponsibility.

As you can see, cramps in the lower abdomen do not always indicate the normal functioning of the reproductive system.

What to do if your stomach feels tight and menstruation never comes?

Quite often, we may experience the usual pain before menstruation, wait for the arrival of critical days, but they may never appear. This may indicate several reasons:

  • early stage of pregnancy;
  • ovulation;
  • incomplete removal of the fertilized egg if the woman has recently had an abortion;
  • a neoplasm in the uterus or other female reproductive organ.

Quite often, a pregnant girl does not even suspect that an embryo has formed in her tummy, from which a child will develop in the future, so she experiences the same sensations as before her period. But if, despite all this, the woman is accompanied by a delay, she should definitely take a pregnancy test. It doesn’t take a lot of time or money, but you will be sure that the reason for the delay is not pregnancy.

Pregnancy can be uterine or ectopic. If the test shows a positive result, you should immediately make an appointment with a gynecologist to determine the location of the fertilized egg. It is better to hurry with a visit to a specialist, since internal bleeding often occurs during an ectopic pregnancy.

If your pregnancy is progressing normally, then you don’t need to worry about nagging pain. This is a normal process that will accompany you until the birth of your child.

As you can see, the lower abdomen can hurt not only before menstruation, and this process is not always normal. In order to make sure of your women's health, you need to consult a specialist at least once every six months. Only in this way can you eliminate all illnesses and live a normal healthy life without unpleasant problems and possible consequences.

Menstruation is a natural process of the body, characterized by the normal functioning of a woman’s reproductive system. However, every woman experiences different intensity and duration of pain before her period. Pain in the lower abdomen can be insignificant, or it can cause severe discomfort, which does not allow a woman to fully carry out any activity.

  • Weak and short-lived pain is most often not considered a pathology, and the general condition and well-being of the woman can be described as normal.
  • But if the pain becomes constant, intensifying and prevents the woman from doing her usual activities, then it is worth contacting a specialist to identify the causes of the pain before the approach of her critical days.

Main causes of pain

The causes of pain in the lower abdomen can be different. Only a qualified specialist can prescribe the necessary examinations to determine the exact causes.

If a week before menstruation or immediately before its onset, the lower abdomen hurts or ache very severely and unbearably, you should not postpone a visit to the doctor. This is justified by the fact that pain is a fairly common sign that something is wrong in a woman’s body.

This article discusses the most common causes of pain before menstruation.

Algomenorrhea as the most common cause of painful menstruation

Algomenorrhea is a common gynecological disorder characterized by menstrual dysfunction and painful menstruation. Algomenorrhea occurs in almost every second woman.

This disorder manifests itself as periodic pain in the lower abdomen before the onset of menstruation. Pain in the lower abdomen can vary in intensity and duration. The woman has a feeling that pain is spreading through the intestines. Algomenorrhea in most cases begins a week before the onset of menstruation and can continue throughout the menstrual cycle. The nature of the pain characteristic of algomenorrhea can be described as cramping, pulling, aching.

There are primary and secondary algomenorrhea:

  1. Primary algomenorrhea occurs as a result of impaired outflow of menstrual blood and spasmodic contractions of the uterus. The question of why primary algomenorrhea appears can be answered as follows: incorrect position of the uterus (for example, its posterior deviation), endocrine diseases, intrauterine contraception (coils, etc.), increased amount of prostaglandins.
  2. Secondary algomenorrhea often appears as a result of inflammatory processes in the pelvic organs or after gynecological operations (including abortions). With secondary algomenorrhea, fever, lower back pain, and bloating may occur.

In addition to pain in the lower abdomen, a woman may experience weakness, nausea, headache, and depressed mood. The intensity of pain during algomenorrhea, as a rule, negatively affects a woman’s performance, well-being, and mood.

In this regard, it is important to know why algomenorrhea occurs. The causes of this menstrual dysfunction vary. In the vast majority of cases, algomenorrhea is a concomitant disease that occurs with other gynecological diseases - such as endometritis, inflammatory processes in the uterine cavity, inflammation of the uterine appendages, and infectious diseases of the genitourinary tract.

Treatment should be aimed at eliminating the underlying cause. After this, it will be possible to reduce the manifestations of algomenorrhea.

Abdominal pain on the eve of menstruation: other causes

Why else pain in the lower abdomen may occur will be discussed below. If, a week before the start of your period, your lower abdomen feels tight and aching, this indicates that something is wrong with the body.

The most common causes, in addition to algomenorrhea, resulting in pain before menstruation:

  • Insufficient luteal phase due to low progesterone levels.

In this case, the lower abdomen constantly aches, the stomach seems to be bursting, and there may be adhesions in the uterine cavity and in the intestines.

  • Decreased endorphin levels.

Before menstruation, the amount of progesterone and estrogen in a woman’s body decreases sharply, as a result of which the level of endorphins decreases. Such a sharp hormonal jump cannot go unnoticed by the body. This is the answer to the question why, before menstrual periods, women notice pain in the lower abdomen, enlarged and painful mammary glands, melancholy or irritability, and in some cases even intestinal upset.

  • Premenstrual syndrome.

PMS is considered another most common reason why pain may occur before the onset of menstruation. Contrary to popular belief that premenstrual syndrome affects mainly the emotional state of women, this is not so. PMS affects a much larger area of ​​influence: a woman’s appetite increases, bloating and intestinal dysfunction are observed, and the stomach is pulled. A woman may experience a headache, shortness of breath, increased blood pressure, and drowsiness.

  • Injuries, operations in the pelvic area.

In this case, the stomach pulls, the pain in the lower abdomen is characterized by a spasmodic nature. There may be cramps in the intestines.

  • Inflammatory processes.

Pain before menstruation can be a consequence of inflammatory processes in the pelvic organs, resulting from hypothermia or infectious diseases. Painful sensations are localized in the lower abdomen. The stomach can hurt very badly, with pain and cramps.

  • Late ovulation.

In women with menstrual irregularities, ovulation may occur too late, even before the expected start of menstruation. Therefore, the lower abdomen may hurt due to late ovulation.

  • Intestinal problems.

In some cases, women cannot correctly determine the location of pain. It is often difficult to understand whether the stomach or intestines hurts. Therefore, it is important to know the differences between pain before menstruation and pain in the intestines.

Premenstrual pain is characterized by painful, pulling, aching sensations in the lower abdomen. The lower abdomen aches all the time or periodically (it’s different for all women).

When the intestines suffer, the pain is mainly spasmodic in nature. With pain in the intestines, the stomach may swell, there is rumbling and gas formation.

Pain before menstruation and delay

Sometimes women are faced with a situation where the stomach hurts before the onset of menstruation, but there is no menstruation. This delay may be due to the following reasons:

  • menstrual irregularities;
  • ovarian dysfunction;
  • inflammation of the appendages or uterine cavity;
  • hormonal disbalance;
  • pregnancy.

First, you need to determine the presence or absence of pregnancy. If pregnancy is confirmed, the lower abdomen may feel tight due to increased tone of the uterus. In any case, it would be a good idea to visit a doctor, since pain in the lower abdomen and uterine tone during pregnancy can result in a threat of miscarriage.

If there is no pregnancy, then the lower abdomen may hurt before menstruation due to ovarian dysfunction, inflammation of the uterine appendages, ovulatory pain due to menstrual irregularities.

Acyclic pain before menstruation

Before menstruation, the stomach may hurt as a result of blood stagnation or varicose veins in the pelvic area, cystitis, or urolithiasis. Such pains are called acyclic and are not associated with the menstrual cycle.

Acyclic pain is usually short-lived and irregular. They are often associated with problems not in gynecology, but in other areas. However, it is important to differentiate the pain syndrome and establish its causes in order to receive timely treatment if necessary.

It is rare to meet a woman who feels comfortable on the eve of her period. Everyone has experienced pain before menstruation at least once in their life. Depending on the state of health and individual characteristics of the body, hormonal imbalances, cyclical changes in the internal genital organs, and hidden diseases appear. Whether you should worry if unwanted symptoms occur depends on their nature and intensity. The presence of severe cramps, severe painful periods, can be a signal of a dangerous condition and is always a reason for a thorough medical examination.

Causes

The line between normal and pathological in the development of pain symptoms before and during the menstrual cycle is quite thin. The concept of “severe pain” has its own meaning for every woman. In women with low and high pain thresholds, the same sensation evokes different responses. The former literally fall off their feet from unbearable pain, which for the latter seems quite bearable. For this reason, just describing pain symptoms causes difficulty for doctors; it is necessary to record other features.

There are many reasons why you feel worse before menstruation:

  • Premenstrual syndrome (PMS). It is a mistake to believe that signs of approaching menstruation appear within 1–2 days. They often occur within a week or less. Characteristic manifestations for the majority: aching or lingering pain in the lower abdomen, accompanied by autonomic or neurological symptoms. PMS, from a medical point of view, is not a pathology if it causes symptoms of low intensity and does not disrupt the usual routine.
  • Hypothermia. The habit of wearing light, out-of-season clothes and shoes, and forced prolonged exposure to the cold often lead to subsequent vasospasm in the pelvic area and pain before the onset of menstruation.
  • Exhausting physical activity. Working hard, playing sports, or lifting heavy objects the night before your period almost always results in pain.
  • Insufficient physical activity. The habit of sitting in one place for a long time, a dislike for walking and walking cause poor circulation and congestion in the pelvic area, which is one of the factors provoking pain.
  • Gastrointestinal pathologies. Irritable bowel syndrome, dysbacteriosis, colitis worsen before menstruation, flatulence, and colic appear.
  • Obesity. Excess internal adipose tissue in the abdominal cavity leads to changes in hormonal levels and increases blood stagnation in the genitals, which manifests itself in pain before menstruation.
  • Intrauterine devices. These contraceptives have many disadvantages, including frequent manifestations of algodismenorrhea.
  • Gynecological disorders. One of the common conditions that causes pain before menstruation is endometriosis - the growth of the epithelium lining the uterine cavity beyond its limits. Deviation of the organ back or its physical underdevelopment invariably leads to pain before the start of the cycle.
  • Complications after surgery on the pelvic organs or after difficult childbirth. The presence of scars and other destructive tissue changes often cause acyclic and premenstrual pain.
  • Inflammation and... Many forms of nephritis worsen on the eve of menstruation.

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The question of whether a healthy woman can have a stomach ache before menstruation causes a lot of discussion in medical circles. The majority is of the opinion that physiological pain is always of low intensity, vague in nature, and should not be perceived as stabbing, cutting or tugging.

What diseases cause pain before menstruation?

Pathological pain before the onset of menstruation is not always secondary; it can occur immediately after the formation of the cycle. In these cases they talk about congenital health disorders. Finding out the real cause of deterioration in health in adolescents and young girls is not easy, especially if an external examination and general laboratory tests do not indicate the presence of disorders.

Common diseases that may cause primary pain before menstruation:

  • insufficient endocrine activity of the ovaries, adrenal glands, pituitary gland;
  • connective tissue dysplasia.

In such conditions, pain begins to develop a week or earlier before the expected cycle, severe premenstrual syndrome with many somatic and nervous symptoms is likely:

  • dizziness, headaches, migraines;
  • blood pressure surges;
  • heavy sweating;
  • numbness of fingers;
  • violation of thermoregulation;
  • tachycardia;
  • general swelling;
  • the appearance of extra pounds;
  • indigestion.

Often the bones and the whole body ache, the skin turns pale or red, and nagging pain of moderate or severe intensity appears in the abdomen.

With endometriosis, a typical sign, in addition to painful symptoms, is the specific nature of the discharge: it begins and ends with dark brown clots, indicating the presence of endometrial cells outside the uterine cavity.

It is very dangerous if sudden vomiting or shortly before menstruation appears suddenly. This may indicate progressive fibroids, an ectopic pregnancy, or an incipient miscarriage.

Adhesions in the pelvic area, salpingo-oophoritis, and cysts cause almost all cases of morbidity. Algomenorrhea is often accompanied by disturbances in the menstrual cycle itself - delays in the onset of menstruation from several days to two or more weeks.

Many sexually transmitted infections occur latently, and in advanced cases they affect the uterus and appendages. A few days before the start of menstruation, under the influence of hormonal shifts, the pathogen is activated, causing a number of negative symptoms: severe itching and swelling of the external genitalia, burning, physical discomfort, the presence of strange discharge - abdominal pain can also appear for these reasons.

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Diseases not related to gynecology, in which severe pain appears during the premenstrual period:

  • acute or chronic appendicitis;
  • intestinal obstruction;
  • varicose veins of the small pelvis;
  • passage of a stone from the bladder or ureter.

If these pathologies are associated with PMS, pain in the abdominal cavity can be mistaken for strong contractions of the uterus before menstruation.

Diagnostics

To determine why your stomach hurts before your period, you need to undergo a detailed examination. As a rule, it begins with taking an anamnesis. The doctor interviews the patient, finding out during what period the negative signs appeared, as well as:

  • pain occurs regularly or occasionally, what is its nature;
  • are there any other symptoms;
  • whether the patient uses barrier and other types of contraception;
  • Are there any problems in your sex life, if so, what are they;
  • whether inflammatory or infectious diseases were previously detected, whether there were pregnancies, abortions, childbirth.

For laboratory general and biochemical studies, samples of urine, blood, scrapings from the mucous membrane of the vagina and cervix are required. Bacterial culture, ELISA, or PCR may be required if there is reason to suspect that pain in the lower abdomen is the result of an infectious lesion.

To clarify possible pathologies of internal organs for any type of symptoms, an ultrasound is prescribed. The doctor evaluates the location and shape of the uterus, the condition of the endometrium, ovaries, patency of the fallopian tubes, and identifies signs of inflammation or changes. In difficult cases, diagnostic laparoscopy is performed.

If there is reason to believe that the pain that occurs is a consequence of intestinal diseases and pain, a colonoscopy or MRI is performed.

To determine the pain threshold, the sensitivity of a woman’s nervous system in a skin fold can be tested using an algesimeter.

In some cases, diagnosis can take up to several months.

Pain before menstruation

Normal premenstrual syndrome in the absence of any diseases does not cause pronounced pain. Discomfort characteristic of this period is a feeling of tension or blurred, not clearly localized, compression in the lower abdomen. The symptoms do not intensify during movement or in a certain position; they may be accompanied by slight muscle weakness, mood changes, and drowsiness. It is possible to increase sensitivity. Symptoms may appear a day or several days before menstruation, every month at the same period.

Pathologically occurring PMS manifests itself in different ways and is part of algomenorrhea. Severe pain often appears not only before menstruation, but also long before it, as well as in the middle of the cycle. The sensations are cramping or aching in nature, cover the entire abdominal cavity, radiate to the lower back, buttocks, and upper thighs. The pain responds poorly to analgesics. Premenstrual pain can be accompanied by unpleasant symptoms: gastrointestinal upset, nausea, cramps of the lower extremities.

Quite often, representatives of the fairer sex learn about the approach of critical days without looking at the calendar, and accurately determine this date.

But if the lower abdomen hurts, as during menstruation, but there is no menstruation, this is the first signal that you should not put off going to the doctor.

The nature of such pain is not always pathological.

If the lower abdomen produces a slightly aching pain and it is short-lived, then the fairer sex has absolutely no reason to fear.

But when the pain becomes more frequent and becomes cramping, sometimes unbearable, this indicates signs of other pathologies.

Pain in the lower abdomen, as during menstruation, has various sources of origin. They come in both organic and functional varieties.

The organic origin of pain includes:

  • Inflammation in the ovary;
  • Benign tumors in the uterus;
  • Neoplasms: cysts;
  • Prolonged stay of the IUD in the uterus;
  • Pathologies of a surgical nature;
  • Disorders of the urinary system;
  • Diseases occurring in the gallbladder;
  • Pregnancy and ectopic pregnancy;
  • Low placenta previa;
  • Placental abruption occurs prematurely;
  • Abortion and the condition after it.

Pain of functional origin occurs when:


The pain varies from aching to cramping.

Often the cause of their appearance is a disruption of the hormonal cycle. Pain that occurs after menstruation indicates the presence of endometriosis. In diseases of the gastrointestinal tract, pain radiates to the lower abdomen.

In exceptional cases, pain begins as a response from the female body.

Why does my stomach hurt during menstruation?

Menstruation in a woman or girl is characterized by certain signs:


The duration of these pains is from 3 to 7 days.

Why does pain occur? Pain syndrome is present in functional states during menstruation. But it is also pathological in nature.

It is important to know! These pains, as during menstruation, in the lower abdomen are characteristic of inflammation occurring in the pelvic organs.

In gynecology, there is a name that characterizes the pain felt during menstruation. This physiological condition is called dysmenorrhea.

Dysmenorrhea occurs:

  • Primary;
  • Secondary.

With primary dysmenorrhea, pain appears before menstruation. They last up to 4 days. This type of pathology is typical for girls from adolescence to 25 years.

These pains are accompanied by various dyspeptic disorders. Over time, the pain subsides after the baby is born.

During secondary dysmenorrhea, pain occurs only as a result of pathological changes in the area of ​​the pelvic organs. This is observed in middle age categories (after 30 years).

The following factors are related to such pathologies:

  • use of an intrauterine device;
  • inflammation occurring in the pelvis;
  • endometriosis.

Sometimes severe pain in the lower abdomen in women is a harbinger of cancer.

Pain in the left lower abdomen in women

The lower abdomen hurts, as during menstruation, on the left side, not always with gynecological pathologies, sometimes this also happens with other diseases localized in this area.

In such situations we are talking about radiating pain:

  • Section of the small intestine;
  • Ureter and left kidney;
  • Spleen;

Also, similar pain occurs due to:


A woman has pain in the right side of her lower abdomen

Pain in the right side of the abdomen indicates various diseases. They are often present when diagnosing appendicitis.

Appendicitis is swelling of the large intestine. Its main symptom is pain around the navel. It increases gradually, with nausea and an increase in temperature. Sometimes there may be flatulence.

The following reasons contribute to intestinal upset:

  • stress;
  • fast food;
  • poor digestion.

It begins with a slight and infrequent tingling in the abdomen, often accompanied by flatulence and pain in the liver.

The second cause is stomach ulcer and duodenal disease. It begins with a burning sensation in the stomach and turns into pain, like during menstruation, which women feel in the lower abdomen.

Also, such a signal can indicate kidney disease and inflammation of the bladder. They are infectious in nature, but may also be due to hypothermia. The pain radiates to the right side of the lower abdomen.

ICD or pyelonephritis of the kidney on the right side - with such a disease the pain radiates to the right side of the back and down the abdomen.

Often, with diseases of the uterus, there is pain felt in the abdomen.

With cystic neoplasms, girls experience pain, like during menstruation, on the right side of the lower abdomen.

Pain occurs with benign ovarian tumors.

Often, girls make an appointment with a gynecologist when they feel pain in the lower abdomen and in the middle. They are felt in moments, but their character is constant.

To make a correct diagnosis, the doctor needs to examine the patient.

The examination includes:

  • Gynecological examination;
  • Taking a smear;
  • Carrying out ultrasound diagnostics.

Upon completion of the examination, the doctor prescribes treatment:


The main causes and symptoms of pain that occurs in the lower abdomen:

  • Various inflammations occurring in the intestines are characterized by constipation or loose stools. Occur due to malnutrition and various intestinal inflammations;
  • During pregnancy, when the egg is fertilized, but not in all cases;
  • Pain during menstruation is not uncommon. This is due to various physiological individual characteristics.

Women usually suffer from pain with:

  • low pain threshold;
  • fertilization of the egg;
  • inflammation of the lining of the uterus inside.

In women, the lower abdomen hurts in the middle, as during menstruation. Causes

Pain in the lower abdomen in women, as during menstruation in the middle, occurs due to hormonal imbalance. This leads to the development of endometriosis.

The pain appears during menstruation and subsides only in the middle of menstruation. Treatment can be either medication or surgery.

Often pain in the lower abdomen in the middle appears with cystitis. First, a burning sensation begins, which is accompanied by itching, and then the pain in the lower abdomen sharply worsens and urination occurs.

The nature of this disease is infectious, and therefore it is required to undergo tests and take antimicrobial agents.

Pain may indicate inflammation in the organs that are present in the pelvis. They are typical for untreated infectious diseases acquired through sexual contact.

In the advanced form, pain occurs during sexual intercourse, as well as discharge in the form of mucus that has an unpleasant odor. Drug treatment is indicated.

These pains have two causes:

  • Organic failures;
  • Functional disorders.

The first reason includes:


Sharp and acute pain in the lower abdomen in women

Various reasons influence the acute pain that appears in the abdomen. You need to react to pain immediately and consult a doctor quickly. Self-medication is not recommended.

The main causes of acute pain in the lower abdomen:

  • ovarian apoplexy;
  • cystitis;
  • renal colic;
  • appendicitis;
  • algodismenorrhea;
  • ectopic pregnancy.

For these reasons, the following occurs:


Such pain occurs both against a functional background and in the presence of pathology. A lot depends on the symptoms.

These pathologies include:

  • diseases of organs located in the pelvis, use of an intrauterine device;
  • gastrointestinal diseases;
  • acute inflammation of the urinary system;
  • disorders during pregnancy;
  • presence of abortions.

Functional reasons include:

  • disruptions in menstruation and ovulation process;
  • bleeding from the uterus;
  • stagnation of menstrual blood.


Nagging pain in the lower abdomen in women. Causes

With inflammation in the pelvis, the temperature rises, aching pain is felt in the lower abdomen, and when adnexitis occurs, it is localized in the side.

With endometritis, the pain is located closer to the middle of the abdomen and is constant. If there is disease of the ovaries or appendages, sharp pain will occur during palpation.

With endometritis, the pain can be aching and prolonged, the uterus is elevated.

To fight inflammation, antibacterial drugs are prescribed. Cholecystitis is often accompanied by persistent mild pain.

Cramping pain in the lower abdomen in women

Pain in the lower abdomen in the form of contractions indicates a serious illness. Young girls often experience pain during menstruation. They feel discomfort and pain during their first menstruation.

This condition is considered functional, and it is associated with increased sensitivity of the nerve endings of the uterus.

Sometimes such pain syndrome can manifest itself as a result of various congenital pathologies. Then the pain is cramping. They are characteristic of the complete absence of the menstrual cycle.

Basically, the pain is antispasmodic and very strong, and is long-lasting. In this condition, you need to immediately contact a specialist.

Cramping pain often occurs with an ectopic pregnancy. It begins with a deterioration in general condition and is recognized at a late stage. If you ignore this condition, death will occur.

When the fallopian tube ruptures, cramping pain is also present, which is subsequently accompanied by heavy bleeding. This condition is also life-threatening.

Cramping pain occurs due to acute inflammatory diseases of many pelvic organs.

It is necessary to pay attention to the course of menstruation. If they become painful, cramping in nature, then you should go to the gynecologist.

Among the secondary diseases, various inflammations of the gastrointestinal tract can be noted, especially acute intestinal conditions. For example, this may indicate intestinal obstruction, when urgent surgery will be needed.

The disease is characterized by high fever and attacks of severe pain. If help is not provided in time, the person will die. These pains often come at night.

Pain in early pregnancy - positive test: when it’s not dangerous

If a pregnant woman experiences painful sensations at the beginning of her term, the test is positive; this is not dangerous when they pass quickly, but this happens because the woman’s body prepares in advance for the development of the child in the womb.

Women feel pain:

  • in the chest;
  • lower abdomen;
  • in the ovaries.

Sometimes a pregnant girl at the beginning of conception experiences nagging pains that occur in the lower abdomen. Often, they can be tolerated, as they are mild and often permanent.

Such pain is associated with pregnancy, when the uterus begins to grow and pregnancy hormones appear. These hormones are designed to soften the muscles and ligaments that are located in the pelvis.

Aching pain occurs because the corpus luteum grows in the pregnant woman’s body. When the egg gets rid of the follicle, a cyst immediately appears there, producing a hormone called progesterone.

This hormone is needed for pregnancy to proceed normally. The cyst increases every day, and when it reaches a large size, it stretches the ovarian capsule, and therefore pain occurs.

In the early stages of pregnancy, these pains will not harm the baby.

Threat of miscarriage - how to identify and what to do

This terrible diagnosis made by doctors does not mean that the pregnant woman will eventually have a spontaneous miscarriage.

Doctors make a lot of efforts to maintain a pregnancy after a woman is diagnosed with a threatened miscarriage.

This diagnosis in a pregnant girl is accompanied by some symptoms: vaginal discharge– from pale pink to dark brown.

These discharges can be both scanty and abundant. At first they are insignificant, and then more frequent. The discharge is insignificant, but lasts for a long time. Severe spasmodic pain occurs in the lower abdomen.

When there is a threat of miscarriage, the pain is similar to that which happens during menstruation. It happens that bleeding occurs without pain.


If you have pain in your lower abdomen, as if you're on your period, even though you're not expecting it, it's worth checking with your doctor. It may be a serious illness.

If a pregnant woman notices that she has similar symptoms that indicate that she is at risk of miscarriage, she needs to lie down and first take the phone to immediately call a doctor at home. You need to lie down with your legs slightly elevated.

After receiving advice from a specialist, the pregnant woman, with the help of friends or relatives, should immediately go to the hospital to receive urgent medical care.

When she has severe bleeding, it is necessary to call an ambulance at home to provide initial assistance, and then take the pregnant woman to the gynecology.

Doctors pay attention to the fact that the woman does not get nervous while waiting for the doctor., for this she needs to drink a small dose of drops of motherwort or valerian tincture.

If the threat of miscarriage is real, then the woman is placed in an inpatient gynecological department, where she is treated.

What does it mean if there is white discharge?

If there is white discharge, this means that the fairer sex may be healthy or sick. It all depends on their color, smell and quantity.

Doctors consider the following to be completely healthy discharge from a woman’s vagina:

  • White, almost transparent;
  • Without smell;
  • Watery consistency;
  • With an amount per day from 2 to 5 mg.

Don't worry if they have a yellowish tint. He indicates that the girl has some deviations from the existing norm.

The fairer sex has significant white discharge, this indicates that they will soon begin their periods.

White discharge, indicating a woman’s illness, has the following distinctive properties:

  • Curdled;
  • With an unpleasant odor;
  • Foamy;
  • Accompanied by burning and itching.

These discharges indicate a disorder present in the body, as they are considered the body’s response to infection.

Lower abdomen hurts after intercourse

The lower abdomen hurts, as during menstruation after sexual intercourse in such cases as:


What if the ovary hurts before menstruation?

Experts advise women to make an appointment with a specialist at the slightest discomfort, especially if the lower abdomen hurts, as during menstruation. Only he has the right to diagnose and prescribe the necessary treatment.

Often, pain in the ovaries appears in females before menstruation. Doctors call this pain ovulatory syndrome.

The occurrence of such a syndrome is not dangerous, but doctors recommend that if it is present, you should see a specialist in order to rule out any diseases.

A woman's lower abdomen can hurt for many reasons, but not all of them pose a danger to a woman. It’s still impossible not to react to them.

For any pain that occurs in the lower abdomen, it is best to consult a doctor and prevent the disease in time.

This video will tell you why the lower abdomen sometimes hurts, like during menstruation, and what diseases this symptom is a symptom of:

From this video you will learn how to cope with pain in the lower abdomen during menstruation:

Why does the lower abdomen feel tight before menstruation? In addition, it often not only hurts, but also swells. This question arises for many women. If a girl decides to lose weight, then such feelings become simply a tragedy. Some people think that since the stomach is swollen, it is dangerous and they need to go to the doctor. Therefore, in order to fully determine why this happens, thereby getting rid of stress and anxiety, you need to determine why your stomach is bloated and hurts. And this usually happens before menstruation. Let us also establish accompanying phenomena.

Why does the stomach become swollen and enlarged?

Everything that happens in the female genital area is associated with hormones. After all, the entire menstrual cycle is tied to this. Since a woman’s hormonal level is constantly in motion, it can be called dynamic. It cannot be clearly established and not fluctuate. Therefore, the fact that the stomach increases is associated with specific hormonal indications. And this affects women’s well-being.

What hormones do you mean? Firstly, progesterone jumps dramatically. Moreover, the second half of the cycle is associated with a constant increase in this hormone. But during menstruation it drops sharply. It is because of this jump that some women experience premenstrual syndrome. You can observe a loss of strength, depression, aggression, pain in the lower abdomen, in the lower back, you notice nausea, bloating, heaviness before menstruation. Appetite often increases.

Why does the stomach swell?

1. This is due to the retention of a large amount of fluid. It is this that affects its volume, and its weight also changes. Therefore, fashionistas may find this something scary, since before menstruation the weight increases. But this does not mean that you need to stop eating right away. Since weighing a couple of kilograms more is quite normal.
2. Another reason can be called anticipation of conception. Since before menstruation, the uterus is enlarged, swollen, and is intended for the embryo with all the necessary nutrients. That’s why I want to eat before my period.
3. The body also lacks serotonin. Due to the lack of this hormone, a woman has an urgent need to restore it. That's why she eats more sweets and starchy foods. Where does the appearance of the tummy come from?

Why does my stomach hurt?

Pain before menstruation bothers many people. They just experience them differently. For some they are more intense than for others. In one case they experience unbearable pain, in the other only slight discomfort. It's not bad that it hurts. It's not scary. Half of women suffer from this. The whole reason is hormones.

Elements such as prostaglandins often cause pain. This occurs in fifty percent of women. Ten percent of them will experience unbearable pain. The whole reason is that the uterus contracts intensively. If you indulge in bad habits, including smoking and alcoholism, the pain intensifies. There is such severe pain that a woman may even lose consciousness, and her blood pressure may drop. In this case, pathological algodismenorrhea is observed. Contact your doctor.

Why does my stomach feel tight before my period?

Let’s also dwell on why the stomach feels tight before menstruation. In this case, the conversation will be about pleasant things. Because pregnancy is possible. How can we find out for sure, without tests? Observe many signs.

1. There is a delay.
2. But even before her, the woman knows that she is pregnant. One of the reasons is that the stomach is pulled down, but there is no period.

Such phenomena occur in women in the earliest stages of pregnancy. This is due to the fact that the body stores nutrients that will be used by the future embryo. Since they accumulate, the stomach feels tight before menstruation. Time passes, but no menstruation. If they never started, and then time and a delay passed, then you are pregnant. Such sensations clearly indicate pregnancy before a delay.

So, we have found out a number of reasons why the stomach swells. The whole reason is swelling and pain. Therefore, know that this is not dangerous, and does not mean that you have gained weight. This phenomenon does not spoil the figure at all, but only decorates the female body.

Stomach cramps, but no periods

You can list many reasons why your stomach feels tight but you don’t have your period. For example, we can talk about:

 Approaching menstruation.
 If they are still far away, then the reason is pregnancy. This is what some women are very afraid of and what other women eagerly await. This is usually associated with the first days of pregnancy, when an egg that has been fertilized by a sperm tries to attach to the wall of the uterus. In addition to a tugging stomach, a woman experiences nausea, irritability, and breasts swell. All this manifests itself in the first week of pregnancy. In addition, some brown discharge is possible. This may not be the beginning of menstruation, but pregnancy. The muscles are stretched, the uterus is stretched, there is pain, but it is minor. This phenomenon has been observed for more than a week.
 If the pain is very mild, then it is an ectopic pregnancy. This is especially possible in the case of narrowed pipe lumens.
 Threat of miscarriage. This is possible especially in the early stages of pregnancy. If you didn't even know you were pregnant, you may not even notice what happened. You will think that you are having a normal period. Therefore, you will decide that this was simply a herald of the approach of menstruation. If you know that you are pregnant, but feel unusual pain, then consult a doctor, then you can eliminate the threat of miscarriage. Since it is usually the tone of the uterus that leads to such sensations.
 Inflammation. If your stomach feels tight and you don’t have your period, then think about the fact that you may be experiencing an inflammatory process. Often the pain is nagging and aching, which radiates to the lower back. It turns out that inflammation is at an early stage. If the pain intensifies, then there is a danger of increased inflammation.
 Infections. In this case, the stomach will also pull, while menstruation does not occur. Since the urinary tract is infected, this indicates high activity of pathogens that cause diseases. This infection is usually transmitted through sexual intercourse.
 Hormonal disorders. If the level is correct, pain does not occur before menstruation at all. Only the presence of a large number of prostaglandins indicates pain. Because the muscles of the uterus contract strongly.

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