When a woman experiences monthly pain in the lower abdomen, it is called dysmenorrhea. At the same time, about 70% of young women experience moderate pain, 10% - intense pain.

Symptoms of dysmenorrhea

The main symptom is pain that occurs 10-12 hours before the onset of menstruation. The discomfort continues for several days, gradually subsiding. The intensity of pain depends on age and concomitant diseases. In addition, menstruation may be accompanied by:

nausea and vomiting – in 84% of all women;
diarrhea – about 80%;
dizziness – about 25%;
fainting – about 15%;
headaches – 14%.

Dysmenorrhea also negatively affects the emotional state due to prolonged, debilitating pain. Every month the approach of the date of menstruation depresses a woman.

Pain during menstruation can have a different character: cramping, aching, dull or stabbing. Pain can be felt in the bladder, ovaries, intestines, etc.

Degree of disease

Dysmenorrhea is conventionally divided into 3 degrees: mild, moderate and severe.

Mild degree does not affect a woman’s activity or performance. The pain is quite tolerable; there is no need to take painkillers.

At medium degree dysmenorrhea, in addition to moderate pain, weakness, nausea, depression, intolerance to strong odors, an acute reaction to sharp sounds, and frequent urination occur.

Severe degree manifestations of the disease are characterized by unbearable pain in the lower abdomen and lower back, loss of strength, fainting, chills, and tachycardia. Typically, such symptoms are the result of infectious or congenital pathologies.

Types of disease

Painful periods in young girls who have not yet given birth are called primary dysmenorrhea. In women who have had childbirth, it is secondary. The causes of the first and second types differ.

Primary type of disease and its causes

From the very beginning of the menstrual cycle, a girl may experience dysmenorrhea. Basically, it occurs in adolescents who are particularly emotional and have an asthenic physique. They also suffer from premenstrual syndrome.

Primary dysmenorrhea is divided into two types:

Adrenergic – accompanied by frequent constipation, unbearable headache, fever, increased heart rate, and insomnia. In addition, noticeable external signs appear - the skin acquires a bluish tint due to vasospasm.
Parasympathetic - accompanied by a decrease in body temperature, nausea and vomiting, decreased heart rate, diarrhea, and allergic reactions. External signs of the disease include swelling of the limbs, puffiness of the face, and weight gain.

Both types are associated with the restructuring of the hormonal system and its failure. In the first case, this is an increase in dopamine and adrenaline, norepinephrine. The second is an increase in serotonin.

Studies have shown that primary dysmenorrhea is not an independent disease. Basically, this is a manifestation of such diseases:

Congenital connective tissue pathologies. According to statistics, a disease such as genetic connective tissue dysplasia occurs in 60% of girls suffering from dysmenorrhea. In addition to painful menstruation, there is a curvature of the back, flat feet, blurred vision (myopia), varicose veins, and disruption of the gastrointestinal tract. It has been noted that adolescents with this disease are characterized by flexible joints and elongated limbs. A biochemical analysis of the blood of a growing organism with connective tissue pathology shows a low magnesium content.
Neurological diseases and nervous system disorders. In girls suffering from neuroses and other neurological disorders, pain worsens. Therefore, they feel menstrual pain many times more intensely than healthy people.
Uterine inflection, “baby uterus” syndrome, defects in the development of the uterus– two-horned, two-lobed. Such pathologies interfere with the normal flow of blood during menstruation. To cleanse the uterine cavity, its rapid contraction occurs. This causes intense pain.

The primary type of the disease is mainly associated with congenital pathologies and is difficult to treat. But it happens that after giving birth a young woman is no longer bothered by severe pain. Menstrual uterine contractions are no longer so noticeable after pregnancy and childbirth.

Secondary type of disease and its causes

Secondary dysmenorrhea is called painful periods in women after 30 years of age or if the pain occurs after childbirth. Most often, the secondary type occurs in a moderate form, somewhat reducing a woman’s performance. In addition to pain, heavy menstrual flow is characteristic, as well as:

flatulence, nausea, hiccups (vegetative disorders);
dizziness, headache, numbness of the lower extremities, loss of consciousness, tachycardia (symptoms of vegetative-vascular disorders);
irritability, depression, anorexia, impaired sense of smell and taste buds (psychoneurological symptoms);
weakness, joint pain, itchy skin, vomiting (symptoms of a disorder in the endocrine system).

Women suffering from secondary dysmenorrhea often experience discomfort during sex. In this case, the examination cannot be postponed.

Pain that occurs during sex is a signal to contact a gynecologist!

The secondary type of dysmenorrhea is mainly associated with acquired diseases:

infectious diseases, inflammatory and adhesive processes;
malignant and benign formations of the uterus and appendages;
varicose veins of the pelvic organs;
endometriosis;
pelvic neuralgia.

Dysmenorrhea in women is also provoked by the following factors:

intrauterine interventions - abortion, contraceptive device;
childbirth and caesarean section with complications, operations of the appendages;
lack of routine, frequent stress, overwork.

About other causes of abdominal pain -.

Treatment of dysmenorrhea

Treatment of this disease begins with diagnosis: ultrasound of the genital organs, bladder, digestive organs, consultation with a gynecologist. In addition, with the primary type of the disease, consultation with a neurologist, psychotherapist and other specialists may be necessary.

You can get rid of secondary type dysmenorrhea by treating the underlying disease and following preventive measures.

Medicines

For the treatment of the primary type of dysmenorrhea, it is often prescribed hormonal contraceptives, which reduce the level of prostaglandins in the blood, which will significantly reduce the symptoms of dysmenorrhea.

Will help relieve pain during menstruation antispasmodics: drotaverine (no-shpa), papaverine, dicycloverine. These drugs will help relax the muscles of the uterus, and the spasms will subside.

The doctor may also prescribe analgesic-based drugs in combination with antispasmodics: baralgin, spazgan, tempalgin.

Indomethacin, butadione, brufen will help suppress the production of prostaglandins in the body, which promote contractile muscle movements of the uterus. Solpadeine, paracetamol, ibuprofen can also help relieve the painful condition.

If the pain is severe, analgin injections are prescribed. Painkiller injections act faster and more effectively than tablets.

Folk remedies

Herbal-based folk remedies are great for relieving pain and tension. But it should be borne in mind that it is not recommended to take some decoctions for diseases of the genitourinary system. Therefore, be sure to coordinate the use of such prescriptions with your doctor.

The most effective means are:

tea made from peppermint, raspberry leaves, chamomile, ginger;
collection of lemon balm and chamomile flowers (1:1) - pour a spoonful of the collection with a glass of boiling water, let it brew for half an hour, take before meals;
celery root tincture – 2 tbsp. Pour cold water over spoons, leave for 2 hours, take 1/3 cup;
soothing infusions of motherwort and valerian.

Alternative methods for relieving period pain

For those who do not like to resort to medications, alternative methods of relieving the condition are suitable:

Hot pads for the abdomen: dry compress, hot water bottle, heating pad, etc. Exposure to heat relieves uterine spasms.
Contrast baths - alternating hot and cool water in a sitz bath will improve blood circulation in the pelvis, eliminate congestion, thereby helping to restore the function of the uterus and appendages.
A warm bath with the addition of aromatic oils promotes general relaxation of the body, which is necessary to alleviate the general condition.
Swimming helps produce endorphins in the body, which are a natural pain reliever.

Massage

Lower back massage helps relieve spasms. Add to the massage rubbing essential oils of marjoram, St. John's wort, and sage. These herbs have an analgesic effect.

If you don't have anyone to ask for a massage, try this: take a few tennis balls and sit back on them. The balls should be located to the left and right of the spine, at the level of the outer ribs. Roll the balls with your muscles.

You can also do an abdominal massage yourself. Gently massage your lower abdomen in a clockwise direction. A few drops of millennial essential oil will enhance the effect of the massage. In a few minutes you will feel relief.

Video about how to relieve pain during menstruation, and how to avoid dysmenorrhea in the future:

Prevention of abdominal pain during menstruation

Compliance with the following rules will help relieve spasms and alleviate the general condition of dysmenorrhea:

Adjust your diet. Include in your diet foods containing protein and iron (liver, buckwheat, meat), potassium, calcium, magnesium (cottage cheese, milk, herbs, vegetables). Avoid caffeine, chocolate, and foods high in salt.
Exercise – Women who take time to exercise rarely suffer from severe pain during menstruation. Running, yoga, fitness - make your choice.
Observe basic hygiene rules.
It is necessary to accept natural monthly bleeding as a given. Very often, according to the observations of psychoneurologists, poor health is associated with a psychological factor - aversion to one’s own body, denial of what is happening.

When is it time to see a doctor?

You should seek help from a doctor if severe abdominal pain lasts more than two days, and you also have the following symptoms:

heavy bleeding (pads only last for an hour or two);
blood clots are present;
the menstrual cycle is disrupted;
weight loss;
pain arose while taking OK.

Intense menstrual pain due to the use of oral contraceptives is a reason to visit a gynecologist.

To help the doctor diagnose the cause of dysmenorrhea and choose the right treatment, a woman needs to keep a monthly calendar, monitor her health every month, and write down any abnormalities.

Based on the article, it is obvious that feeling unwell during menstruation is not the norm. Dysmenorrhea should not be ignored, as it may only be a symptom of a serious illness. To endure a debilitating condition every month is the risk of “running” the disease to a severe stage.

Next article.

Menstrual pain is probably familiar to each of us. Sometimes the symptoms go away quickly and almost unnoticed, but in other cases “these days” become real torture. Some women experience severe stomach pain during menstruation. What to do in this situation? To begin with, it is important to understand when such signs remain within normal limits, and when to sound the alarm.

Dysmenorrhea - pain during menstruation

Menstruation is the process by which the lining of the uterus sheds and comes out as discharge. Painful sensations at the beginning of menstruation are quite natural, because at this time the uterus is actively contracting, getting rid of its contents.

However, sometimes the pain becomes prolonged and acute, which interferes with the normal functioning of the fairer sex. This condition, when a woman has severe pain in the lower abdomen and pelvic area during menstruation, is called dysmenorrhea.

There are primary and secondary dysmenorrhea, which differ in the reasons for their occurrence and the nuances of their course. Thus, primary dysmenorrhea can be recognized by the following signs:

It affects teenagers and women up to 30 years of age on average;
usually pain begins to bother you 1-3 years after the first menstruation;
pain intensity decreases with age;
pain usually disappears after the birth of the child;
pain may appear 2-3 days before menstruation and persist for another 3 days;
pain affects the lower abdomen and back;
Dysmenorrhea is not associated with inflammatory processes or diseases.

Active uterine contractions that cause primary dysmenorrhea are often explained by high concentrations of the hormone prostaglandin. The problem can also be caused by copious or thick discharge. As a result, a spasm of the cervical canal occurs, connecting the uterus to the vagina.

As for secondary dysmenorrhea, it can be recognized by the following signs:

it appears more often in adults and mature women;
lasts longer than 3 days;
pain can be expressed either mildly or very strongly;
In addition to her stomach, the girl experiences pain in her legs and back.

This type of dysmenorrhea is often caused by diseases, including ovarian cysts, endometriosis, uterine fibroids and polyps, ectopic pregnancy and various inflammations.

Read also:

To understand why your stomach hurts during menstruation, it is important to determine what type of dysmenorrhea you are experiencing.

Mild and short-lived pain in primary dysmenorrhea, as a rule, does not require special attention. This symptom is not dangerous, but it is still advisable to relieve severe pain. Painful sensations can be relieved with simple medications and home remedies:

take an antispasmodic drug, for example, No-shpu, Spazmalgon or Ibuprofen. This will help reduce prostaglandin levels and relieve pain. However, doctors do not recommend resorting to this method too often, because this can affect reproductive abilities;
a warm heating pad will help the uterus relax, causing the pain to go away;
take a warm bath or shower - this is a great way to relax your muscles and relieve stress;
In case of severe pain, the correct position of the body will help. The fetal position - that is, lying on your side with your knees pressed to your chest - helps reduce pain;
drink herbal decoctions and infusions with analgesic effect. Mint, ginger, raspberries, oregano, and lemon balm have these properties;
take oral contraceptives: these drugs restore the balance of female hormones. Very often, a course of taking such medications helps women get rid of or reduce the intensity of pain during menstruation. But it must be remembered that contraceptives can only be prescribed by a qualified doctor;
do yoga, stretching, Pilates. Physical exercise helps relax muscles during menstruation;
give up spicy and fatty foods, strong coffee and tea for a while.

If you decide to use the heat method, remember that a hot water bottle or shower is contraindicated. It should be moderate heat, otherwise you risk increased bleeding. Also refrain from using ice: this method can cause inflammation of the uterus and ovaries.

What to do if a teenager has severe stomach pain during menstruation? Do not be alarmed if a young girl experiences pain during menstruation. It is teenagers, whose bodies are going through a stage of intense changes, who are most susceptible to dysmenorrhea. 30-50% of girls face a similar situation. For most of them, the pain disappears as the menstrual cycle normalizes. However, if the pain becomes barely bearable, then it is undoubtedly worth taking measures to eliminate it.

When to sound the alarm?

Secondary dysmenorrhea, which is caused by diseases of the genital organs, is the most dangerous. If the pain of menstruation repeats from time to time, this may be one of the symptoms of uterine fibroids, endometriosis and many other female diseases.

Do not hesitate to visit a gynecologist in the following cases:

if pain during menstruation is accompanied by fever;
there is a suspicion of pregnancy;
Previously, menstruation was painless;
pain lasts longer than a week;
pain begins long before menstruation;
discharge becomes too abundant;
a woman experiences nausea during her period.

During menstrual periods, women often experience a lot of unpleasant sensations: lower abdomen hurts, heaviness is felt, breast tenderness and irritability appear. Sometimes these symptoms are so severe that it becomes impossible to perform usual activities. The reason why the stomach hurts during menstruation is most often the contraction of the uterine muscles. Such clinical manifestations may indicate the development of gynecological diseases.

During menstruation, the muscle tissue of the uterus contracts, thereby removing blood from it. This is precisely the main reason why the stomach hurts during menstruation. All women have different sensitivity to pain receptors and therefore the sensations they experience can vary significantly.

In addition, the anatomical location of the uterus also affects the occurrence of abdominal pain during menstruation. When this organ deviates back, pressure is exerted on the nerve centers, resulting in a feeling of heaviness and aching.

The activity of the uterus largely depends on hormonal levels. When the concentration of estrogen increases, during menstruation the lower abdomen hurts, and the discharge itself becomes more abundant than usual. The menstrual phase is lengthening.

The appearance of pain is caused by an imbalance between prostaglandins and progesterone. Other sex hormones also affect the course of menstruation. The amount of prostaglandins increases significantly, so already in the first days of menstruation the lower abdomen feels tight. In addition, the woman experiences bloating, swelling, and may even experience vomiting, chills and nausea.

If the activity of the thyroid gland, which is responsible for the production of hormones, is disrupted, the lower abdomen and lower back may also hurt during menstruation. Against this background, weight loss and insomnia are often observed.

Most often, the stomach pulls and twists during menstruation in adolescents. Often such symptoms are a sign of infertility. In addition, these manifestations are typical when using intrauterine contraceptives.

According to doctors, over the past decade, the number of women suffering from such unpleasant symptoms on the first day of menstruation has doubled. This dynamic is associated with improper nutrition, intense rhythm of life and poor environmental situation.

It is becoming more and more difficult to meet representatives of the fairer sex who have painless menstruation every day.

Is it normal to have a stomach ache during menstruation?

Pain in the lower abdomen during menstruation is normally not too severe. A pulling sensation can appear both on the first day and on the third, at the end of menstruation. It is possible to eliminate unpleasant symptoms with the help of analgesics or antispasmodics.

By how many days the lower abdomen hurts during menstruation, it is possible to find out about the state of health. Normally, such clinical manifestations are not accompanied by heavy bleeding. A woman is able to lead a normal life.

A condition where the lower abdomen hurts before approaching menstruation is observed in almost all representatives of the fair sex. This symptom is considered the main harbinger of critical days.

Another feature that contributes to increased pain is that the belly swells during menstruation. The main condition for the normal course of menstruation is the absence of pronounced, severe discomfort.

What diseases cause pain during menstruation?

An explanation for why the stomach hurts severely during menstruation may be the development of pathology. Pain is often a symptom of a disease.

The most common reasons for increased discomfort during PMS:

Strongly . In this case, the intrauterine membrane grows far beyond the boundaries of this organ. In this regard, there is also an increase in the volume of discharge.
Ovarian cyst, uterine fibroid or tumor. With the development of these gynecological pathologies, sharp pain appears, the nature of the discharge changes: it becomes thicker and more abundant, and blood clots are often observed in it.
Hyperthyroidism. Menstruation in this disease becomes prolonged, severe pain appears due to intense production of prostaglandin.
Inflammatory disease. As this pathology develops, chills, nausea and vomiting appear. Hyperthermia is noted. Women have very bad stomach pain. With inflammation of the appendages, pain can only appear on the left or right.

The unpleasant symptoms of PMS can also intensify with diseases such as uterine fibroids and adenomyosis. Stress, hormonal imbalance, depression and ectopic pregnancy can cause such disorders.

Trying to relieve pain without medications

In situations where the stomach hurts due to menstruation, every woman faced with this problem wonders what to do. You don’t always want to use medications.

Pain can be reduced in the following ways:

Water treatments relieve tension and eliminate discomfort. It is recommended to take a warm shower, but only if there are no signs of inflammation.
Teas based on various plants have an analgesic effect. Warm drinks made from lemon balm, linden or chamomile will have a positive effect on your well-being.
Monthly pain can be eliminated with a heating pad.
A milk-honey mixture, which is drunk warm, allows you to quickly relieve spasms.

Painkillers

If your stomach hurts severely during menstruation, doctors will prescribe an appointment. Their action is based on relieving spasms of blood vessels and muscle fibers. Among the most popular means of this group are the following:

No-shpa. To relieve pain during menstruation, you need to take one tablet three times a day;
Drotaverine. It is an analogue of No-shpa;
Papaverine. Severe pain can be eliminated with the help of rectal suppositories.

If the pain syndrome is excessively severe, then combined action medications are used that have not only antispasmodic, but also anti-inflammatory and analgesic properties. Such medications include Pentalgin and Spazmalgon.

To relieve moderate pain, non-steroidal drugs that have an anti-inflammatory effect are used. The most commonly used pain reliever is Ibuprofen. A similar effect can be achieved using medications such as:

Next;
Nurofen Express.

Pain syndrome that manifests itself during menstrual periods is often a sign of a serious illness. In absolutely healthy women, such PMS symptoms are possible only to a mild degree. Unbearable sensations that disrupt the usual way of life are a reason for an urgent visit to the gynecologist. Trying to eliminate them yourself is not recommended.

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

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

Types of pain

Severe pain during menstruation can be:

Primary, not associated with pathologies and diseases. They appear in girls during puberty and continue until the menstrual cycle is completely normalized.
Secondary, acquired as a result of pathological changes in the genital organs and certain diseases. The pathology is observed more often in women after 30 years of age, accompanied by excessive sweating, headache, vegetative-vascular dysfunction, arrhythmia, and tachycardia. With age, they can become a constant phenomenon, but they are different.

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

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

On a note! To get rid of back and lower back pain, just take an antispasmodic, a comfortable position and apply heat (a heating pad). You can get rid of menstruation when your period arrives by taking a contrast shower and performing a relaxing massage with circular movements of your palms.

Causes of pain during menstruation

Most often, pain during menstruation is caused by increased production of the hormone progesterone. This is a harmless phenomenon when the glandular tissue additionally increases in volume. The main thing is to take timely measures to make you feel better.

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

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

Other causes of pain during menstruation in girls:

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

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

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

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

profuse menstruation;
decreased performance;
bloating;
hiccups;
dizziness;
numbness of hands;
fainting;
increased heart rate;
joint pain;
itching on the skin;
nausea, vomiting;
distortion of taste;
unmotivated weakness;
anorexia.

Women suffering from diabetes experience disorders of the endocrine system, and with the approach of menopause, a depressive state, an unstable psycho-emotional background, and pain in the uterus during sexual intercourse appear.

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

The causes of secondary algomenorrhea can be severely pathological. Can call:

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

Painful menstruation can result from:

medical abortion;
long-term use of intrauterine contraception;
failure to comply with personal hygiene rules;
introduction of infection;
complicated childbirth;
caesarean section;
thyroid dysfunction;
hormonal imbalance leading to cycle disruption;
decreased libido;
hereditary predisposition;
performing laparoscopy, abdominal surgery on the uterine appendages;
scarring of the cervix, formation of adhesions;
poor nutrition;
frequent stress;
mental fatigue.

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

When should you take the pills?

Carrying out drug treatment with the onset of painful periods is a last resort. You should not take pills thoughtlessly. This may cause addiction and additional side effects.

If pain during menstruation does not bother you much, then it is enough to take an antispasmodic, 1 tablet of No-shpa, Spazmalgon, Analgin to relieve spasms. It is better to avoid strong drugs (Ketanov, Aspirin). Dosages should not be neglected when taking painkillers. It is recommended to take 1 pill first and wait a little time. If relief does not follow, you can take 1 more tablet.

On a note! It is not enough to take medications for menstrual pain with 1-2 sips of water. To make you feel better and quickly dissolve the tablet form of the drug, you need to drink at least 1 glass of liquid.

If medications become unsuccessful in relieving pain during menstrual periods, then you can take a non-steroidal anti-inflammatory analgesic (Dicycloverine, Drotaverine, Spazmalgon). In severe cases, it is permissible to take Nimesulide or Ibuprofen. Hormonal contraceptives help quite well with manifestations of dysmenorrhea. However, treatment should be carried out under the supervision of specialists, since even minor interference with hormonal levels can result in serious disorders of the reproductive system.

IMPORTANT! If the pain during menstruation only intensifies, what should you do when it does not stop for 3-4 days in a row? It is better to consult a doctor immediately. You should also be wary of the passage of large blood clots with an unpleasant odor, increased discharge on the 2nd day of menstruation with the appearance of severe pain in the lower abdomen, increased temperature, burning, and itching when urinating.

Read also 🗓 Why does the uterus hurt during menstruation?

As an alternative, if there is no effect from taking painkillers, you can use:

low-dose hormonal medications that can reduce prostaglandin production;
plant phytoestrogens to normalize hormonal levels;
non-hormonal homeopathic medicines (Analgin), leading to the regulation of the menstrual cycle, minimizing painful symptoms, improving general well-being and the state of the nervous system;
testosterone (progesterone) derivatives to reduce uterine contractility and suppress prostaglandin production;
gestagens to influence the secretory function of the endometrium, eliminate the excitability of nerve fibers localized in the muscular layers of the uterus;
non-steroids used when women are unwilling to use oral contraceptives;
NSAIDs (Mig, Nimesil, Diclofenaec, Ketoprofen) as painkillers to normalize the menstrual cycle;
oral contraceptives to reduce blood loss with the onset of menstruation, suppress the ovulation process, contractile activity of the uterus and nervous overexcitation.

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

Exercises for painful periods

Physical exercise is recommended for women with painful periods to maintain the muscles of the uterus in tone. Of course, there is no need to exercise intensely. It is enough to choose an easy sport that is acceptable to you and pay attention to it for 15-20 minutes every day.

It is appropriate to simply walk more often at a brisk pace to normalize general well-being with the onset of menstruation; yoga, taking comfortable statistical positions with the body remaining at rest, without sudden movements, can be useful. This does not use the necessary muscles, but it increases endurance and level of physical fitness, tidies up the muscles of the abs, peritoneum, and pelvic floor.

It is useful to master breathing exercises that help relax the pelvic muscles, relieve spasms in the uterus, and relieve painful contractions. It is recommended to combine breathing exercises with regular physical exercises in order to direct actions to relax the muscles of the uterus and minimize menstrual pain.

Herbal medicine for painful periods

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

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

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

REFERENCE! Painful periods should not be confused with PMS, which may coincide with the onset of menorrhagia. Also, abnormal uterine bleeding can be caused by fibroids in the uterus.

Other ways to deal with pain

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

A regular menstrual cycle is not accompanied by severe pain. There is no need to endure abdominal pain and constantly take painkillers. Only treatment correctly selected by a doctor will help.

Could the absence of pain during menstruation be a warning sign?

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

First you need to figure out why pain appears during and before menstruation. The most common reasons are:

changes in hormonal levels;
premenstrual syndrome;
primary algodismenorrhea;
secondary algodismenorrhea.

These pathological conditions disrupt the correct course of the menstrual cycle. There are delays in menstruation, the woman is bothered by atypical discharge and pain in the abdomen.

Hormonal imbalance

Changes in hormonal levels always affect the menstrual cycle. This is manifested by various malfunctions, including abdominal pain. Improper functioning of the thyroid gland and pituitary gland plays a decisive role in this.

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

Premenstrual syndrome

If a woman has stomach pain before her period, a common cause is premenstrual syndrome. In this case, abdominal pain occurs, similar to menstrual pain. In addition, emotional lability, nausea, headaches, and blood pressure fluctuations are of concern.

Primary algodismenorrhea

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

There are essential, spasmogenic and psychogenic varieties of this pathology.

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

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

The spasmogenic type occurs due to spasm of the smooth muscles of the uterus. The disease manifests itself as pain in the lower abdomen, which... Additionally, nausea, dizziness, diarrhea, headache, and fluctuations in libido may cause concern. The woman is worried about weakness, insomnia, irritability, and decreased mood.

Secondary algomenorrhea

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

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

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

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

If your stomach doesn't hurt before your period

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

A proper monthly cycle should be regular and painless. Unfortunately, this norm has become rare. Therefore, if there are no other pathological manifestations, many women are simply accustomed to enduring the pain for several days or taking painkillers.

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

Often, pain during menstruation is significantly reduced by taking hormonal contraceptives. The improvement is explained by the fact that OCs stabilize hormonal levels, as a result of which menstrual pain goes away.

In a healthy woman, childbirth has a positive effect on hormonal levels and the menstrual cycle. If you used to have stomach pain during menstruation, then after the birth of the child this often goes away, or menstruation becomes less painful.

Doctor's examination and treatment

You don't have to put up with a painful period. It is better to get examined by a gynecologist. The doctor will conduct an examination and may additionally prescribe an ultrasound, blood tests, hormonal studies, and vaginal smears.

To treat secondary algodismenorrhea, it is necessary to find the underlying cause and eliminate it. Most often these are inflammatory diseases, so antihistamines, antibiotics, and vitamins are prescribed.

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

Conclusion

Painless menstruation is completely normal. There is no need to endure stomach pain during menstruation. Consultation with a gynecologist and properly selected treatment will help solve this problem.

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