What causes pain during menstruation. Causes of very painful periods and what to do if they occur. Cause of painful menstruation after childbirth

Pain during menstruation is a common occurrence that worries many women, and often indicates the presence of serious pathologies. This unpleasant symptom can appear at any age. Young girls often complain about the presence of significant discomfort during menstruation. What causes pain and how to deal with it?

Why can pain during menstruation be quite intense? Normally, a woman should feel slight discomfort only on the first day after the onset of menstruation. At this time, the internal mucous membrane of the uterus is rejected, which causes discomfort in women. From about 2-3 days, the endometrium begins the process of recovery, which is accompanied by a significant improvement in well-being. The menstrual cycle continues, which leads to the appearance of new periods. This is possible only in the absence of a developing pregnancy.

The presence of uncomfortable sensations on the first day after the onset of spotting is the norm. severe pain during menstruation are most often caused by the following reasons:

active uterine contractions during menstruation. This phenomenon leads to pain in the lower back and lower abdomen. Uterine contraction is possible due to the action of hormones such as prostaglandins. Due to this process, it becomes possible to separate the inner layer of the endometrium, which will cause menstrual bleeding. The level of pain depends on the amount of prostaglandins released before the onset of the next menstruation;
the presence of concomitant diseases related to the gynecological field. The abdomen hurts a lot during menstruation, when there are such pathological conditions as endometriosis, uterine fibrosis, various inflammatory processes pelvic organs. However, they can occur in acute or chronic form;

deficiency in the woman's body of macro and microelements, in particular, magnesium, calcium;
hereditary factors. Pain during menstruation is often passed from mother to daughter through certain genes;
impact on the woman's body of negative factors. These include, for example, stressful situations, malnutrition.

Very severe pain during menstruation may indicate the presence of such a disease as algomenorrhea.

It can be primary or secondary. The first form of the disease is not associated with pathologies of the internal gonads. Primary dysmenorrhea most often develops in adolescence after the onset of the first menstruation. At first, menstruation does not cause much discomfort, but over time, an increase in unpleasant symptoms is observed.

Cramping pains during menstruation in this case develop on the eve of menstruation. Sometimes they stop quickly, and sometimes they last for several days. In this case, the pain can be aching, have a twitching character, give into the rectum, bladder, ovaries. The causes of primary algomenorrhea are not fully understood. Recently, doctors are of the opinion that this condition causes a change normal level prostaglandins.

Also, a secondary form of algomenorrhea is isolated. It is accompanied by organic changes in the pelvic organs. This pathology most often occurs in adult women after 30 years. The appearance of pain during menstruation is observed 1-2 days before the next bleeding. The reasons for the development of this pathological condition is the presence of inflammatory processes of the pelvic organs, endometriosis, the use of an intrauterine device as a method of contraception.

In the presence of a primary or secondary form of algomenorrhea, other symptoms are also observed:

general weakness and weakness;
nausea, vomiting, stool disorder;
headache, which can be combined with dizziness;
complete lack of appetite;
dry mouth, which alternates with salivation;
bloating;
swelling of the lower extremities;
increase in body temperature to subfebrile indicators.

The development of algomenorrhea during menstruation is painful and unpleasant. This disease can occur in varying degrees, which is reflected in the level of discomfort.

Distinguish:

mild degree. It is characterized by moderate pain, which causes discomfort, but does not affect the activity and performance of a woman;
degree of moderate severity. The woman feels severe pain, which gives her considerable discomfort. This is accompanied by dizziness, general weakness. Without the use of certain methods of reducing pain, a woman's performance is significantly reduced;
the third degree of algomenorrhea. Accompanied by severe pain in the lower abdomen, in the lumbar region. A woman may lose consciousness, digestive disorders are observed. Conventional funds do not help to cope with the symptoms of algomenorrhea.

When should you see a doctor?

In case of severe pain during menstruation, the causes of which are unclear, you should immediately consult a doctor with the following symptoms:

pain arose in women who had not previously noticed such an unpleasant symptom after the onset of menstruation. You should also be examined for those whose level of discomfort has increased significantly;
the intensity of bleeding increased significantly. At this time, the woman also suffers from unbearable pains;
discomfort and cramps in the lower abdomen are accompanied by symptoms of inflammatory processes. These include an increase in body temperature, the appearance of pain in the joints or muscles, sweating and chills;

significant cramps during menstruation are accompanied by signs that indicate the presence of infectious diseases (unusual discharge before menstruation, pain when urinating, unpleasant smell from the vagina, itching);
in case of loss of consciousness or prolonged bleeding, it is worth calling an ambulance;
it is necessary to consult a doctor if pain before menstruation occurs in those women who suggest pregnancy;
medical attention is needed if there are unusual inclusions (grayish pieces) in menstrual blood.

How to relieve pain without medication?

The stomach during menstruation will not hurt so much if you follow simple recommendations:

light massage. Simple circular movements in the abdomen, carried out clockwise, will help reduce pain and relieve spasm. Each girl can do such a massage on her own without the involvement of outside help;
thermal impact. If a woman has no serious contraindications, in the presence of severe pain, it is recommended to lie down in a warm, but not hot bath or take a shower. The duration of the procedure should not exceed 15 minutes;

rest. A woman's well-being will improve significantly if she lies a little in the fetal position. To do this, you need to lie on your side and press your legs bent at the knees to your stomach;
diet compliance. Before the onset of the next menstruation, it is necessary to eat the lightest food, which contains a large number of water. These include fresh fruits and vegetables. Also, after the onset of menstruation, it is recommended to limit the consumption of meat, dairy products, bakery and confectionery products as much as possible. It is worth giving up coffee, strong tea, which produce a tonic effect;
You need to learn how to deal with stress. Self-control, avoidance of negative emotions helps to cope with pain during menstruation. The psycho-emotional state of a woman directly affects her well-being during critical days;

it is recommended to refuse to carry weights, which can provoke even more uterine spasm;
fight with bad habits. If a woman gives up smoking and drinking alcohol, this will not only have a positive effect on the work of many organs and systems, but will also help to cope with menstrual pain;
avoidance of hypothermia. At any time, a woman should dress warmly. Hypothermia can provoke inflammatory processes in the pelvis, which leads to pain during menstruation and not only;
Fresh air. With the onset of menstruation, it is recommended to take a little walk in the fresh air, which will positively affect the woman's well-being;
moderate physical activity. For a month, women are encouraged to play sports, visit the pool. With the onset of menstruation, you need to abandon such a load, but do light exercises.

Folk methods for pain relief

If the above methods did not give positive result, you can resort to traditional medicine:

elecampane root. It is necessary to make an infusion at the rate of 1 tsp. herbs in a glass of boiling water. Chilled medicine take 1 tbsp. l. three times a day;
celery root. The crushed raw materials (2 tablespoons) should be poured with a glass of ordinary water at room temperature. The liquid is infused for 2 hours, after which this volume must be drunk throughout the day;

raspberry leaves. 1.5 st. l. raw materials must be poured with a glass of boiling water and insisted for 15-20 minutes. The resulting liquid is taken during the day;
strawberry leaves (it is best to take forest). Used 1 tbsp. l. raw materials, which are poured into a glass of cold water. After the liquid has stood for 6-8 hours, it should be drunk during the day.

In any case, the appearance of pain during menstruation is an alarm signal. If the next menstruation leads to significant suffering, you should consult a doctor to rule out serious illness reproductive area.

Pain is considered to be a sign of a disorder of any of the functions of the body, a signal of malfunctions. But there is a natural process during which any discomfort is perceived almost as the norm. Severe pain during menstruation, especially on the first day, is experienced by most women of reproductive age. For some, the state of health is disturbed so much that it is impossible to do ordinary things and even just stand on your feet. Some perceive pain as doomed, trying to endure it, while others try to find a way to get rid of them. The question of why there is so much suffering in the initial days of menstruation rests on female physiology. This does not mean that you need to turn a blind eye to poor health, even if the gynecologist said that there are no pathologies.

Types of pain

For the first time, physical ailments may appear in girls already at menarche or within 1-3 years after the establishment of the ovulatory cycle. Discomfort covers in the first hours of menstruation or may begin 1-2 days before. The severity and strength of pain symptoms are different for everyone: from barely perceptible to unbearable. It is customary for medical specialists to unite similar symptoms with the concept of algomenorrhea - a disorder of the menstrual cycle. If painful sensations are associated with periodic delays in menstruation due to ovarian dysfunction, they speak of dysmenorrhea.

Menstrual pains can be primary: pursue from the onset of puberty. In such cases, the suffering of the first day is rather difficult to endure: accompanied by nausea, vomiting, diarrhea, fever.

The secondary appears after a period of relative well-being due to various kinds of diseases, surgical interventions, neurotic deviations, violations in the sexual sphere. In such cases, severe heaviness in the lower third of the abdomen, spasms can be observed.

Why pain is painfully tolerated on the first day depends on a number of interrelated factors, including fluctuations in hormonal balance, the work of the nervous, muscular and vascular systems, the psychological state of women.

Causes of pain

In primary algomenorrhea, conditionally natural and pathological causes of painful menstruation are isolated. At the beginning of the next cycle, the uterine cavity, lined with a dense mucous membrane, without receiving a fertilized egg, begins to contract, pushing out unnecessary epithelium. The process is regulated by sex hormones. During this period, the walls and neck of the organ are filled with blood and separated myometrium. Therefore, the first contractions are always transferred especially uncomfortable. Even with complete well-being, women feel squeezing and stiffness in the lower abdomen before menstruation, accompanied by physical fatigue. Severe pain can be caused by the following reasons:

an increased amount of prostaglandins - pain neurotransmitters in the myometrium;
violation of the synthesis of hormones: dopamine, serotonin, adrenaline;
lack of minerals and hypovitaminosis;
abnormal development connective tissue organism;
features of the location and shape of the uterus: deviations, kinks, bends, underdevelopment.

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The reason why the stomach hurts a lot before menstruation is a hidden neurological disorder, psychological trauma and other mental health conditions of a woman that affect the physical level.

Secondary algomenorrhea always suggests the presence of pathologies. Common causes of pain cycle disorder that occurs in women after a prosperous period:

improperly selected contraception, usually an IUD;
development systemic diseases: diabetes, coronary disease, thyroid pathologies;
transferred inflammation of the internal genital organs;
surgical abortions, therapeutic curettage;
growing tumors of the uterus, endometriosis;
nervous or physical exhaustion on the background or sports.

In women over 40 years old, who are perplexed, they have recently become, thus a beginning menopause may appear.

Pain on the first day

Since the body of each woman is individual, pain on the first day of the next menstruation begins and proceeds differently. characteristic clinical picture: gradual increase in discomfort 10-12 hours before the onset of discharge. The syndrome develops as a series of successive contractions, cutting into abdominal cavity. The pain can be felt as stabbing, singing, burning, jerking, radiating to the rectum, bladder, thighs, and mammary glands. The following symptoms are also noted:

The initial degree of algomenorrhea is tolerated as a slight discomfort: the pain is quite tolerable, does not require medical relief, and gradually disappears within 1-2 days. At the same time, women do not pay attention to trouble or simply rest more.
With an average degree, it is already impossible to get along with pain. Contractions or cramps in the abdomen begin even before menstruation, and in the first hours of the discharge become unbearable. Almost always, health disorders occur with vegetative and neurological symptoms: severe irritability, sweating, trembling in the limbs, numbness.
In severe cases, the first pain signs appear a few days before menstruation, at the beginning of the cycle, a woman is forced to lie in bed all day due to excruciating pain and complete inability to perform any actions. Frequent accompanying symptoms: severe tachycardia, heavy sweat,. Recovery may take several days after menstruation.

How to relieve pain

To endure even a “natural” deterioration in well-being is very harmful to the nervous system. This can lead to the development of depression, neuroses, and greatly complicates life. If the first day is not the result of a tumor or other organic lesion, you need to resort to medical methods of help. It is useful to start drinking painkillers not at the beginning of the cycle, but a day before the expected discharge. To relieve pain during menstruation, drugs based on paracetamol, ibuprofen, drotaverine help. More effective painkillers that combine several active substances. For example, Trigan-D containing an analgesic and antispasmodic. Usually the use of a suitable remedy helps to alleviate severe soreness.

If the pills do not help or the effect of them is insignificant and short-lived, you can try physiological methods. The day before the onset of menstruation and on the first day, it is recommended to drink more diuretic liquids: weakly brewed tea, decoctions of parsley, dill seeds, elecampane root, currant compote. This will contribute to better resorption and removal of puffiness. Additionally, it can be applied to the abdomen and lower back dry heat: a heating pad, a bottle of hot water. For some, severe spasms can be relieved by not warming up. abdominal wall, but cold. It is undesirable to use ice, it is enough to put a towel moistened with cold water on the lower abdomen.

For more tips on how to reduce period pain, ask your gynecologist.

Pain treatment

If the first painful day of the menstrual cycle is not associated with a health disorder, is not accompanied by delays, the discharge has a normal appearance - without massive blood clots and pus, the therapy does not involve any specific methods. Pain treatment in this case consists in the timely prevention of symptoms and their maximum relief:

It is recommended to choose a suitable painkiller. For each woman he is different: Ketanov, Ibuklin helps one, the other - No-Shpa, Trigan-D or Nise.
If health allows, on the first day of menstruation you need to walk more - movement contributes to a better discharge of edema, myometrium and mucus.
It is useful to perform special relaxing stretching exercises, yoga asanas.
A light massage of the abdominal wall helps, which can be performed independently: with palms for 1-2 minutes. perform stroking and rubbing the abdomen clockwise.

Abdominal pain during menstruation is a very common symptom faced by every second woman of reproductive age. Pain is most intense in the first days of menstruation and begins to subside from the third day. The nature of the pain, as a rule, is pulling, but sometimes the pain syndrome may look like a sharp or stabbing pain, localized in the lower abdomen. This phenomenon in medicine is called dysmenorrhea and is most often observed in nulliparous women, as well as in those who have problems with weight or suffer from bad habits.

Dysmenorrhea can be accompanied by a whole range of symptoms: headache, nausea, lack of appetite, weakness, fatigue. The most pronounced symptom of dysmenorrhea is pain in the lower abdomen. Some women have so much stomach pain that they cannot do household and professional activities. In such a situation, it is important to know what to do, and in what ways you can reduce the intensity. discomfort.

Drawing pain in the lower abdomen is caused by uterine contractions. The inside of the uterus is covered with mucous membranes containing a large amount of blood vessels and capillaries. This membrane is called the mucosal layer or endometrium. The endometrium during the period of ovulation produces hormones necessary for the attachment of a fertilized egg to the walls of the organ and the further development of the embryo. If fertilization does not occur, endometrial rejection occurs, accompanied by uterine bleeding. This period of the menstrual cycle is called menstruation ( medical name- regulations).

On the first day of menstruation, the uterus begins to contract intensively in order to cleanse itself of blood clots and blood that has accumulated in its cavity. Spasms uterine walls and are the cause of pulling, pain in the lower abdomen. They can have different intensity and resemble weak labor pains. About 35% of women experience very intense pain during their periods and lose their normal performance, so it is important for them to know how to deal with pain quickly and effectively.

Note! The intensity of pain at the beginning of menstruation depends on the woman's age, lifestyle, hereditary factor. Women whose mothers or grandmothers suffered from dysmenorrhea are more likely to experience a similar syndrome. The same clinical picture is observed in women with limited mobility or a sedentary lifestyle.

The incidence of dysmenorrhea in women aged 18 to 45 years

Do I need to take pills?

To get rid of the pain caused by uterine contractions, antispasmodics are allowed. This is a group of painkillers, the action of which is based on the weakening of spasms of smooth muscle fibers and blood vessels (with systemic use, the spasm stops completely). The most popular drug in this group is " No-shpa"(analogue -" Drotaverine"). To eliminate pain during menstruation, it can be taken in tablets (1 tablet 2-3 times a day) or put intramuscular injections. With severe pain, it is best to use the injectable form of the drug, and after stopping an acute attack, switch to oral administration.

Another well-known and affordable antispasmodic - " Papaverine". It is best used in rectal suppositories. The daily dosage is 1-2 suppositories, the course of application should not exceed 3-5 days. If after the end of menstruation the pain does not stop, you should consult a doctor. "Papaverine" helps to quickly alleviate the condition of a woman and restore efficiency, but it will not work to get rid of unpleasant sensations completely in one day.

If the stomach during menstruation hurts very much, you can use combined preparations with anti-inflammatory, antispasmodic, analgesic effect. These include compound preparations Spazmalgon" And " Pentalgin". For relief of moderate pain syndrome a single dose of non-steroidal anti-inflammatory drugs is allowed. It can be:

"Ibufen";
"Moment";
"Ibuprofen";
"Nurofen Express";
"Next".

Important! Accurate dosage any drug is indicated in the instructions. It is undesirable to use drugs with antispasmodic and analgesic effects for more than 3 days in a row without consulting a doctor. Some, such as ibuprofen-based products, can cause severe side effects when taken long-term, so they should only be used for acute pain relief.

Phytotherapy for painful periods

Some medicinal herbs and fees can help with painful menstruation, so before drinking pills, you can try to get rid of pain with folk remedies. Experts recognize ginger tea as the most effective for dysmenorrhea. Ginger root contains many glycosides, esters and phytoncides - natural substances with antibacterial and analgesic effects. It is best to use fresh ginger to prepare the drink, but if it is not available, dried spice is also suitable (1 tablespoon of fresh ginger \u003d 0.5 tablespoon of dried root).

To make tea, you need:

grate or chop with a knife a small piece of ginger root (2-3 cm);
pour a glass of boiling water;
add some cinnamon;
insist 7 minutes.

In the finished tea, you can add a few mint leaves, a slice of lemon and a little sugar. The therapeutic effect occurs 15-30 minutes after consumption.

Important! Ginger drink is contraindicated in women with diseases digestive system(especially in the acute stage) and blood pathologies. If menstruation is usually long and plentiful, it is also better to refuse this method.

Mint tea with lemon balm

A mixture of mint and lemon balm has a pronounced analgesic effect. To prepare tea that will help get rid of pain during menstruation, you must:

mix 2 g of peppermint and lemon balm (you can use fresh or dried herbs);
add 4-5 drops of lemongrass oil and 250 ml of boiling water;
insist 5-7 minutes.

If there is no lemongrass oil in the house, you can use the zest of citrus fruits: oranges, lemons, grapefruits (5 g per cup of drink). It is advisable to drink such tea every day until menstruation ends. For prevention, you can drink one cup after waking up and 1-2 hours before bedtime.

Chamomile tea with raspberries

It is very important for this method to use raspberries, not leaves. The fact is that raspberry leaves stimulate the contraction of muscle fibers and can lead to the opposite effect. Some pregnant women, wanting to hasten the approach of childbirth, drink a drink made from raspberry leaves to induce contractions.

To achieve relaxation of the muscles of the uterus, you need to prepare tea strictly according to the recipe below:

1 tablespoon of pharmaceutical chamomile flowers pour 300 ml of boiling water;
add 15 g of dried raspberries (berries);
insist 10 minutes;
add a pinch of cinnamon and a little natural honey.

Chamomile tea with raspberries also has a tonic and calming effect, therefore it is recommended for women with severe clinical manifestations PMS and impaired emotional stability during menstruation.

Video: How to relieve pain during menstruation: natural remedies

Thermal treatments

Warming procedures help to relieve muscle spasm, but they can only be done if there is complete confidence in the absence of an inflammatory or purulent process. You can't heat your stomach if your appendix is inflamed, so it's best to check with your doctor before using any of the methods below.

Warmer on the stomach

A heating pad on the stomach is the easiest way to warm up the muscles of the uterus

The easiest way to warm up the muscles of the uterus is to put a heating pad with hot water on the lower abdomen. Doctors advise replacing the heating pad with a warm diaper, which must be ironed on all sides several times. This method is considered more gentle and does not cause exacerbations if there are sluggish inflammatory processes in the pelvic organs.

Keep warm for no more than 15 minutes and no more than 2 times a day. If the pain does not go away after this, you should consult a doctor to rule out gynecological diseases.

Warm shower

Taking hot baths during menstruation is not recommended, but a warm short shower will perfectly relieve fatigue, ensure body hygiene and help eliminate pain. During the shower, you can lightly massage the stomach with a massage mitt or washcloth - this will relax the muscles and ease the spasm.

Warm massage

Massage of the abdomen can also reduce the severity of pain, especially if you supplement the procedure with warm oil. Can be used cosmetic oils industrial production with the addition of pepper, other warming additives or any essential oil heated in a water bath to a temperature of 36 °. Grapefruit, bergamot, saffron oil can be used as antispasmodics. In their absence, even baby massage oil or good quality vegetable oil will do.

Important! In no case should you heat the oil too much, as this can lead to skin burns.

Video - Painful menstruation

Video - Severe pain during menstruation: what to do?

The role of drinking regimen in the prevention of dysmenorrhea

Sometimes painful sensations at the beginning of menstruation can be caused by severe dehydration. With blood, a woman loses a lot of fluid, and if during this period she does not receive enough fluid, the body will experience a lack of moisture, which is expressed in pain in the lower abdomen. It can be distinguished from uterine cramps by the nature of the sensations: with dehydration, the pain syndrome is usually dull or moderately acute. The intensity is rarely very high, but some women with a low pain threshold have a hard time coping even with such sensations.

As a drink during menstruation, it is better to choose clean water, mineral water without gas, herbal teas and infusions, decoctions of berries, dried fruit compotes. Useful vegetable and fruit juices. But it is better to refuse alcohol, strong tea, cocoa and coffee for this period.

In order to have the least painful menstruation, women are advised to follow the tips below. They will help to improve the general condition and reduce the severity of discomfort.

Physical activity should be daily even during menstruation. From the daily complex, it is necessary to exclude jerks, lifting weights and tilts.
A week before the start of menstruation, you need to include more vegetable salads, leafy greens, fruit juices and fresh berries in the diet.
It is advisable to completely stop smoking and drinking alcohol, as they contribute to fluid loss.
When forced to take anticoagulants (drugs that reduce blood viscosity), it is recommended to consult a doctor and possibly adjust the dosage for the period of menstruation.

By following these simple tips, you can ease painful periods and improve the quality of life during this period. If, despite all efforts, the pain does not go away, it is allowed to use medicines or recipes traditional medicine. If the pain syndrome persists after the end of menstruation, you should contact your local gynecologist to find out possible causes. read on our website.

Menstruation (menstruation) in women is the result of interactions of reproductive hormones. During a certain period of the menstrual cycle, which lasts mainly 28 days, their level rises or falls. The body of many women does not have much change during this period, and they only have a problem with spotting for several days.

A third of the fair sex experience pain during menstruation. Menstrual pain is a concern for many teenage girls and women of reproductive age. It is necessary to correctly establish the causes of painful menstruation in time and take the necessary measures to treat such disorders. Only in this way will women be able to easily endure the natural process of their body - menstruation. This article will help you figure out why pain occurs during menstruation, the reasons for how to get rid of such a violation, but at the same time not harm your health.

How can pain occur during menstruation?

Menstruation for all women has a different character: some of them during this period feel only slight discomfort in the lower abdomen, others experience pain. If the pain is not too strong and does not last the entire menstrual period, this is normal. But about 10% of women expect the onset of menstruation with fear again and again to experience unbearable pain in the lower abdomen. Severe pain they sometimes do not stop even after taking strong painkillers and interfere with physical work, normal sleep.

Often menstrual pain has a cramping character, sometimes women have aching pain in the lumbar region, very rarely they give to the external genital organs, thighs, groin. All this makes a woman nervous, unbalanced, lethargic, she develops such an asthenic condition as weakness. During this period, there may be headaches and dizziness, abdominal colic and diarrhea.

Every woman probably knows that menstruation occurs when the egg is not fertilized and the endometrium dies. It is from the end of ovulation to the beginning of menstruation that a woman's hormonal levels change, which often causes pain in the lower abdomen. An excess of the hormone prostaglandin causes spasms of the muscles of the uterine wall, narrowing of the blood vessels. These symptoms are sometimes accompanied by the manifestation of migraine, nausea, general malaise of the woman.

One of the causes of pain in the lower abdomen during menstruation is algomenorrhea. If every month menstruation passes with the presence of painful sensations, it can be assumed that this is it. The disease is common, but it is quite difficult to cure it, it will take a long time. Algodysmenorrhea experts distinguish between primary and secondary.

The primary form of dysmenorrhea is due to a violation of the level of prostaglandin, which is a female sex hormone. With this form, painful periods occur in women with an unstable nervous system. Painful sensations also depend on the structural features of the internal genital organs of a woman. Causes such as the incorrect position of the uterus or its underdevelopment make it difficult for the outflow of menstrual blood, increase contractions of the uterine body, causing severe pain.

The secondary form of dysmenorrhea is due to the occurrence of pathologies of the pelvic organs. With algomenorrhea of this form, the lower abdomen hurts, which indicates the presence of inflammatory processes in the body, diseases of the genitourinary system, uterine myoma, and ovarian tumors. Such pains are often a consequence of operations, difficult childbirth, viral diseases. Each of these diseases manifests itself in its own way. For example, uterine fibroids are characterized by bleeding, swelling, anemia, and frequent urination.

Pain in the abdomen during menstruation indicates the following:

Violation of the menstrual cycle caused by a deficiency of such important trace elements as magnesium and calcium.
Genetic factors are another important reason why there are severe pain during menstruation. Gynecological diseases can be inherited from older relatives.
An important reason is unfavorable factors, such as stressful situations, dietary errors, physical inactivity, leading to circulatory disorders.
Incorrect fragmentation of the sloughed uterine mucosa.
High pain sensitivity.
Pathologies of the internal genital organs: uterine fibrosis, inflammatory processes. Pain can indicate both current diseases and those gynecological diseases that were in the past.

One of the causes of pain during menstruation is endometriosis. A symptom by which it is easy to determine endometriosis is the discharge of a dark brown color before the onset of menstruation and after they end.

The very first sign of the imminent appearance of menstruation is pain in the lower abdomen. Methods for getting rid of pain should be different for each woman. It seems that medicines can provide the fastest help. This is true, but it is not advisable to take them on your own, since without consulting a gynecologist or other doctors, great harm can be done to the entire body.

The motto of women of reproductive age is "for everything to be in order, take care of your appendages." What does it mean? The answer is simple and relevant at all times - the lower abdomen should always be kept warm, never sit in cold places. Warmth will also help relieve severe pain: a warm shower, a warm compress on the lower abdomen, a cup of hot tea will warm and relax.

Moderate physical activity will help to avoid painful conditions during menstruation - feasible sports, yoga, oriental dances. All this must be done on ordinary days, in the first days of the cycle, only simple morning exercises are allowed. At runtime gymnastic exercises the blood is enriched with the hormone endorphin, which gives the woman a state of mild euphoria, which helps to relax the muscles and reduce pain.

In order not to suffer severe pain during menstruation, you need to conduct healthy lifestyle life, especially on "red days". During menstruation, do not get involved in fatty foods, exclude alcoholic beverages, strong tea and coffee to a minimum, and give preference to fresh vegetables and fruits. Eat food little by little, but often, about five times a day. Walk in the fresh air, chat with friends, try to find time for relaxation.

The main thing is that with severe monthly pains, you should visit a competent doctor and make sure that there are no pathologies, only in this case you can use the above recommendations, what should be done. If none of the recommendations gave the desired results, then the medicines that the doctor should offer will help get rid of the excruciating pain. A course of treatment with B vitamins will save a woman from painful conditions during menstruation for a whole year. You can do 10 injections, or you can take the right number of capsules, both types of treatment will reduce severe pain.

Severe pain can be relieved with folk remedies that nature has given us. Shortly before the onset of menstruation, you should drink decoctions or tinctures of chamomile flowers, two-year-old aspen, dioica nettle, Polynesian pepper root. Aminocaproic acid is considered a 2 in 1 remedy: it simultaneously helps to get rid of pain and excessive bleeding.

Women have long faced the problem of pain during menstruation. If the pains in the lower abdomen are tolerable and apart from them there are no other ailments, you can do without medicines, you should not rush to drink an antispasmodic, but let the body itself cope with such a process. A little pain is perfectly acceptable.

But if the pain is so severe that it is impossible to endure, then a doctor's intervention will be needed to determine the cause in time. Slowness can be bad for a woman's health. Consultation with a gynecologist is required for the following symptoms:

Even after the end of menstruation, the stomach still hurts for a long time.
Excessive bleeding occurs for several months in a row.
On days when there is menstruation, a woman's temperature rises to high levels, there are rashes on her body, diarrhea.
The stool is black, tarry, with an admixture of blood, the stomach is swollen.
Painkillers do not provide relief.
Constantly menstruation proceeds normally, and suddenly - very painful.

You never have to suffer. If you have the above symptoms, or at least one or two of them, you should immediately visit the clinic.

Teenage girls should know that menstruation indicates the normal development of their body. Many girls are interested in what ways to take to get rid of pain during the menstrual period or reduce it. The reason for this is considered to be uterine contraction, which is quite natural. So why does it cause unbearable pain during contraction, what to do in this case?

The causes of the painful process of menstruation are not single, there are several. One of them is a developmental anomaly. Only a gynecologist can determine it. Talk about what it is infectious diseases also shouldn't. The only way to detect a disease is through testing. The following symptoms indicate the presence of an infection: the girl begins to quickly gain weight or lose weight, loses consciousness, menstruation is very meager or plentiful. But maybe it's not an infection. The young organism is only in the stage of development. For him, menstruation is a completely new thing that he has not learned to cope with.

One of the important causes of monthly pain in a teenager is the state of the nervous system. Nervous system girls are weak, on her big influence have hormones that are just starting to rebel. This leaves its mark on the pain, the young lady feels it much stronger compared to a 30 year old woman who has a stable nervous system.

This condition is familiar to many under the name "age". Severe pain, which often occurs during menstruation, but does not cause serious changes in the internal genital organs of girls, usually disappears without any intervention as the teenager gets older.

In women, even at this age, inflammation of the internal genital organs is no exception, which often causes painful menstruation. In this case, the first thing to do is to see a gynecologist. The specialist will make an examination, install true reason pain, advise what to do, prescribe the necessary treatment. If the treatment of inflammation is not taken seriously, the result of such an attitude can be infertility.

A girl should know that in her life she will have different cases when she will have to endure pain, including menstrual pain. So in all cases, you need to be optimistic to all those who are destined to be born a girl. It is mandatory to undergo preventive examinations at least twice a year, because diseases are often the cause of pain.

Other pains during critical days

Abdominal pain is not the only problem that occurs during menstruation. Many women experience menstrual discomfort when their breasts begin to ache and swell. Focus on the most common reasons causing pain in mammary glands:

The cause is often a hormonal failure, which happens after taking hormonal drugs, emergency contraception, as well as a consequence of problems with the endocrine system.
Chest pain is the first wake-up call. Such an ailment as mastalgia, if you do not pay attention to it in time, will turn into a more serious ailment - mastopathy. Its presence is indicated by a seal in the area of the mammary gland, discharge from the nipples. Signs of the disease are easy to identify on your own.
Often a lot of fluid accumulates in the chest, which indicates the presence of an inflammatory process.

Almost every woman tends to feel a little discomfort and pain in the mammary glands before the onset of menstruation. This is a completely normal process, the main thing is that the pain should not be severe. If only the pain cannot be tolerated and the woman does not know what to do to reduce the pain, medical intervention will be needed. Timely diagnosis will help to protect yourself from serious pathologies and maintain health.

To reduce or completely avoid pain in the chest, you need to take preventive measures before the onset of ovulation. Women successfully do this with the help of fat soluble vitamins A, E, D, which are constantly in their diet. You can reduce discomfort by eating nuts, fatty fish, vegetable oil.

If you massage the painful chest with light hand movements using essential oil tea rose, apricot kernels, you can reduce pain and gradually get rid of it. Massage helps to improve blood circulation, prevents stagnation of fluid and seals in the chest, which are the cause of pain during menstrual days.

The chest and abdomen usually stop hurting by the fifth day of menstruation. If this does not happen, then we can assume that there are violations in the body. If the pain persists for a long time, you should visit a gynecologist and a mammologist. They will fully conduct the necessary examination of the chest, genital organs and determine what to do next.

Summing up, the conclusion suggests itself: pain during menstruation is often not an independent phenomenon, but a symptom of serious pathological processes in organism. No one should ever forget that avoiding development dangerous diseases and their consequences can be prevented only with timely treatment medical institutions. Putting off taking care of your health “on the back burner” is in danger! Pain during menstruation is unbearable!

Most often, painful periods are primary dysmenorrhea, that is, discomfort does not arise due to illness, but by itself. If you are healthy, but you are in pain, then prostaglandins are to blame for the malaise - these are mediators that increase the sensitivity of pain receptors. They are produced in the lining of the uterus during menstruation. Because of them, the uterus contracts to quickly remove blood and endometrium.

When there are a lot of prostaglandins and the uterus contracts strongly, pain appears in the lower abdomen, which resembles convulsions.

Sometimes back pain is added to these sensations. Prostaglandins also affect the contraction of smooth muscles in organs gastrointestinal tract, so that these substances are responsible for nausea and diarrhea during menstruation.

What other causes cause pain?

If the pain starts suddenly, then you need to examine genitourinary system and organs that are located nearby. Perhaps the real cause of discomfort is diseases such as:

Endometriosis.
Inflammation Bladder(cystitis).
Myomas, fibromas and other tumors.
Inflammatory diseases in the pelvic organs.
Intestinal diseases.

With painful periods, any of these diseases can join the increased production of prostaglandins. Therefore, if the pain has become stronger than usual, it lasts longer three days, the cycle has been broken, unusual discharge has appeared, or consult a doctor with these symptoms.

What tests to take to understand that this is not a dangerous disease?

You need an examination by a gynecologist (at the same time, the doctor can take smears, including hidden ones), as well as an ultrasound examination of the pelvic organs.

This is enough to draw conclusions about health and treat either the disease or dysmenorrhea.

If, upon examination, the doctor does not find anything, and the pain during menstruation is severe, does not go away with bleeding, and the prescribed treatment does not help, then you will need diagnostic operation to find or rule out endometriosis.

Why does it hurt me, but my friend endures menstruation without problems?

You were unlucky. No one can say for sure why some women have heavier periods than others. This is a feature of the body that needs to be dealt with.

What pills can save yourself?

First aid - non-steroidal anti-inflammatory drugs, NSAIDs. These are fairly safe painkillers, sold without a prescription and in a variety of combinations.

Anti-inflammatory drugs do more than just numb the pain. They reduce the production of prostaglandins, the very ones that are to blame for everything.

It makes no sense to immediately rush for funds with a complex composition. Ordinary ibuprofen may help. There are more strong drugs- indomethacin, ketoprofen. All drugs have contraindications. Women who have stomach problems should be especially careful. To take NSAIDs in these cases, you need to consult a doctor who will select the drug.

But antispasmodics help with dysmenorrhea worse (if they help at all), because they do not affect the cause of the pain.

Will birth control pills help?

Hormonal orals create an artificial menstrual cycle with your hormones. At the same time, the endometrium becomes thinner so that a fertilized egg cannot attach to it. And since this layer is thinner, then there are fewer prostaglandins in it. Therefore, often birth control pills prescribed for painful periods Painful menstrual periods.

If the doctor advises pills, try to choose modern drugs with minimal side effects and check if you have any contraindications.

Therapy is not limited to pills: hormonal coils or perform the same tasks.

Than to be treated, except for tablets?

There are methods that help to make it easier to endure pain during menstruation. Unfortunately, it is impossible to say for sure that they will help: everyone has their own reactions. Try everything in turn, focus on your own state and listen to the sensations.

Warm. The best option is to get under the covers and sit with a mug of hot tea, you can even apply a heating pad to the lower abdomen, but this is not always possible. If you need to get out of the house and do business, dress warmly. Choose clothes that do not create discomfort in the abdomen: tight jeans and belts that cut into the body will wait a few days. The warm shower also works.
Sport. You need to go in for sports for prevention, and when it becomes difficult, do light exercises for muscles and stretching.
Acupuncture. There is no evidence that such alternative medicine works. But at least the procedures distract from the pain.
Relaxing massage. It distracts from unpleasant sensations and is generally useful for the body and mind, which also needs to rest sometimes. Massage the abdomen, stroking it clockwise in the area where the pain is felt.
Comfortable posture. If it is possible to lie down, then try to raise your legs higher or lie on your side with your knees bent.
To give up smoking. Quit for good, not just for the days when you feel pain.
Vitamins and trace elements. Also not an absolutely reliable method, but it is possible that supplements with vitamins B6, B1, E, magnesium and calcium will help you Menstrual cramps: Lifestyle and home remedies.

Is it possible to get rid of pain once and for all?

Not as long as you have your period. Although there are surgical operationsPatient education: Painful menstrual periods (dysmenorrhea) which destroy the nerves in the uterus. The effectiveness of such treatment is low, but there are risks.

Will the pain decrease after childbirth?

There is no guarantee that the pain will go away after childbirth, despite the fact that many doctors for some reason advise childbirth as a remedy for many gynecological problems.

Some women notice that the pain decreases with age and after childbirth, but not everyone can count on it. Perhaps the pain will remain with you until the menopause.