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Pain during menstruation

Normal monthly come regularly and last 3-5 days. These days, a woman quickly gets tired, feels unwell. However, it does not cause too much discomfort, it does not interfere with the usual way of life. However, some feel severe pain in the abdomen. Sometimes she is so painful that a woman is forced to give up everything, stay at home, take pain pills. Such pain during menstruation is a sign of pathology. The cause may be diseases and hormonal disorders. It is impossible to tolerate and hope that the indisposition will pass by itself. We must go to the doctor.


  • When menstruation pains are considered pathology
  • Types of dysmenorrhea
  • Degrees of dysmenorrhea
  • Causes of painful menstruation
  • How to reduce pain during menstruation
  • When to see a doctor
  • Drugs prescribed for dysmenorrhea
  • Dysmenorrhea Prevention

When menstruation pains are considered pathology

The mucous membrane of the uterus (endometrium) is regularly updated, with the result that appear monthly. Removal of dead epithelium from the uterus is done by contraction of its muscles. When this occurs, the compression of the nerve endings and the compression of blood vessels, which causes the appearance of painful sensations in the lower abdomen. Pains are given to the sacrum and lower back. Usually they appear on the eve of menstruation and in the first 2 days after their arrival.

Painful menstruation (dysmenorrhea) is a pathology. In addition to pain in the lower abdomen and back, accompanying ailments of varying severity appear. If a woman’s cycle is regular, the nature of her periods corresponds to the norm, then the unpleasant symptoms quickly disappear, without causing her particular torment. Severe cases require serious treatment.

Types of dysmenorrhea

There are two types of dysmenorrhea:

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

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

Degrees of dysmenorrhea

There are 4 degrees of dysmenorrhea, characterized by the intensity of pain.

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

1 degree. Pain moderate, quite tolerable. Natural accompanying symptoms are mild depression, headache, indigestion. Malaise can be completely eliminated by taking an anesthetic drug.

2 degree. Pain during menstruation is severe, accompanied by symptoms such as nausea, dizziness, chills, general weakness, migraine, irritability. Duration of ailments increases. Painkillers and sedatives help to improve well-being.

3 degree. Severe pain in the abdomen appears in a woman 2-3 days before the onset of menstruation, continues until it ends. At the same time, the temperature rises, a headache (to vomiting) is very painful, tachycardia and pain in the heart occur. Fainting may occur. The woman is completely inoperable. Improve the condition of conventional means can not.

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

Causes of painful menstruation

Functional pain during menstruation may occur as a result of the pathological location of the uterus, the formation of adhesions and scars after an abortion, increased sensitivity of a woman's body to changes occurring in it, emotional excitability. Heredity plays an important role. The occurrence of pain can trigger vitamin deficiency and a lack of magnesium and calcium in the body. A sedentary lifestyle also causes progressive dysmenorrhea. Contributes to the occurrence of pain during menstruation and such factors as hormonal disorders in the body. Excess hormone prostaglandin causes increased contractions of the uterus, narrowing of blood vessels.

The emergence of primary dysmenorrhea contributes to the use of the intrauterine device. Secondary dysmenorrhea can occur as a result of pathologies such as endometriosis, uterine fibroids, ectopic pregnancy, pelvic inflammatory diseases. Severe pain during menstruation due to the formation of polyps and cysts in the uterus.

How to reduce pain during menstruation

If the pain is moderate, the cycle is regular, the monthly periods are normal in volume and duration, then with the help of some techniques painful sensations can be eased.

Recommendation: For severe pains, it is recommended to visit a doctor and make sure that there are no asymptomatic diseases. In some cases, chronic inflammatory diseases and even tumors may not manifest themselves. Pain symptom can be the only signal of trouble.

If, after a gynecological examination, no disease is detected in a woman, then at home, the condition can be alleviated in the following ways:

  1. Massage the abdominal muscles in the direction of clockwise movement, which will help relieve tension in them and ease spasms. It is also good to do a lumbar massage.
  2. Take a warm shower to help relax muscles and dilate blood vessels.
  3. Lie on your side with your legs tucked up to your belly (fetal position).
  4. Take no-shpu to eliminate spasm in the uterus, ketonal or ibuprofen (have a strong analgesic effect), valerian (as a sedative).
  5. Do light exercise (bending, body rotation). Good help from pain during menstruation yoga.
  6. Apply during menstruation compresses with sea salt on the lower abdomen. Before menstruation and after them it is useful to take relaxing short (15-20 minutes) baths with the addition of such salt.
  7. Drink soothing tea from chamomile and mint (add 1-2 tsp. Honey to 1 cup of tea). It is useful to take an infusion of parsley, strawberry.
  8. If there is no allergy, you can rub essential oil into the skin of the sacrum and lower abdomen. The procedure is carried out 2 times a day 2 days before menstruation and in the first 2-3 days after they start. It helps to relieve severe pain with a monthly mixture containing 50 ml of Hypericum oil, 5 drops of yarrow and sage oil.
  9. With pain and heavy bleeding on the lower abdomen, ice should be applied for 15 minutes (on top of clothes, put it in a bag).

It is recommended to go swimming. During swimming, the muscles relax, relieve nervous tension. Endorphins (the so-called hormones of joy, substances with anesthetic action) are intensively produced in the body.

When to see a doctor

The obvious signs of serious pathologies are most often severe pains lasting for a long time (more than 2 days). Moreover, the painful sensations are so strong that the woman is forced to postpone all her business and stay at home. Abdominal pains are accompanied by diarrhea, nausea and vomiting. Dizziness, headache, stitching pains in the abdomen can be signs of excessive blood loss and anemia.

Severe cramping abdominal pain occurs during ectopic pregnancy. In this case, a woman requires urgent surgery.

When painkillers and no-shpa do not help, the pain and the amount of discharge intensify, consultation with a doctor is simply necessary. If, however, severe pains appeared during menstruation suddenly against the background of a disturbed cycle, a decrease in body weight, this could be a sign of a tumor. Examined by a gynecologist is an urgent need.

Drugs prescribed for dysmenorrhea

In addition to antispasmodic drugs, non-steroidal anti-inflammatory drugs are prescribed by the doctor to eliminate the pathological pain during menstruation. They are able to suppress the production of prostaglandins, thereby reducing the contractility of the uterus.

For the treatment of dysmenorrhea, oral contraceptives are widely used - low-dose hormonal drugs that prevent the formation of an excess of prostaglandins. Herbal preparations based on phytoestrogens, which contribute to the improvement of hormonal background, as well as homeopathic remedies of non-hormonal action (menalgin) are also used. Gradually accumulating in the body, they help regulate the menstrual cycle, reduce pain, and improve the condition of the nervous system.

Complex preparations containing vitamins, calcium, iron, magnesium, as well as plant extracts (for example, time factor) are prescribed. It is recommended to start taking the medication in advance, before the beginning of the month. Then, at the time of their onset, the required dose is accumulated in the body, the drug acts more efficiently.

Physical therapy methods - UHF and electrophoresis help to reduce pain during menstruation. In this case, the procedure is carried out in advance. Before the onset of menstruation, special solutions (novocaine, sodium bromide) are applied on the abdomen and ultrasonic or electrical impulses are applied. Warming up and anesthesia occurs.

Dysmenorrhea Prevention

In order for menstruation to be less painful, it is recommended to stop taking alcohol on critical days, to avoid stress, not to catch cold, move more, do yoga. It is necessary to limit the use of sugar these days, products that cause intestinal swelling. It is useful to eat chocolate that stimulates the production of endorphins, as well as products containing calcium and magnesium.

Causes of pain

Pain before menstruation and during them appear in all women, but the pain can be of different intensity, as well as the reaction to them - also different. Someone does not pay attention to menstrual discomfort, someone - literally “climbs the wall” and drops out of active life for at least 3 days.

So what are the causes of pain during menstruation? If we explain the pain syndrome that does not go beyond the physiological process, then it is caused by an increase in the level of prostaglandins, which cause contractions of the uterus. They can be quite painful.

Another pain in the lower back before menstruation and in the lower abdomen is caused by the rejection of the endometrium and the effect on the nerves of the same prostaglandins. The uterus has nerve endings, and the combination of the processes described above provokes the appearance of pain. Usually it is most pronounced in the first 2-3 days of menstruation, when the blood is more abundant, and with it the enlarged endometrium - it should have been the basis for fixing the fertilized egg.

But severe pain in the lower abdomen during menstruation may also appear as a result of pathological causes:

  • congenital or acquired abnormalities of the genital organs,
  • kinks of the uterus, two-horned uterus, cervical atresia and other pathological conditions that are accompanied by violation of the flow of menstrual blood,
  • chronic inflammatory processes in the pelvic organs,
  • adenomyosis (endometrial germination in the uterus muscle), endometriosis (proliferation of the endometrium outside the uterine walls) are the main causes of algomenorrhea.
  • polycystic ovaries,
  • pelvic neuritis,
  • installation of intrauterine device,
  • cicatricial contractions of the uterus, abortions, miscarriages, poor-quality operations on the pelvic organs.

Despite the wide possibilities of modern medicine, it is very difficult to know exactly why abdominal pain occurs during menstruation. The psychological state of a woman and the degree of excitability of the central nervous system are often associated with this problem.

Often, experts do not reveal any organic pathologies, hormonal disorders, but pain in the lower abdomen during menstruation does not disappear anywhere and torment a woman severely. In this case, it is necessary to conduct a comprehensive diagnosis and pay attention to the mental state.

Often, women at the reception ask the doctor: what to do and how to relieve pain during menstruation? After all, analgesics do not want to take a long time, and sometimes menstruation lasts more than 5 days. A good specialist first of all studies the features of the cycle, finds out if there is a history of diseases that predispose to algodimenorrhea, and, of course, it is necessary to schedule an examination.

What should be tested for severe pain

Pain during menstruation is a reason to undergo a comprehensive examination. It may include the following procedures:

  • Ultrasound of the pelvic organs,
  • hysteroscopy, laparoscopy,
  • laboratory diagnosis of blood and urine,
  • X-ray examination - hysterosalpingography,
  • CT scan, MRI of the pelvic organs,
  • diagnostic curettage of the endometrium.

If you have pain during menstruation, you need to contact a gynecologist. The doctor will definitely conduct a gynecological examination, take a smear from the cervical canal, urethra and vagina, and then refer the woman for additional tests, including blood donation for hormones and urinary infections.

Additional symptoms

The onset of menstruation coincides with certain hormonal changes in a woman’s body. Due to the increase in the number of prostaglandins, there are not only muscle contractions of the uterus, but also other symptoms:

  • dizziness,
  • nausea,
  • heart palpitations
  • chills,
  • headaches,
  • increased sweating.

Women with algomenorrhea often suffer from premenstrual syndrome. It is associated with severe headache with menstruation and shortly before their appearance. Also characterized by a change in the psyche: there is irritability, apathy, frequent mood swings and even aggressiveness. If we analyze all cases of conflict situations that arise in the life of women, then at least half of them will fall on the premenstrual period and the first days of menstruation. This makes one seriously think about the importance of timely correction and providing truly effective help to those who suffer from physiological processes in their bodies and hormonal jumps.

In this video, experts talk about the most common cause of pain during menstruation (endometriosis) and solutions to the problem.

How to reduce pain and improve well-being

Women do not always understand that algodysmenorrhea can be associated with serious diseases. Their main question to the doctor: how to reduce pain during menstruation and improve their health? Symptomatic treatment involves the use of analgesics and nonsteroidal anti-inflammatory drugs that suppress the production of prostaglandins synthetase, which provokes pain, even in patients without organic pathologies.

But it is recommended to start taking pain pills for menstruation not on the first day of the cycle, but several days before the bleeding. So it is possible to almost completely minimize the discomfort that occurs during menstruation.

Pain pills for menstruation

In case of algomenorrhea, combination drugs are actively used, which include antispasmodics and analgesics. Non-steroidal anti-inflammatory drugs quickly relieve discomfort, but they are contraindicated for people with diseases of the digestive system, especially when they are prone to ulceration and aggravation of gastritis. Therefore, with monthly pain, like other NSAIDs, take ibuprofen with caution. It is better to first ensure that there is no inflammatory process in the mucous membrane of the digestive tract. Additionally, sedatives or medicinal preparations with a slight sedative effect are usually recommended.

The classic version of anesthesia is Drotaverinum (no-spa). With monthly pain of low intensity, this antispasmodic gives good results. But if you have severe pain during menstruation on the first day, in addition to painkillers it is recommended to use modern physiotherapy treatment.


Physiotherapy of algomenorrhea includes the use of the following procedures:

  • phonophoresis,
  • electrophoresis using novocaine, magnesium sulfate,
  • application of diadynamic currents and ultrasound,
  • reflexology,
  • massage of the neck and collar zone, general massage,
  • physiotherapy.

If specialists can not determine the exact causes of pain during menstruation, do not detect any chronic diseases, do not limit yourself to antispasmodics and analgesics, and do not try to put up with pain syndrome that cannot be physiological if it brings you such suffering. Revise your own lifestyle, start to play sports.

Many women helps relieve pain during menstruation yoga. And be sure to use high-quality and safe painkillers. They will help to transfer painful menstruation, without reducing the quality of life.

Hormonal contraceptives. A controversial issue or a solution?

I really like the approach to the natural manifestations of my body of European women. They have long ago "erased" menstruation from life with the help of hormones - harmless and recognized in the scientific world.They use COCs (combined oral contraceptives) and control menstrual bleeding themselves.

During hormonal contraception, menstruation is a forced occurrence. They are provoked by "empty" pills that do not contain a hormone. Against the background of cancellation, just menstrual-like bleeding occurs. It does not play any role for the female body. When you take oral contraceptives, the body "thinks" that pregnancy develops, the eggs do not mature, the ovaries rest. And the omissions of the pills at the end of the cycle were invented specially so that the woman would be calm: there are periods, which means that everything is in order.

European women drink hormonal contraceptives without a break for 4-6 months, then start a new pack with a break and they have so-called menstrual periods. Menstruation occurs only 2-3 times a year. Agree, comfortable? And for health it is safe. KOKI make the endometrium thin (prevention of hyperplasia and cancer, by the way), there is simply nothing to reject every month.

Personal experience

Forgive me some colleagues who work “in the old-fashioned way”, but personally, even without a break in the tablets, I do not suffer from pain during menstruation, because there is no menstruation. As I have already said, the endometrium on modern COCs becomes thin and is not rejected. For other women, their periods become “daubs”, and the pains really disappear. But this simple solution is suitable for physiologically painful periods.

If we are talking about algomenorrhea associated with women's diseases, treatment should be, and always complex. By the way, hormonal contraceptives are prescribed for some diseases. For example, with endometriosis.

For many years I have been drinking the drug “Zoeli” - a modern KOC, and I am very pleased with it. For women over 30 years old who no longer want to get pregnant - ideal. The prospect of suffering even with moderate abdominal pains and monthly bleeding, I think, does not entice anyone. And do not believe in horror stories about weight gain: nothing is simply not there, if you choose the latest generation of drugs with a minimum amount of hormones.

Men will never understand how much discomfort painful periods can bring. We, women, have to continue to work, take care of children, home. But in our country, so far, neither many doctors nor the patients themselves understand that there is no need to endure pain. And the phrase "Be patient, you're a woman" sounds blasphemous when you consider that for 30-35 years of an active hormonal period, it takes at least 9-10 years to live with menstruations (painful for at least 60-70% of women)!

Some women over the years can not solve the problem of pain during menstruation. Combined oral contraceptives - one of the solutions. For those women who do not have diseases, but do not tolerate menstruation or simply want to feel freer. COCIs do not accelerate the aging of the body and do not cease to make you a woman, but rather, quite the contrary. But if you want, you can read about them in free access on the Internet and on specialized medical sites.

Dear women, sick periods - this is a problem that needs to be addressed. And the decision is made by you. Check the information on which your women's health depends. Sometimes even experienced doctors are wrong and do not see the obvious solution to the problem. And be careful with the popular methods of treatment of pain during menstruation: some herbs can disrupt hormonal balance and even lead to the growth of cysts and tumors.

Highest category doctor
Evgenia Nabrodova

And for the soul, we will listen today GIOVANNI MARRADI - And I Love You So I have already introduced you to this beautiful Italian musician. Who wants to listen to something for the soul of the music of Giovanni Marradi, I invite you.

Types of pain

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

Menstrual pain may be primary: to pursue from the beginning of puberty. In such cases, the suffering of the first day is rather difficult: accompanied by nausea, vomiting, diarrhea, fever.

Secondary algomenorrhea appears after a period of relative well-being due to various kinds of diseases, surgical interventions, neurotic disorders, disorders in the sexual sphere. In such cases, severe heaviness may occur in the lower third of the abdomen, spasms.

Why pains are painfully transferred 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 a woman.

Pain on the first day

Since the body of each woman is different, the pains on the first day of the next menstruation begin and flow in different ways. Characteristic clinical picture: a gradual increase in discomfort for 10-12 hours before the appearance of discharge. The syndrome develops as a series of consecutive contractions, cutting in the abdominal cavity. The pain can be felt as stabbing, singing, burning, jerking, radiating to the rectum, bladder, lower back, thighs, and chest glands. The following symptoms are also noted:

  • The initial degree of algodismenorrhea is tolerated as a slight discomfort: the pain is quite tolerable, does not require medical relief, and gradually disappears within 1–2 days. Women while not paying attention to the trouble or just more rest.
  • With a moderate degree of getting along with the pain is no longer possible. Contractions or cramps in the stomach begin before menstruation, and in the first hours of discharge become intolerable. Almost always, impairment of well-being occurs with autonomic and neurological symptoms: severe irritability, headaches, sweating, trembling in the limbs, numbness.
  • In severe cases, the first painful symptoms appear several 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 associated symptoms: severe tachycardia, heavy sweating, high fever. Recovery of health can take several days after menstruation.

How to relieve pain

To tolerate even a “natural” deterioration of well-being is very harmful for the nervous system. This can lead to the development of depression, neurosis, significantly complicates life. If the severe pain of 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 good to start drinking painkillers not at the beginning of the cycle, but a day before the expected discharge. Preparations based on paracetamol, ibuprofen, drotaverine help relieve pain during menstruation. More effective painkillers, combining several active substances. For example, Trigan-D, containing analgesic and antispasmodic. Usually, the use of a suitable remedy helps to alleviate severe pain.

If the tablets do not help or the effect of them is insignificant and short, you can try physiological methods. The day before the start of menstruation and on the first day, it is recommended to drink more diuretic liquids: weakly brewed tea, decoctions of parsley, fennel seeds, deviace root, currant compote. This will contribute to better resorption and removal of edema. Additionally, you can apply dry heat to the stomach and lower back: a heating pad, a bottle of hot water. It is not the warming up of the abdominal wall, but the cold that helps relieve severe cramps. It is undesirable to use ice, it is enough to put a towel moistened with cold water on the lower part of the abdomen.

Additional tips on how to reduce pain during menstruation can be obtained from your gynecologist.

Pain treatment

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

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

In some situations, in addition to symptomatic measures, the following are required: taking medicinal complexes with calcium, magnesium, and vitamins to compensate for their deficiency in the body. It is useful to correct the food: in case of dysmenorrhea, dairy products should be present in the menu: cottage cheese, kefir. It is useful to eat fatty fish, sea kale, beets, pumpkin, green vegetables, berries. The amount of salt, sugar, various hot spices should be limited. It is advisable to completely abandon strong coffee, energy drinks and alcoholic beverages, stop smoking.

If the cause of severe pain in dysmenorrhea is the wrong location of the uterus, a violation of its structure, the presence of a bend, doctors call among others the most effective way to eliminate discomfort: taking oral hormonal contraceptives. The gynecologist-endocrinologist selects them, taking into account the individual balance, health and habits of the patient. In addition to correcting dysmenorrhea, such agents stimulate the normal synthesis of their own hormones and eliminate hormone-dependent problems, including reducing the risk of developing cysts, fibroids and other types of tumors. In the case of structural abnormalities or irregular uterus, pregnancy and childbirth can contribute to a reduction in pain. At this time, the body, stretching and returning to its original size, changes, many defects disappear on their own.

If the pain at the beginning of menstruation appeared for the first time recently, is accompanied by copious secretions, high temperature, vomiting, and before that the state of health was normal, it is impossible to drown out the signs with analgesics. An urgent medical examination is required. The causes of this condition can be an ectopic pregnancy, ovarian rupture, fibroids and other life-threatening conditions. In such situations, urgent surgery is required.


It is necessary to constantly monitor the state of health during the entire monthly cycle and, especially, during your period. Hormonal imbalances and other health problems can occur at any age and dysmenorrhea is an eloquent symptom of so many dangerous pathologies. Regular medical examinations and visits to the gynecologist make it possible to identify and treat various diseases at the early stages, as well as to be aware of new effective methods for the correction of well-being during painful periods.

What is the menstrual period

Menstruation, or menstruation - is the process of rejection of a certain part of the endometrium, during which bleeding occurs. The first day of menstruation is considered the beginning of the menstrual cycle. During this period, a woman cannot become pregnant.

During monthly bleeding, there is an intense contraction of the uterine muscles. Vascular spasm occurs, which prevents proper nutrition of tissues, and therefore there is severe pain during menstruation. The reasons are rooted in elevated levels of prostaglandins in the blood. That is, during the entire month, the uterus prepares for fertilization of the egg, and its internal cavity is covered with small blood vessels, which should feed the embryo in the case of conception. If pregnancy does not occur, then these tissues become the body is not needed. He seeks to get rid of them through blood circulation.

The situation is reminiscent of "mini-childbirth", where the uterus contracts and tries to push out unwanted tissues, revealing the neck. Mild pain here is quite acceptable, but strong talk about health problems. Tolerate them is not necessary and everything must be done to get rid of the monthly pain.

Severe pain during menstruation: causes

As a rule, behind a similar uncomfortable state lies a number of very different factors, these are:

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

May cause stress and prolonged nervous tension, severe pain during menstruation. Reasons to help install a specialist. So, the gynecologist should be consulted for prolonged menstruation, which lasts more than seven days and is accompanied by very severe pain. You should go to the doctor for heavy periods with a rise in body temperature of up to 38 ° C. Symptoms occurring for the first time in a woman are of particular concern.

A variation of dysmenorrhea

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

Secondary dysmenorrhea occurs if there is inflammation of the uterus or appendages. In addition, pain in the lower abdomen may indicate an inflammatory process in the abdominal cavity, pregnancy. These may be the consequences of surgery, trauma, or a viral illness. Such ailments provoke some ways of protection from unwanted pregnancy. For example, a spiral.

Types of ailments

Severe pain during menstruation, the causes of which are often talked about health problems, can be different, it is:

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

It is proved that the majority of women will experience some discomfort during menstruation (especially on the first day) between the ages of 13 and 45 years.

About pain syndrome of varying severity

The most severe pain is observed on the first day of the cycle and is mild, moderate or severe.

In a mild form, a brief, tolerable pain manifests itself, which does not violate the established way of life and performance. Does not require taking painkillers. Usually, after childbirth, such pains disappear completely or diminish.

The pain syndrome of moderate severity is reflected by pulling pains in the lower abdomen. Symptoms are complemented by nausea, weakness, frequent urination, chills. Against this background, the emotional state of a woman is disturbed. There is depression, excessive irritability. Sickening smells and sounds are disgusting. The performance of the ladies at this time decreases. At this stage, you should consult a doctor to determine the causes of pain.

Severe stage is characterized by acute and intense pain in the abdomen and lower back. There are severe headaches, migraines, heart pain, tachycardia. Observed diarrhea, vomiting, fainting. Here the woman completely loses her performance. This picture is often formed as a result of infectious and inflammatory processes occurring in the body. Also, the pathology of the genital organs can cause severe pain.

Migraine before and after menstruation

Sometimes there are severe headaches before menstruation. The causes of this symptom lie in the sharp rise in testosterone in the blood. All headaches before and after menstruation are called cephalgic syndrome.

Changes in the chemical composition of blood during menstruation affects the function of the brain, which causes migraine. A similar condition can be caused by a violation of the water-salt balance. In order for the body to be able to fully produce the procedure of rejection of cells during the menstrual period, it accumulates fluid, which then participates in this process. Causes swelling of the limbs, articular part and brain tissue. All this and provokes a strong headache during and before menstruation.

Lower abdominal pain

Severe abdominal pain during menstruation, the causes of which are different for each woman, arise for many. Проявляющиеся в умеренной степени боли считают нормой, в то время как сильные указывают на определенные нарушения в гинекологической сфере.

Болевые ощущения в области живота бывают слабыми, средними и сильными. Проявляются в глубине таза как тупая, тянущая или давящая боль. They may be constant or pulsating. Normal is considered to be pain, which begins to manifest before the appearance of critical days and passes immediately after the end of menstruation.

Severe abdominal pain during menstruation, the causes of which are often not established, can go along with migraine, accompanied by a disorder of the gastrointestinal tract. This condition cannot be considered normal. In this case, you should undergo a full medical examination.

Consequences of painful menstruation

Very severe pain during menstruation, the causes and consequences of which should be revealed by a gynecologist, lead to a complete loss of working ability. They affect the well-being, psychological state of a woman.

Mild and moderate form does not cause complications. The average pain syndrome, provoked by diseases of the genital organs and pathologies, may progress in connection with the development of gynecological disease. At the same time, the pain itself does not have any effect on the complication of the symptom.

Menstruation should not be accompanied by very severe pain, depriving a woman of full legal capacity. Treatment of these symptoms is not limited to painkillers, you should look for the true cause and eliminate it. Strong pains exhaust. They are hard to endure not only physically, but also emotionally, because it harms the nervous system. In addition, the constant use of anti-inflammatory drugs and painkillers is addictive and has a number of side effects.

Very painful critical days signal a serious problem in the body. To treat such periods is a must.

Diagnosis of painful menstruation

Severe pain during menstruation, the causes and treatment of which will help to establish the correct diagnosis, are a real problem for a woman. For a start, the lady should visit her gynecologist, who may prescribe the following:

  • hormone analysis
  • pelvic ultrasound,
  • laparoscopy
  • curettage for the study of intrauterine materials,
  • clinical examination,
  • vascular Doppler.

In addition, a woman should constantly keep a diary of the monthly cycle and the calendar of critical days. All the symptoms that were present during this period are recorded there. The duration of menstruation, profusion. All this helps to establish the severity of the disease. The specialist may also advise you to be examined by a neurologist, psychotherapist and osteopath. Often, at the end of the examination, an algomenorrhea is diagnosed. Depending on the severity of treatment is prescribed.

Menstrual pain treatment

Severe pain on the first day of menstruation, the causes of which are rooted in a change in the hormonal background of a woman, require special attention. Here, therapy is aimed not only at anesthesia, but also at getting rid of the pain itself.

When treating with medications, a combination of antispasmodics with analgesics is often used. For example, "Nurofen" and "No-shpa." A good result gives treatment hormonal contraceptives ("Yarin", "Diane-35", etc.). Conduct a course of treatment with vitamin E. All of these drugs not only do not eliminate pain, but also treat, prevent its appearance in the future. In turn, a very strong pain during menstruation requires an individual approach. It is not the menstruation itself that is treated here, but a disease that causes pain.

Folk remedies that can reduce pain

Very severe pain during menstruation, the causes of which lie in the diseases of several organs, can eliminate traditional medicine.

Pain symptom will help remove the horsetail. To prepare the infusion should a tablespoon of herbs pour a cup (300 ml) of boiling water. Let it stand for an hour. Drink 50 mg every hour and reduce the dose as the pain subsides.

Severe pain before menstruation, the reasons for which are individual for each woman, can remove water pepper. Two tablespoons of the plant are poured half a liter of boiling water, after which the mixture is boiled on the fire for another 10 minutes. Before use, the herbal infusion must be cooled and filtered. Drink three times a day for 100 grams.

The collection of the following herbs will help to relieve pain: knotweed, centaury, horsetail, gooseweed in proportion 1: 3: 1: 5. Here a tablespoon of the mixture is steamed with a glass of boiled water. Insist hour. Drink one sip during the first day of menstruation.

Helps to cope with the pain root devyasila. A teaspoon is poured a glass of boiled water, wait an hour, filter. Consume a tablespoon in the morning, afternoon, and evening.

These and other popular recipes can overcome menstrual pain, so they can not be discounted.

Pain during menstruation (algomenorrhea).

Pain during menstruation familiar to so many women. Their other name is algomenorrhea. The pain is localized in the lower abdomen, in the suprapubic area and gives in the lower back and hips. Pain during menstruation may have a different nature: from moderate, dull, pulling to strong and cramping. Usually, the pain appears on the eve of menstruation, reaches its maximum by the beginning of menstruation and lasts 2-3 days. Unlike pain with PMS (premenstrual syndrome), which passes with the onset of menstruation. Sometimes painful menstruation is accompanied by general malaise: nausea (vomiting), headache, fainting, flushes (fever, sweating, palpitations). If the pain is due to some organic disease, then the symptoms of this disease are added to it.

Causes of pain during menstruation

Pain during menstruation due to active contractions of the uterus, cleaned from unwanted tissue. In addition, there are many nerve endings in the abdominal cavity, which can also be irritated when the uterus contracts during menstruation, causing lower abdominal pain. Quite often, pain during menstruation is associated with hormonal disorders in a woman’s body. Hormones affect the strength of uterine contractions, cause associated symptoms. Hormonal fluctuations can be caused by age-related changes, and may be associated with the disease.

Primary algomenorrhea, or functional pain during menstruation and their treatment

Pain during menstruation, or in other words algomenorrhea, can be functional, that is, not associated with the presence of some organic disease. For example, with increased sensitivity to pain. Then this is primary algomenorrhea. It often appears 1-2 years after the onset of menstruation, when the ovulatory cycle is established. That is, young girls.

Sufferers of primary algomenorrhea are recommended to start with non-drug treatment:

  • learn to cope with stress, calm down,
  • do sport,
  • stop smoking
  • reduce alcohol consumption
  • master relaxation techniques, such as yoga,
  • do not supercool
  • in case of pain, put a heating pad on the lower abdomen, and knee up to the chest.

With the ineffectiveness of non-drug treatment prescribed drugs (aspirin, other nonsteroidal anti-inflammatory drugs, some oral contraceptives with a low estrogen content). Medicines should be selected only by a doctor after careful examination and clarification of the diagnosis.

Secondary algomenorrhea, or menstrual pain associated with the disease

If the pain during menstruation has an organic cause, then this is secondary algomenorrhea. Secondary algomenorrhea is more common in patients older than 30 years. The pain occurs 3-4 days before menstruation and increases with the arrival of menstruation. Diseases associated with painful periods are:

  • endometriosis (most often),
  • chronic inflammatory diseases of the genital organs (also often),
  • intrauterine contraception (this is, of course, not a disease, but still an unnatural condition),
  • myoma of the uterus,
  • endometrial polyp,
  • adhesions of the peritoneum.

To confirm the diagnosis, an ultrasound scan, diagnostic curettage of the uterus, hysteroscopy, hysterosalpingography, laparoscopy (for more information about these studies, see the mailing list on the website www.ru-med.ru). Treat the underlying disease.

Monthly pains, their expectation adversely affect the general well-being, emotional, mental sphere of women, violate family relationships. But do not assume pain during menstruation is inevitable. In most cases, spasmodic pain, even very strong, can be eliminated. There is no universal method that allows you to completely relieve pain, but every woman can find a way that does not alleviate the pain at all, but will significantly reduce it. If nothing helps you - maybe you were looking bad? Or tried not all means?

Some women are helped by a hot bath and a little bit of alcohol, putting ice packs on the stomach and with hot water on the legs. Others drink 8-10 glasses of water a day, go on a diet low in fat and sugar, a very small amount of alcohol and a complete lack of caffeine. Many clinicians find this diet helpful in premenstrual syndrome.

Recommended teas from catnip feline, peppermint or raspberry ordinary. They can be taken in any quantity, and their action is most effective if drunk in small sips and hot. Alternating hot and cold sessile baths are unsurpassed means of eliminating congestive pelvic processes and restoring ovarian function, fallopian tubes and uterus. They should be done in the morning and in the evening. In addition, it is recommended to observe the regime of work and rest, exclude physical and mental loads in the second phase of the cycle and during monthly periods limit sex, and even better - get pregnant.

Of course, it is very tempting to get into bed, squeezing a bottle of hot water in your arms, and feeling sorry for yourself, but still try to do at least one of the proposed exercises, if not the whole complex. It may well be that it will help you.

    Lie on your back at a right angle to the wall, pulling your buttocks as close as possible to the wall. Rest your feet into it so that the soles are tight and your knees are slightly bent. Stay in this position for 5 minutes.

Moving away from the wall, pull one leg as close as possible to the chin, leaving the other to lie on the floor. Hold the tightened leg with your hands for 2 minutes, and then change the leg and do the same.

Stand on your knees and elbows, so that the head is between your hands. Wait so 2 minutes. This is especially useful for those who experience pain after intercourse and immediately before menstruation.

Cobra pose. This is a pose from yoga, start to fall face down to the floor, and then gradually raise your head and chest without using your hands. Then, with the help of your hands, continue to raise your chest until you feel a pain in your back, and move your head back as far as possible, looking up. Inhale when you rise, and exhale when you fall to the floor. Do it all slowly. Relax and repeat this exercise one more time (no more!).

Pose "bow". This is a yoga pose in which you are lying face down, with your knees bent and your ankles held up. Inhale at the beginning of the exercise and exhale at the end. If you have enough flexibility, you can roll back and forth, lying on your stomach in the "onion" position, holding your breath.

Acupressure points also help relieve pain. Lie and push hard with your thumbs on the points shown in the figures, but without causing any pain. Pressing, hold your finger at each point, counting to ten, and then slowly release.
Below the navel is in the lower part of the groin area
On the inner surface of the middle part of the leg
In the central part of the back and on the tailbone

  • One of the most pleasant ways to relieve spasms is an orgasm, however, if you have severe pain, do not resort to masturbation.
  • Undoubtedly, you should first try the drug-free methods that were described above, and only if there is no effect, you should try medications after consulting with your doctor. To reduce pain, they use antispasmodic and anesthetics (no-silo, analgin), as well as agents that inhibit the formation of prostaglandins - hormone-like substances that cause uterine contractions, both during menstruation and during childbirth (aspirin, indomethacin), or estrogen-gestogenic drugs. Pain, as a rule, significantly decreases or disappears, in women who regularly take oral contraceptives.

    The methods described above should help you cope with pain during menstruation and should not forget that if you hold an acupressure or simply prepare hot herbal tea a man who loves you, the effect of the events held will increase by an order of magnitude.

    Causes of severe menstrual pain in the lower abdomen

    Pain during menstruation is characterized as moderate, occurs on average in 75% of girls and women of reproductive age. In this case, the discomfort can have different intensity. Often the painful sensations during menstruation in nonpartine girls are the physiological norm. But if the pain is regular, strong and accompanied by dizziness, vomiting, diarrhea, and even fainting, then here we are most likely talking about such a disease as algomenorrhea (dysmenorrhea).

    The above symptoms indicate the presence of certain disorders in the nervous, hormonal, sexual, vascular or other areas of the human body. If it is possible to establish the root cause of such discomfort during menstruation, the measures taken to eliminate it will significantly alleviate the condition of the unfortunate woman, as well as improve the tolerability of menstruation.

    Why does the stomach hurt before menstruation

    As a rule, the pain in the stomach before the “critical days” is experienced by girls suffering from one or another disease of the genital organs. Pain may indicate the presence of an infection that is transmitted by an intimate way. Often the causes of severe discomfort before menstruation are various hormonal disruptions. This is especially true of adolescent girls experiencing puberty and the formation of the menstrual cycle.

    It happens, and it is such that there are no problems in gynecology, but at the same time, the stomach hurts no less. Find the root cause in this situation is much more difficult, the cause of discomfort may lie in a weakened immunity, stress, heavy work schedule and a deficiency of vitamins and trace elements in the body. Therefore, it makes sense to start taking a multivitamin complex, more rest and walk in the fresh rest, these same techniques are useful when you have a headache.

    Sometimes severe pains before the menstrual cycle are caused by inflammation of the appendages. This disease requires timely treatment, since its chronic form can cause female infertility.

    Periodic pains have nothing to do with dysmenorrhea. The symptoms of this pathology are similar to the physiological discomfort in the lower abdomen before menstruation, however, their difference is that it is cramping pain that can give to the lower back and does not go away even during menstruation. These symptoms are observed in about 45% of women, while 8-10% of them experience such “hellish” pains that they cannot work normally.

    Dysmenorrhea is primary and secondary. The first is observed in young girls, about a year after the first menstruation. Pain can begin on the first day of the cycle or a few hours before it starts. The pain is of a cramping character, with which the lower back and lower abdomen most often hurt, sometimes manifestations such as headache and nausea are possible. The causes of discomfort before menstruation during primary dysmenorrhea are not fully identified.

    The cause of secondary dysmenorrhea is most often endometriosis. Symptoms of this pathology: pain in the lower back, lower abdomen and in the rectum. These manifestations are protracted in nature and last for 2-3 days. Vomiting and nausea, as in the case of primary dysmenorrhea are absent, may increase body temperature. This pathology is observed in women 30-40 years of age. It can be triggered by an unsuccessful abortion, curettage, uterine fibroma, and the wearing of an intrauterine device. Varicose pelvic organs can also lead to secondary algomenorrhea.

    Sometimes the lower abdomen begins even a week before the “critical” days, with swelling and slight pain, discomfort in the mammary glands, their tension and increase in size. Most often, these changes are associated with the production of hormones that regulate the entire menstrual cycle. In the presence of intense and unbearable pain, you need to consult a doctor, it is possible that inflammatory processes occur in the body or serious diseases develop, which can further negatively affect childbirth.

    Severe pain on the first day of menstruation.

    Pain at the beginning of the menstrual cycle is associated with hormonal adjustment of the female body. Fertilization of the egg has not come, in consequence of which the process of updating the endometrium starts. In order to eliminate dead tissue of the mucous membrane, hormones provoke contractions of the muscles of the uterus. This is what contributes to the appearance of painful discomfort during menstruation.

    This process is quite physiological, it is predetermined by nature itself. Но при этом есть и другие, менее «подозрительные» факторы, о которых упоминалось выше (первичная и вторичная альгоменорея).

    Иногда сильные боли могут быть вызваны таким заболеванием, как гипоменорея. Дополнительные симптомы: скудные выделения, головные и поясничные боли, запоры, тошнота, задержка месячных. The development of this pathology can lead to amenorrhea (absence of the menstrual cycle).

    Sore ovaries after menstruation

    Very often at the reception at the gynecologist women complain of pain in the ovaries, which also extends to the lower back and lower abdomen. Sometimes women complain about the strong manifestations of a symptom, complaining of unbearable back pain after the menstrual cycle.

    The discomfort that arises in this period cannot be associated with the syndrome of “critical days”, since the menstrual cycle has already ended. This manifestation may symbolize the presence of pathology, gynecological diseases. But to make a diagnosis in this case is possible only after passing the tests and the survey.

    If at the end of menstruation periodical pains are observed, then you need to sound the alarm, since these manifestations are not characteristic for menstrual or ovulatory syndrome. Of course, sometimes these symptoms can be considered as residual effects of heavy and painful periods. However, if we consider the statistics, such manifestations suggest the progression of gynecological disease.

    Pain in the ovaries can be caused by:

    • Exposure to psychogenic factors.
    • Ovarian hyperstimulation syndrome.
    • Ovarian apoplexy characterized by sudden ovarian tissue rupture.
    • Pathological changes in the location of the ovarian appendages.
    • Peritonitis.
    • Cyst or tumor in the genitals.
    • Inflammation of the ovaries (adnexitis).
    • Oophoritis (self-inflammatory process in the ovaries).

    What to do with very strong pain?

    If menstruation is accompanied by severe pain, it is best to contact a gynecologist in order to rule out the existence of serious health problems. In the absence of complications, a well-chosen diet and a vitamin complex will help get rid of discomfort.

    Be sure to consult your doctor if:

    • pain persists after menstruation,
    • during menstruation, fever, skin rash, diarrhea,
    • for several months, there were particularly strong monthly excretions,
    • after the “painless” menstruation, pain comes sharply
    • pain associated with problems such as bloody feces or tarry stools.

    Video: why when they go monthly pains lower abdomen

    The physiology of the female body is quite unpredictable. He is able to perform a real miracle - to conceive, bear and give birth to a child. Nature rewarded a woman with such a fantastic ability, but sometimes she has to pay for this gift. Perhaps this is the way to justify menstrual pains. In order to understand what caused these discomfort and how to solve the problem, we suggest watching the following video.

    I am 13 years old already the third month. My period is accompanied by severe pain in my back. Terrible abdominal pain, nausea, headache, diarrhea and so on.


    Since it is already known why the stomach hurts badly during menstruation on the first day, it is necessary to understand what to do with this syndrome, because to endure even natural discomfort is harmful, and this, first of all, affects the state of the nervous system. If the syndrome does not develop under the influence of a progressive tumor, and also has no connection with the pathology, then it is necessary to stop it with the help of drugs.

    If the stomach hurts on the first day of menstruation, what to do to a woman, it is better to consult a doctor. Often, experts recommend taking analgesics not at the beginning of the cycle, but a day before the expected discharge. It is best to give preference to medicines that contain paracetamol, ibuprofen, or drotaverine.

    Preparations of the latest generations have a wide spectrum of action and consist of a larger number of active ingredients. These include the famous Trigan-D, in which there are antispasmodics and analgesics. It can be used when a girl's lower abdomen hurts on the first day of her period.

    In the absence of a therapeutic effect from the pills, or it remains for a short period of time, you can try to stop the discomfort with physiological methods. For example, the use of a large amount of fluid with a diuretic effect a few days before the start of the discharge, and for two days after it helps.

    In this case, suitable decoctions of medicinal herbs and plants, such as weak green tea, parsley, dill seeds, root elecampane, currant compote.

    Thanks to this, you can eliminate stagnant syndromes, remove puffiness and improve the process of removing excess fluid from the body. If the first day is painful for menstruation, then you can try to apply a dry type of warmth to the stomach, for example, a bag of heated salt or sand, and some, on the contrary, ice helps, but it is important to monitor the level of cold so as not to get overcooling of organs.

    When the stomach hurts on the first day of menstruation, you need to pay attention to the accompanying symptoms. A woman should have a discharge of normal color, smell and volume, hormones should be stable, there are no delays. That is, the unpleasant syndrome has a biological, normal character and does not act as a sign of a developing disease.

    Here are some ways to tell how to reduce pain during menstruation on the first day:

    • It is necessary to determine which drug to relieve discomfort, is best suited (Ketanov, Ibuklin, Nise, No-spa, etc.)
    • If this is possible, then on the first day of discharge it is necessary to walk more and be in the fresh air, since myometrium will be better off and there will be no swelling,
    • You can do some yoga or pilates exercises to help you relax,
    • It is necessary to do a light massage of the abdominal wall, rubbing and stroking her palms for two minutes.

    In certain situations, when the stomach is very sore on the first day of menstruation, the effect on the body should be systematic. It is necessary to saturate it with missing vitamins and minerals, as well as other useful substances, for which it is recommended to drink the appropriate drug complexes.

    You also need to pay attention to the diet, if necessary, should adjust your diet. If algomenorrhea is diagnosed, then the girl should drink kefir, eat cottage cheese, fatty fish, sea kale, beets and pumpkin, green vegetables. Should limit the use of salt, sugar and spices, alcoholic beverages are prohibited.

    With an abnormal structure or location of the reproductive organs, it is necessary to seek medical help, because only after the root cause is removed, the woman will have pain during menstruation on the first day. In particular, experts can prescribe hormone therapy. Sometimes in such situations pregnancy and childbirth can help, as well as surgery.

    Patients who have not been accompanied by such a syndrome before, and have developed pain, nausea, and vomiting in the cycle that has begun, body temperature has risen, it is strictly forbidden to take drugs of an analgesic effect. The fact is that such a situation requires immediate medical consultation, and tablets can smear the clinical picture, which will not allow the doctor to make the correct diagnosis and prescribe treatment.

    Every woman should be attentive to her health and regularly monitor her condition during the initial phase of the menstrual cycle. It is not recommended to engage in self-therapy and diagnosis on the advice of friends and acquaintances, it is better to go without delay to the gynecologist, who will tell if there are any violations.

    Preventive measures

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

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

    Such events will best affect the health of the woman, her health and reduce the pain of menstruation. Can relieve from such discomfort forever.