Severe pain during menstruation, what to do. Causes of severe pain during menstruation. Video about painful menstruation

Pain is considered to be a sign of a disorder in any of the body’s functions, a signal of a problem. But there is a natural process during which any discomfort is perceived almost as normal. Severe pain during menstruation, especially on the first day, experiences most of women of reproductive age. For some, their health is so impaired that it is impossible to do normal activities or even just stand on their feet. Some perceive pain doomedly, trying to endure it, others try to find a way to get rid of it. The question is why in early days There is so much suffering during menstruation, it depends on female physiology. This does not mean that you need to turn a blind eye to bad feeling, 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 occurs in the first hours of menstruation or can begin 1–2 days before. The severity and strength of pain symptoms is different for everyone: from barely noticeable to unbearable. Medical specialists usually combine such symptoms with the concept of algodismenorrhea - a disorder menstrual cycle. If painful sensations are associated with periodic delays in menstruation due to ovarian dysfunction, they speak of dysmenorrhea.

Menstrual pain can be of a primary nature: it occurs from the beginning of puberty. In such cases, the suffering of the first day is quite difficult to bear: it is accompanied by nausea, vomiting, diarrhea, and fever.

Secondary appears after a period of relative well-being due to various types of diseases, surgical interventions, neurotic deviations, and disorders in the sexual sphere. In such cases, severe heaviness in the lower third of the abdomen and cramps may be observed.

Why pain is painfully endured 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, psychological condition women.

Causes of pain

In primary algodismenorrhea, conditionally natural and pathological causes painful periods. 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 detached myometrium. Therefore, the first contractions are always particularly uncomfortable. Even with complete well-being, women feel pressure and stiffness in the lower abdomen before menstruation, accompanied by physical fatigue. The following reasons can cause severe pain:

  • 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 of the body's connective tissue;
  • Features of the location and shape of the uterus: deviations, bends, bends, underdevelopment.

Read also 🗓 Why does it hurt to have sex after your period?

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

Secondary algodismenorrhea always implies the presence of pathologies. Common causes of painful cycle disorders that occur in women after a prosperous period:

  • incorrectly selected contraception, usually an IUD;
  • development of systemic diseases: diabetes mellitus, coronary disease, pathologies of the thyroid gland;
  • previous inflammation of the internal genital organs;
  • surgical abortions, therapeutic curettage;
  • growing uterine tumors, endometriosis;
  • nervous or physical exhaustion due to sports.

In women over 40 years of age, perplexed, they have recently become pregnant, so the beginning of menopause may manifest itself.

Pain on the first day

Since every woman’s body 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 appearance of discharge. The syndrome develops as a series of successive contractions, sharp abdominal cavity. The pain can be felt as stabbing, singing, burning, tugging, radiating to the rectum, bladder, thighs, mammary glands. The following symptoms are also noted:

  • Initial degree algodismenorrhea is tolerated as a slight discomfort: the pain is quite tolerable, does not require drug relief, and gradually goes away within 1–2 days. Women do not pay attention to the trouble or simply relax more.
  • At medium degree it is no longer possible to live with pain. Contractions or cramps in the abdomen begin even before menstruation, and in the first hours of discharge they 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 signs of pain appear several days before menstruation; at the beginning of the cycle, the 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 sweating,... Recovery may take several days after menstruation.

How to relieve pain

Tolerating even a “natural” deterioration in well-being is very harmful to the nervous system. This can lead to the development of depression, neuroses, and significantly complicates life. If the first day is not a consequence of a tumor or other organic lesion, you need to resort to medicinal methods help. It is useful to start taking painkillers not at the beginning of the cycle, but a day before the expected discharge. Drugs based on paracetamol, ibuprofen, and drotaverine help relieve pain during menstruation. Painkillers that combine several active ingredients are more effective. For example, Trigan-D, which contains an analgesic and antispasmodic. Usually, using the right remedy helps alleviate severe pain.

If the pills do not help or their effect is insignificant and short-lived, 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: lightly brewed tea, decoctions of parsley, dill seeds, elecampane root, currant compote. This will promote better resorption and removal of swelling. Additionally, you can apply dry heat to your stomach and lower back: a heating pad, a bottle of hot water. Some people find it easier to relieve severe cramps by not applying heat. abdominal wall, and the cold. It is not advisable to use ice; just place a towel soaked in cold water on the lower abdomen.

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

Pain treatment

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

  • It is recommended to choose a suitable painkiller. For each woman it is different: one is helped by Ketanov, Ibuklin, another by No-Shpa, Trigan-D or Nise.
  • If your health allows, on the first day of your period you need to walk more - movement promotes better discharge of edema, myometrium and mucus.
  • It is useful to perform special relaxing stretching exercises and yoga asanas.
  • A light massage of the abdominal wall helps, which you can do yourself: with your palms for 1–2 minutes. stroke and rub the abdomen clockwise.

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

Content:

When pain during menstruation is considered a pathology

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

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

Types of dysmenorrhea

There are two types of dysmenorrhea:

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

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

Degrees of dysmenorrhea

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

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

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

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

3rd degree. Severe abdominal pain appears in a woman 2-3 days before the start of menstruation and continues until its end. At the same time, the temperature rises, the head hurts very much (to the point of vomiting), tachycardia and pain in the heart occur. Fainting may occur. The woman is completely incapacitated. It is not possible to improve the condition using conventional means.

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

Causes of painful menstruation

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

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

Video: What are the causes of painful periods

How to reduce period pain

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

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

If after a gynecological examination no diseases are detected in a woman, then at home you can alleviate the condition in the following ways:

  1. Massage the abdominal muscles in a clockwise direction, which will help relieve tension in them and ease cramps. It is also good to massage your lower back.
  2. Accept warm shower, promoting muscle relaxation and dilation of blood vessels.
  3. Lie on your side with your legs tucked to your stomach (fetal position).
  4. Take no-shpa to eliminate spasms in the uterus, ketonal or ibuprofen (have a strong analgesic effect), valerian (as a sedative).
  5. Do light physical exercises (bending, body rotation). Yoga helps with menstrual pain.
  6. Apply compresses during menstruation sea ​​salt on the lower abdomen. Before and after menstruation, it is useful to take relaxing short (15-20 minutes) baths with the addition of this salt.
  7. Drink soothing chamomile and mint tea (add 1-2 teaspoons of honey to 1 glass of tea). It is useful to take an infusion of parsley and strawberries.
  8. If there is no allergy, you can rub it into the skin in the area of ​​the sacrum and lower abdomen essential oil. The procedure is carried out 2 times a day, 2 days before menstruation and in the first 2-3 days after their onset. A mixture containing 50 ml of St. John's wort oil, 5 drops each of yarrow and sage oils helps relieve severe pain during menstruation.
  9. In case of pain and heavy bleeding, ice should be applied to the lower abdomen for 15 minutes (on top of clothing, put it in a bag).

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

Video: Exercises against period pain

When to see a doctor

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

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

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

Drugs prescribed for dysmenorrhea

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

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

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

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

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

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

Prevention of dysmenorrhea

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

Video: Yoga classes during menstruation

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


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

What is the menstrual period

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

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

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

Severe pain during menstruation: causes

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

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

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

Type of dysmenorrhea

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

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

Types of ailments

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

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

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

About pain syndrome of varying severity

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

Lower abdominal pain

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

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

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

Consequences of painful menstruation

Very severe pain during menstruation, the causes and consequences of which must be identified by a gynecologist, leads to complete loss of ability to work. They influence the well-being and psychological state of a woman.

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

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

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

Diagnosis of painful menstruation

Severe pain during menstruation, the causes and treatment of which can be determined by correct diagnosis, is a real problem for women. To begin with, the lady should visit her gynecologist, who can prescribe the following:

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

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

Treatment of menstrual pain

Severe pain on the first day of menstruation, the causes of which lie in changes in a woman’s hormonal levels, require special attention. Here the therapy is aimed not only at anesthesia, but also at getting rid of the pain itself.

For soft elimination PMS symptoms Non-hormonal products based on herbal components can be used, for example, TIME FACTOR® dietary supplement. Vitamins C and E included in the complex, folic acid, rutin, minerals (iron, magnesium and zinc), indole-3-carbinol, glutamic acid, aucubin, gingerols, as well as standardized plant extracts of angelica roots, ginger root and chasteberry fruit help normalize the menstrual cycle, reduce irritability, relieve pain syndrome and alleviation of other symptoms of PMS.

During treatment medicines A combination of antispasmodics and analgesics is often used. For example, “Nurofen” and “No-shpa”. In turn, very severe pain during menstruation requires an individual approach. It is not menstruation itself that is treated here, but the disease that causes pain.

Folk remedies that can reduce pain

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

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

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

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

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

These and other folk recipes can overcome menstrual pain, so they cannot be discounted.

Preventive measures

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

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

Similar events the best way will affect a woman’s health, her well-being and reduce the pain of menstruation. Can get rid of similar discomfort forever.

This article is for informational purposes only. If you discover symptoms of any disease or feel unwell, consult a doctor first! The tips in this material can help you in emergency situations when it is not possible to contact qualified medical personnel.

Menstruation is a natural process, so women should not experience painful sensations. But often pain during menstruation occurs with such force that the ability to move and function normally is lost. It is recommended to understand the causes of pain and take measures to eliminate pain in the abdomen and chest.

About chest pain

If the situation with abdominal pain is clear for women (this physiological process associated with the dilation of the cervix, which means discomfort will be felt), then panic occurs with pain in the chest. It is not clear when to sound the alarm, because slight discomfort in the mammary glands is also felt during the period of premenstrual syndrome. It is recommended to pay attention to the chest:

  • if severe pain occurs during palpation of the mammary glands;
  • breast lumps, lumps and other growths;
  • excessive soreness of the nipples and areolas;
  • nausea, vomiting and elevated temperature bodies;
  • pain after the end of menstruation.

The presented symptoms are often associated with the following reasons:

  • Changes in hormonal levels are diagnosed. During the period between menstruation, a woman produces prolactin and oxytocin, and during the period - estrogen and progesterone. As a result, with a significant predominance of estrogen and progesterone, pain occurs.
  • Are developing gynecological diseases. These include the most serious ones - endometriosis of the uterus, ovarian cysts, polycystic disease or multifolliculosis. All of the presented pathologies disrupt the synthesis of estrogen and progesterone produced, causing chest pain to appear with greater intensity.
  • Development of ectopic pregnancy. An ectopic pregnancy means the implantation (attachment) of a fertilized egg not to the wall of the uterus, but to the wall of the fallopian tube. The body begins to reject foreign body, which leads to severe hormonal imbalance.

The presented causes of chest pain always provoke severe pain in the abdomen, so they consult a doctor for examination and identification of prerequisites.

Causes of abdominal pain

Abdominal pain accompanies women throughout the entire period of menstruation. But you cannot ignore the symptom, since it may be associated with problems.

Here the most likely ones include:

  • hormonal imbalance – provokes the development of gynecological diseases (endometriosis, polyps, cysts);
  • inflammatory process of the uterus and appendages;
  • endometriosis or adenomyosis - the first pathology is characterized by the proliferation of uterine epithelial cells beyond their normal limits, and the second indicates the proliferation and ingrowth of epithelial cells into the muscle of the organ;
  • fibroids or other neoplasms in the uterine cavity;
  • polyps in the uterine area;
  • disrupted hormonal levels, which provoked an increase in progesterone production;
  • ovarian cysts;
  • ectopic pregnancies.

Severe pain provokes stress and depression. You should consult a doctor to determine the cause if pain syndrome is accompanied by pain in the back and increased body temperature.

VIDEO: What to do with pain during menstruation?

Severe pain during menstruation, what to do?

Every third woman experiences symptoms such as severe pain during menstruation. On such days it is difficult to work, and you want to crawl under the covers with your head. Doctors say the main thing is not to panic when you encounter this for the first time.

Common ways to relieve pain

Exist general methods How to eliminate pain during menstruation. In this matter there are:

1 Stick to a daily routine– sleep at least 8 hours a day, avoid overwork, take breaks during the working day. The correct daily routine helps restore nervous system, which leads to overall health of the body.

2 Avoid hypothermia. The problems presented lead to the development inflammatory process, which will make the pain worse.

3 Stick to a diet– avoid flour and fried foods, stop drinking carbonated drinks. Reduce consumption of foods that cause gas formation. The “inflated” intestines will put pressure on the uterus and ovaries, which will only intensify the pain.

4 Need to drink clean water in the amount of 2 liters per day– stabilization of water balance leads to improved metabolism at the cellular level. This prevents the development of hormonal imbalance.

5 You need to give up smoking and alcohol– at least during menstruation, you should not provoke an increase in blood circulation. This contributes to greater production of blood clots and their rapid detachment, which will also lead to additional pain.

6 Exercise. This category includes both strength training, if the woman has previously done it for a long time, as well as swimming or yoga. Modern fitness centers have special programs designed for women during menstruation.

7 Visit the steam room. Most doctors claim that the steam room is good for blood circulation and helps reduce the stress hormone (cortisol). But the presented actions are allowed to be performed only in the absence of inflammation.

8 Massage– it is better to attend sessions a few days before the start of menstruation. The benefits are associated with improved functioning of internal organs.

9 Take vitamins– this should be done on a regular basis to normalize the body’s functioning. It is recommended to drink vitamins B and E, magnesium B6.

How to reduce pain during menstruation

Medicines

Women who experience pain at the beginning of menstruation turn to medications. They are recommended to be taken only with a doctor’s prescription, since allergies or chronic pathology (exacerbation due to the use of medications) are often revealed.

To the common and safe means include:

Sedatives

Infusion of motherwort, valerian or sleeping pills, but only with a doctor’s prescription. The methods help to cope with the problem of increased irritability of women during menstruation. Everything is explained by a hormonal imbalance, which is why the hormone of joy - endorphin - is not released in the amount necessary for a normal state.

Antispasmodics

Medicines are painkillers that relieve muscle spasms that occur during menstrual periods. Safe include No-shpu or its equivalent Drotaverine (Papaverine).

Doctors prescribe hormonal drugs to patients that help restore the background and reduce pain. Reduction in pain due to additional use progestins- these female hormones found in ordinary birth control pills. They help in pregnancy, which can only happen with a regular cycle and a timely release of the egg.

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Folk remedies

It is not recommended to use immediately medications. Better pay attention to folk remedies, which can reduce abdominal and chest pain. The recipes are based on the use of herbs that have anti-inflammatory, antispasmodic and sedative properties.

The following recipes are effective:

  • Melissa infusion– normalizes the menstrual cycle, helps cope with insomnia and reduce general irritability. To take the product correctly, you need to pour a tablespoon of the crushed collection with boiling water in the amount of one glass and let it brew for half an hour. Drink the strained infusion one third of the amount received three times a day.
  • Raspberries– leaves are used – it is a folk pain reliever. To prepare the infusion, you need to pour 3 teaspoons in crushed form with a glass of boiling water and leave to infuse for a quarter of an hour. Drink a glass throughout the day, dividing the contents of the glass into small portions.
  • Camomile tea normalizes the nervous system. You can take essential oil and add it to shower gel and take a bath with it. It is recommended to breathe the vapors of the composition in pure form– this helps to get rid of stress and normalize the menstrual cycle.
  • Infusion of elecampane root– the product is designed to restore hormonal levels, as well as pain relief. To make an infusion, use a teaspoon of crushed root, which is poured with a glass of boiling water. After infusing for 1 hour, you need to strain the contents and drink a tablespoon three times a day.
  • Horsetail infusion helps cope with inflammation and pain in the abdomen and chest. To do this, pour a tablespoon of the mixture into a glass of boiling water and leave to infuse for an hour. Take the resulting infusion 4-5 times a day, dividing the contents into equal parts.

Folk remedies are taken with caution, since most plants are allergenic. Before use, you should consult your doctor.

A little about physical activity

Most women with abdominal and chest pain during menstruation prefer bed rest. But gynecologists assure of the benefits physical activity– they should be carried out with caution and without lifting heavy objects. IN in this case the load in the form of gymnastic exercises is considered, since lifting weights during menstruation will provoke prolapse of the uterus.

Among effective exercises The following are distinguished:

  • Lying on your back on the floor, bend your knees and take a deep breath. Next, you need to lift your hips off the floor and lift them up. After holding your breath for a short time, you need to exhale and simultaneously lower yourself to the floor.
  • Lying on your back, turn to the wall and throw your legs onto the surface, pressing your feet tightly. As you inhale, press your feet against the wall, and as you exhale, relax.
  • While standing on all fours, you need to bend your back down as you exhale, and as you inhale, bend it up. The exercise resembles an imitation of the standard “Cat”, which can be supplemented rotational movements head, but from the starting position (without bending the back).
  • Lie on your stomach and clasp your hands at the back of your head. As you inhale, raise your head up and try to touch your hands lying on the back of your head with your feet. As you exhale, lower to the starting position.

Such exercises refer to static load. They should be performed with 5 repetitions of each movement. The exercises from the complex are similar yoga, pilates and callanetics.

  • With your palm they begin to massage the stomach in a clockwise direction - it is important to maintain the intensity and not overdo it in the presented undertaking.
  • Start with light stroking so that no painful sensations arise.
  • Then you can move on to gentle pressure, which also occurs clockwise.
  • Finish the massage with stroking, similar to the preparatory movements.
  • The massage is done for 5-10 minutes, but often women perform it until the pain disappears.

    Breast massage is also carried out with care and in a supine position. The breasts are simply stroked with your hands around the circumference. It is important to avoid pressure and strong palpation here.

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    Warm

    Pain during menstruation can be eliminated using a heating pad or thermal patch - this method is only applicable to reduce abdominal pain; applying heat to the chest is strictly prohibited. A warm heating pad is applied to the stomach for 10-15 minutes.

    The presented method is explained by the ability to reduce pain due to muscle relaxation- abdominal and uterine. As a result, blood circulation increases, the cervix opens faster and painlessly.

    It is strictly forbidden to use heat in the presence of inflammation, ovarian cysts or fibroids. If a woman does not know about their presence, thermal exposure will lead to an exacerbation - increased bleeding, increased growth of tumors. Therefore, it is recommended to use the heating pad method only after consulting a doctor.

    Hot water bottle with warm water placed on the stomach in the navel area

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

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

    Types of pain

    Severe pain during menstruation can be:

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

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

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

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

    Causes of pain during menstruation

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

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

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

    Other causes of pain during menstruation in girls:

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

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

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

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

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

    In women suffering diabetes mellitus, violations are observed from endocrine system, and with the approach of menopause, a depressive state appears, an unstable psycho-emotional background, and pain in the uterus during sexual intercourse.

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

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

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

    Painful menstruation can result from:

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

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

    When should you take the pills?

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

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

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

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

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

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

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

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

    Exercises for painful periods

    Physical exercise is recommended for women with painful periods to maintain the muscles of the uterus in tone. Of course, there is no need to exercise intensely. All you have to do is choose the one that suits you easy look sports and pay attention to it for 15-20 minutes daily.

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

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

    Herbal medicine for painful periods

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

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

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

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

    Other ways to deal with pain

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