Why is the stomach pulling before menstruation in a woman. Why does the stomach hurt on the eve of menstruation and how to deal with it Pulls the stomach a few days before menstruation

Menstruation is a normal, natural process that occurs in any woman. Due to this phenomenon, the body signals that the reproductive system is normal.

In some cases, pain may appear, and when the stomach hurts a week before menstruation, it is necessary to deal with the causes and only then take measures to relieve pain.

Characteristics of pain

The cause and impetus for abdominal pain a week before menstruation can be various factors.

Often at this time, during normal functioning of the body, mild, unobtrusive pain may appear, which lasts a short time.

With severe discomfort that appears constantly and for a long time, and also interferes with normal work and life, you should consult a doctor.

After the diagnosis, the doctor can indicate the exact cause that a woman may have.

Severe abdominal pain a few days before your period may indicate problems in the body. Most often, the stomach hurts in diseases that indicate gynecological pathologies.

It is with this kind of disease that a woman experiences discomfort before menstruation and during their course.

Pain appears in about half of women, and is also considered the norm that accompanies menstruation.

But this may be an additional symptom of inflammation in the uterus, as well as the mucous membrane inside or infection of the genitourinary system.

To provide high-quality and effective treatment, it is necessary to first eliminate the cause of the deviations, and then begin to deal with the disease.

In some cases, women feel a pulling pain in the lower abdomen. As a rule, the symptom appears a few days before menstruation, but disappears only after menstruation.

Pain according to the nature of the manifestation is different, strong, long or short, pulling, sharp, etc. More often the stomach hurts with a pulling, aching nature of the manifestation.

In some cases, it may seem that the syndrome manifests itself in the intestinal region.

Along with pain, nausea, loss of strength, headaches, and general depression may occur. Women who experience discomfort cannot work normally, their mood deteriorates greatly.

Main reasons

There are a number of reasons why the stomach hurts for a week, two weeks or several days. The main ones are listed below:

1. Discomfort a week before menstruation in the lower abdomen appears due to improper bowel function or problems in the area of ​​\u200b\u200bthe uterus, where seals can appear.
2. Before menstruation, hormones in women are greatly reduced, due to which the rate of the hormone of happiness and pleasure also decreases. Such changes have a bad effect on the body, the stomach hurts below, discomfort in the area of ​​\u200b\u200bthe mammary glands is possible, the mood becomes melancholy. In rare cases, intestinal upset is possible.
3. How many people, how many problems, some girls suffer from premenstrual syndrome. This phenomenon affects the general condition, mood and emotions. The appearance is possible a few days before menstruation.
4. In case of injury or operable intervention in the pelvic area, in the abdomen, namely below, there may be spasms. A similar phenomenon can be reflected in the intestines.
5. Pain in the abdomen can be from inflammatory processes that appear due to infections, hypothermia. From such causes, the stomach hurts a lot, cuts, spasms are possible.
6. Symptoms that appear a week before menstruation with a short duration indicate late ovulation. The failure occurs due to a cycle violation.

It is not always possible to recognize the source of discomfort, because the sensations can be in the stomach, but in fact they appear in the intestines.

For example, with bowel problems, the symptoms are sharp and strong, spasms appear. Symptoms additionally include bloating, gas separation. A few days before menstruation, aching, pulling sensations.

Delays in menstruation

In some cases, in a week, the girls begin to pull the lower back, discomfort appears in the abdomen, and menstruation does not begin.

Such a manifestation indicates a failure of the cycle, a malfunction of the ovaries, as well as inflammation in the area of ​​\u200b\u200bthe uterus. Sometimes the delay manifests itself as a hormonal failure.

With a constant sexual life, pregnancy is possible, but if it is really a pregnancy, then the uterus should remain in good shape.

Pregnancy is accompanied by pulling pain, and there is also a feeling of heaviness in the abdomen. It is recommended to consult a doctor, since all the symptoms and tone of the uterus can cause a miscarriage.

If these symptoms are not pregnancy, then you will need to identify the real cause and eliminate it.

A delay does not always indicate pregnancy, in some cases the cause is the usual life factors:

1. Anxiety.
2. Stress.
3. Climate change.
4. Incubation period after illness.

When You Can't Worry

In women, hormonal changes occur frequently, they are inconsistent and unstable, their level often changes. One week before menstruation, discomfort often appears.

During the period of menstruation, the rate of progesterone increases greatly, due to which there is an effect on the intestines.

If there are problems with the intestines, gas formation occurs, constipation, maybe the stomach will hurt.

Almost any girl, woman is experiencing premenstrual syndrome:

1. Headache.
2. Possible depression.
3. Irritability.
4. Nausea.
5. Lower abdominal pain.
6. Drowsiness.
7. Fast fatiguability.

Similar symptoms are provoked by swelling of the uterus, so the body signals that it is possible to conceive a child. All the described signs do not indicate a disease, so there is no need to worry.

Additionally, the body's water-salt balance fails.

When to Worry

It happens that a week before menstruation, pain cannot be tolerated, they are so strong that girls take pills in order to anesthetize the sensations.

If the stomach hurts a lot a week before menstruation, then you do not need to use pills on your own, because this is a signal that you need to contact a gynecologist.

The main symptoms when you need to worry and be sure to check with a doctor:

1. The stomach hurts, and menstruation flows for 7 or more days.
2. Discomfort is complemented by profuse bleeding.
3. The temperature rises.
4. For a month, several menstruation occurs at once, which have a short period of time.
5. Earlier, before menstruation and during their course, there were no problems, nothing hurt.
6. Possible pregnancy.

Another reason when you need to see a doctor is loss of consciousness a week and a few days before menstruation.

It must be remembered that bad habits, an unhealthy lifestyle, and diseases of the nervous system can cause severe pain.

This indicates infection, inflammation, and diseases along the female line, which can affect reproduction and gestation during pregnancy.

During heavy bleeding, the cause may be damage to the internal organs, which occurs as a result of:

1. Use of hormonal contraceptives.
2. Ectopic pregnancy.
3. Uterine bleeding.
4. Changes at the hormonal level.
5. Premenopause.

If the stomach hurts a week before menstruation, but the intensity is weak, the character is aching, the chest is enlarged, then there should be no room for panic.

You should be attentive to the body and listen to every change. In case of unusual manifestation, immediately consult a doctor.

Treatment and prevention

To date, there are so many options for stopping unpleasant sensations that it is impossible to list them all. They are medicinal and others, and among the frequencies used, we can distinguish:

1. Apply heat. Fill a bottle with warm water, use heating pads or bathtubs to relax the uterus. It is enough to apply heat to the stomach and lie down for a bit.
2. Use painkillers. It is recommended to drink pills during and before menstruation, just prescribed by the doctor. No-shpa is best suited, but other pain relievers can also be used.
3. Relax the nervous system. For this, tea or a decoction based on herbs is used. Even valerian can reduce discomfort.

For headaches, symptoms in the abdomen, you can use not only No-shpu, but also other well-known tablets - Ibuprofen, Nurofen. The dosage of drugs should be up to 400 mg per day.

During the menstruation itself and with severe pain, candles can be used to help remove inflammation. These candles include Diclofenac.

1. Make a visit to the doctor, who can identify the cause and prescribe treatment or prevention.
2. Try not to get into stressful situations, relax more, sleep normally.
3. Take baths with ethers.
4. Follow the correct diet. It is necessary to add more fruits, vegetables to the diet, and drink only water without gas. Give up before and during menstruation from alcohol, smoking, reduce the consumption of coffee, spicy and fried.
5. Apply light massages in the area of ​​pain distribution.

If discomfort occurs 3 days before the onset of menstruation, you can use the following preventive recommendations:

1. Carry out exercises with gymnastic exercises. Swimming is perfect, as well as a lumbar massage.
2. Control your own weight, because extra pounds can provoke discomfort.
3. Change your lifestyle: walk more often on the street, drink vitamins and eat fortified, healthy foods.

Severe pain does not need to be endured, but if it is light, aching and appears not in a week, but in 1-3 days, then this is normal and you should not worry.

Useful video

How the lower abdomen is pulled before menstruation, absolutely any woman knows. Naturally, sometimes this sign is not there, but in most cases it is still present, which is very convenient, because the girl probably knows that the menstrual cycle is about to begin the other day, for which it is necessary to prepare.

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

Natural causes of discomfort

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

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

Normal pain before menstruation can be very different: aching, pulling, reminiscent of contractions at the birth of a baby, but its intensity is so small that it is practically not noticed. One of the main reasons for the appearance of heaviness in the abdomen is a decrease in the body of endorphins, the so-called hormones of happiness. It is known that this hormone is produced by progesterone and the female hormone estrogen. About a week before the onset of menstruation, progesterone levels reach their maximum levels. But after a few days, these values ​​\u200b\u200bare changing and the level of both hormones that contribute to the emergence of endorphins drops. Accordingly, there are few hormones of happiness. Such jumps in the hormonal background are immediately noticeable by a woman: pain occurs, the woman becomes more sensitive and nervous. Sometimes experts recorded even short-term changes in the mental abilities of women.

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

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Pathological signals

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

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

If you notice that premenstrual pains are excessive, they interfere with your daily activities, you should immediately seek help from a professional gynecologist who will find the main cause of your pain and help eliminate them.

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

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

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

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

What to do if the stomach pulls, but menstruation never occurs?

Quite often, we can experience the usual pain before menstruation, expect the arrival of critical days, but they may never appear. This could be due to several reasons:

• early stage of pregnancy;
• ovulation;
• incomplete removal of the fetal egg if the woman has recently had an abortion;
• neoplasm in the uterus and other genital organs of a woman.

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

Pregnancy can be uterine or ectopic. If the test showed a positive result, then you should immediately sign up for a consultation with a gynecologist to determine the location of the fetal egg. It is better to hurry with a visit to a specialist, since internal bleeding often opens during an ectopic pregnancy.

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If your pregnancy is proceeding normally, then you should not worry about pulling pain. This is a normal process that will accompany you until the birth of the child.

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

Menstruation is the rejection of the functional layer of the endometrium lining the inner surface of the uterus, which has a certain cyclicity. Another name for menstruation is regula (from the word "regular"). The first day of menstruation is considered the beginning of the menstrual cycle - the period during which changes occur in the work of the reproductive organs, aimed at the possibility of conception. In a healthy woman, the cycle duration is usually 28-30 days. These numbers are the classic norm, but for many women they can fluctuate depending on individual characteristics. Gynecologists consider the duration of the menstrual cycle from 25 to 34 days to be acceptable.

A few days before the start of the regulation, a woman may feel worse. Many complain of increased weakness during this period, decreased performance, constant drowsiness. Physiological sensations are also possible, for example, headaches, a slight increase in body temperature, increased sweating. The most common complaint at the end of the menstrual cycle in most women is pain in the lower abdomen. This symptom is observed in almost 60% of women of reproductive age. To understand whether this is a norm or a pathology, it is necessary to know the possible causes of the pain syndrome.

Every month, processes take place in a woman’s body that prepare the body for a possible conception and create conditions for the fertilization of a mature egg. During the period of ovulation, which occurs on days 14-16 of the cycle, the membranes of the dominant follicle rupture to release the egg ready for fertilization into the cavity of the fallopian tube, where it can meet with the sperm. From the fallopian tube, the egg moves into the body of the uterus, a pear-shaped muscular organ whose main task is to carry the fetus.

In the uterus, the egg is attached to the mucous membrane (endometrium). If conception does not occur, the unfertilized egg is rejected by the uterine walls along with the functional mucous surface. An open bleeding wound forms on the surface of the uterus, which heals a few days after the end of menstruation. All these processes can cause moderate nagging pain in the lower abdomen, where the uterus is located, and usually do not require pain medication.

Pain in the lower abdomen a few days before the onset of regulation is considered normal if accompanied by the following characteristics:

• the general health of the woman remains normal;
• body temperature is within the normal range or at the lower border of subfebrile condition (no more than 37.4 °);
• after the onset of menstruation, there are no signs of heavy uterine bleeding.

Note! Menstrual fluid is not just blood, it contains endometrial tissue as well as mucus secreted by the glands of the vagina and cervix. Menstrual blood does not clot and is darker in color than the blood circulating through the blood vessels due to the high amount of enzymes. This is the main sign that allows you to distinguish menstruation from breakthrough bleeding.

Premenstrual syndrome: norm or pathology?

Premenstrual syndrome is a complex of symptoms that occur 3-5 days before the start of the regular period. It has a psychosomatic nature and is associated mainly with emotional disturbances and changes. Many women during this period become irritable, tearful. Unreasonable aggression, anxiety, signs of depression, insomnia may appear. In about 30% of women, the signs of PMS include physiological symptoms, for example:

• headache (in women with neurological disorders, migraine attacks may worsen);
• severe pain of a pulling nature in the lower abdomen;
• nausea, aversion to certain foods;
• soreness in the mammary glands;
• increased sweating.

Despite the fact that many women suffer from premenstrual syndrome, gynecologists do not consider it a normal condition. In most cases, the pathology is caused by insufficient synthesis of endorphins - “pleasure hormones”, which are natural analgesic substances. Lack of this hormone can lead to a serious complication - menstrual psychosis. The disease is considered very serious and may require medical correction in a hospital, therefore, with frequently recurring signs of PMS, it is necessary to consult a doctor and check the functioning of the endocrine system and the functioning of the pituitary gland of the brain, which is responsible for the synthesis of endorphins.

Pain of high intensity 3-5 days before menstruation

If the pain syndrome is of high intensity, and the woman cannot perform her usual activities, it is necessary to consult with the observing gynecologist. Such a symptom may indicate hidden inflammatory processes and other pathologies of the genitourinary system and reproductive organs, which worsen before the onset of regulation due to a decrease in immunity caused by natural physiological changes in the body.

Fibroids are the second most common female benign tumor, second only to breast fibroadenoma. The formation is of a benign nature and consists of the muscle tissue of the myometrium - a layer consisting of myocytes intertwined with each other, which are constantly contracting in an arbitrary order and rhythm.

Myoma usually looks like a small nodule. It can be single or multiple, and also differ in the localization of tumor nodes.

Types of fibroids depending on location

Pathology has two characteristic features: pain in the lower abdomen and uterine bleeding, which can be manifested by menorrhagia (heavy menstruation lasting more than 7 days) or breakthrough uterine bleeding. Almost always, with fibroids, a woman feels a pulling pain in the lower abdomen, which intensifies before the start of the regular period and in the middle of the menstrual cycle.

For conservative treatment of fibroids, tranexamic acid preparations, as well as drugs that suppress the production of pituitary gonadotropic hormones, can be used. In the absence of a therapeutic effect, the doctor may decide to remove the tumor surgically.

Important! The risk group for the development of fibroids includes women taking oral contraceptives and women over 40 years of age. This category of patients is recommended to undergo a routine examination by a gynecologist at least once a year.

Violations in the functioning of the endometrium

One of the most common causes of pain in the lower abdomen before menstruation is endometrial disease. Most often, women experience excessive growth of the mucosal layer, which is called endometrial hyperplasia. If the cells of the mucosal membrane begin to go beyond the mucous layer, the woman is diagnosed with endometriosis.

Both pathologies have the same symptoms and often occur simultaneously. For diagnosis, the method of ultrasonic transvaginal examination or hysteroscopy (introduction of a special optical device into the uterine cavity) is used. Equally important is the collection of medical history. With pathologies of the endometrium, women complain of the following symptoms:

• severe pain in the lower abdomen that occurs monthly and increases in the middle and end of the menstrual cycle;
• abundant regulation lasting more than one week;
• irradiation of pain in the lumbar region, coccyx, sacrum, buttocks and thighs;
• pain during intercourse;
• intermenstrual bleeding.

In most cases, breakthrough bleeding can only be stopped surgically using vacuum aspiration or curettage. After the operation, the woman is prescribed antibiotic therapy with broad-spectrum drugs (" Metronidazole”) and hormonal treatment with progesterone and estrogen-based agents (“ Yarina», « Janine», « Diana-35»).

Important! If signs of endometriosis appear, you should immediately contact a gynecologist, even if the general state of health remains normal. If treatment is not needed on time, serious complications can occur, for example, inflammation of the endometrium (endometritis). Endometritis often occurs against the background of purulent infectious processes and can lead to blood poisoning. In 20% of women, purulent endometritis causes infertility.

Diseases of the urogenital area

Cystitis (inflammation of the bladder) is considered one of the most common diseases in women. The cause of the pathology is a decrease in immunity as a result of hypothermia, colds, alcohol abuse and smoking. When bacteria or fungi enter the mucous membranes of the urogenital tract and bladder, an inflammatory process develops, which manifests itself with pronounced symptoms.

Signs of acute cystitis include:

• temperature increase (above 38 °);
• acute pain of high intensity in the lower abdomen, which can radiate to the lumbar region;
• severe burning when trying to empty the bladder;
• frequent (most of them false) urge to urinate;
• sharp pain after urination.

If a woman has not treated acute cystitis in time, the pathology can become chronic. In this case, there may be no pronounced symptoms, and a sluggish inflammatory process will be manifested by minor abdominal pain and discomfort during urination. Before menstruation, symptoms increase due to a decrease in the activity of the immune system.

Note! In some cases, pain in the lower abdomen may indicate inflammation in the kidneys. Despite the fact that the renal system is located in the lateral parts of the abdomen, the pain syndrome can radiate to the central and lower part. This clinical picture occurs mainly with glomerulonephritis.

Severe pain occurs every month

If the stomach hurts regularly before menstruation, and there are no other symptoms, you should consult a doctor. Such a picture can be observed with malignant tumors of the uterus and vagina, if the pathology is at an early stage. Indirectly, other signs can also indicate cancerous diseases of the uterus, which can only be considered as symptoms of oncological processes in the aggregate.

These include:

• weight loss (usually rapid);
• periodic increase in temperature (including basal indicators);
• arching pain in the lower abdomen during sexual intercourse;
• voluminous mucous secretions between the regulation;
• spotting or bleeding of varying intensity between periods;
• itching of the genitals.

Important! These signs of cancer do not always appear. In some cases, there may be no symptoms at all, so regular abdominal pain, which increases on the eve of menstruation, is the reason for an examination.

Video - Why does my stomach hurt before menstruation?

Stomach hurts before menstruation, but menstruation has not come

The most likely cause of pain during this period in the absence of further menstruation is pregnancy. To diagnose pregnancy, you can use home tests in the form of strips with a reagent applied to them or laboratory methods (determining the level of hCG in the blood and urine). A doctor can diagnose pregnancy using a transvaginal ultrasound, but you should know that this method is quite traumatic and can cause an abortion in the early stages.

Pain in the lower abdomen before menstruation is a fairly common problem that almost all women face. In most cases, the pain syndrome is the result of physiological processes that occur in the body during the menstrual cycle, but sometimes serious diseases can cause such symptoms, therefore, with regular pain during this period, you should not postpone a visit to the gynecologist. read on our website.