Source of this article: The Department of Science of the Chinese Medical Association
Only women can experience drama, except for production pain, it may be dysmenorrhea.
However, some female friends have pain before menstruation, some pain after menstruation, some pain in menstrual period, and some from before menstruation, pain to after menstruation …
First, what may happen to small abdominal pain before menstruation?
Small abdomen pain before menstruation is very severe, and we usually consider luteal rupture.
What is luteum?We know that the ovaries of women in childcare will develop follicles monthly, and the best one is mature, and ovulation occurs.After ovulation, the follicle becomes a yellow tissue with a diameter of two or three centimeters in diameter, which is called the luteal.
The main role of luteal is the abundant estrogen hormone, which is the basis for pregnancy; if you are pregnant, you must also protect the fetus.Its physiological function is very strong, so as to bear such a heavy responsibility.It has rich blood supply.Under normal circumstances, there is just a breakthrough formed by ovulation.This rupture will slowly heal in most women.Some women have slight abdominal pain during ovulation. This is because there may be a small amount of bleeding after ovulation, but they can stop bleeding by themselves.
If the luteal has a more severe external force, such as sexual life, stools, the increase of rupture, and bleeding, which will cause sharp abdominal pain, anal fall, pale, palpitations, etc.
At this time, doctors assist diagnosis through patients’ menstrual history, symptoms, ultrasound, and blood HCG except pregnancy -related diseases.If the diagnosis is luteal rupture, you can choose to treat hemostatic drugs without hemorrhage.If the amount of bleeding is relatively large, timely surgery is needed to stop bleeding.
2. Pain during menstruation, what is the way to do except dysmenorrhea?
During menstruation, painful abdominal pain is not serious. It is similar to usual, then you can observe first, usually dysmenorrhea.If the degree of pain is more serious than usual, we must be careful.
Especially if the menstrual flow is not the same as usual, such as the original menstrual flow is normal, this time it will not come, and the amount is small, and it hurts, so be careful of ectopic pregnancy.Ectopic pregnancy, also known as ectopic pregnancy, refers to the development of fertilized eggs in the outer outer bed, and the most common part is the fallopian tube.
If the menstrual flow is similar to usual, pain, and fever, it may be inflammation.
Another possibility is that the clever is broken.The scientific name of the clever cyst is an ovarian endometriosis, commonly known as chocolate cyst, and is named after the liquid in the cysts resembles chocolate.It means that the endometrium grows to the ovaries.With the cyclical secretion of ovarian, these ectopic endometrium bleeds with menstruation every month, but cannot be excreted from the body.Every time the menstruation accumulates some blood. Over time, a blood bag is formed locally, which can also cause the surrounding inflammation and adhesion.The menstrual period is easy to rupture, and old blood accumulation flows to the abdominal cavity, which can cause lower abdomen pain.
Of course, there are no other situations, such as the twisting of ovarian cysts, degenerative necrosis of uterine fibroids, etc., which may cause pain.
Here, there is a small suggestion that you can make a preliminary judgment through your own experience.If this is always the case, the estimation is not big.If the pain is obvious, or a month is better than one month, you still have to go to the doctor earlier.Of course, if it is getting better, it is estimated that the problem is not big.
Third, the pain after menstruation, what’s the matter?
This pain after menstruation is generally considered to break chocolate cysts.
What is a chocolate cyst?It is the endometrium that grows from the pelvic cavity. Usually it is always on the ovaries, or it can grow in the pelvic cavity. Then the endometrium is rooted here.It can be discharged out of the uterus, only staying in the pelvic cavity, and it will feel painful to stimulate it.
The envelope of ovarian chocolate cysts is incomplete, and some places are thin.During menstruation, the accumulation of blood in the cyst increases, the envelope is broken, and the chocolate -like liquid is actually old bleeding, which flows out.Therefore, the pain of chocolate cysts usually occur at the end of the menstruation or just ended, and the pain follows.
In addition, uterine adenomy muscle disease grows into the uterine muscle layer. Each month is also accompanied by menstrual bleeding, but it cannot be discharged smoothly with menstrual blood, which is also prone to cause pain after menstruation.
Also, if it hurts before and after menstruation, inflammation needs to be considered.
When menstruation, pelvic inflammation will increase.The body’s resistance is poor during menstrual period, and the menstrual palace mouth is expanded, which is prone to retrograde infection.If you have been hurting before and after menstruation, it is faintly painful, accompanied by anal falling, and even sitting in a sense of uncomfortable sitting, always bloating, consider whether it is inflammation.
It is particularly needed to remind that we must be alert to ectopic pregnancy.Ectopic pregnancy can also be manifested as abdominal pain.Therefore, menstrual abdominal pain contains many types of diseases.If you feel wrong, you must go to a doctor.
Author: Bai Wenpei Chief Physician of Beijing Century altar Hospital affiliated to the Capital Medical University
Review: Zou Liying Capital Medical University Chief Physician at Beijing Obstetrics and Gynecology Hospital