What's wrong with stomach pain during menstruation?

Stomach pain during menstruation may be a symptom of dysmenorrhea, which is usually related to factors such as excessive prostaglandin secretion and abnormal uterine contractions.

Excessive secretion of prostaglandins can cause strong contraction of uterine smooth muscles, causing spasmodic pain in the lower abdomen. This pain often occurs on the first day of menstruation and may be accompanied by symptoms such as nausea and fatigue. Abnormal uterine contractions may be caused by abnormal uterine position or cervical canal stenosis. The pain is persistent and dull, and the pain is more obvious when menstrual flow is light. Patients with endometriosis will experience progressively worsening menstrual cramps, which can radiate to the lumbosacral region or inner thighs. The pain gradually relieves after menstruation ends. Pelvic inflammatory disease may also cause abdominal pain during menstruation, which is usually a dull pain in the lower abdomen on both sides and may be accompanied by symptoms such as fever and abnormal vaginal discharge. Psychological factors such as mental stress and anxiety can aggravate the symptoms of dysmenorrhea, forming a vicious cycle.

It is recommended to keep the abdomen warm during menstruation, avoid strenuous exercise and cold and raw foods, and apply heat to the lower abdomen appropriately. Maintain a regular schedule to avoid excessive fatigue. If necessary, you can use ibuprofen sustained-release capsules, acetaminophen tablets and other analgesics under the guidance of a doctor. If the pain continues to worsen or is accompanied by other abnormal symptoms, you should seek medical examination in time to rule out organic diseases.