Is Abdominal Drooping Normal Before Menstruation?

Q: Is Abdominal Drooping Normal Before Menstruation?

Hello： A feeling of heaviness or pressure typically indicates that something is stimulating the pelvis, such as uterine fibroids or ovarian tumors. <br>Experiencing this sensation before menstruation may be due to a larger corpus luteum hemorrhage or retrograde menstruation befor

Abdominal issues?

Hello doctor, may I ask if experiencing a feeling of heaviness in the lower abdomen (sometimes on the left side and sometimes on the right side) before menstruation is a normal phenomenon?

ningmeng, 20~29 year old female. Ask Date: 2016/12/16

Dr. Yang Wangjun reply Obstetrics and Gynecology

Hello: A feeling of heaviness or pressure typically indicates that something is stimulating the pelvis, such as uterine fibroids or ovarian tumors.
Experiencing this sensation before menstruation may be due to a larger corpus luteum hemorrhage or retrograde menstruation before the menstrual flow is expelled.
If there is endometriosis, menstrual blood can also flow into the pelvic cavity during menstruation, leading to a feeling of heaviness.
Thank you for your message!

Reply Date: 2016/12/16

More Info

Experiencing a sensation of abdominal drooping or fullness before menstruation is a common occurrence for many individuals, and it can be attributed to several physiological changes that happen in the body during the menstrual cycle. This phenomenon is often linked to hormonal fluctuations, particularly the rise and fall of estrogen and progesterone levels, which can lead to various symptoms, including bloating, cramping, and changes in abdominal sensation.

During the luteal phase of the menstrual cycle, which occurs after ovulation and before menstruation, the body prepares for a potential pregnancy. The levels of progesterone increase, which can cause the uterus to swell slightly and may lead to a feeling of heaviness or fullness in the lower abdomen. This can be perceived as a "drooping" sensation, especially if there is also accompanying bloating due to fluid retention, which is common in the days leading up to menstruation.

Additionally, the gastrointestinal tract can be affected by hormonal changes, leading to increased gas production and altered bowel habits, which may contribute to the sensation of fullness or discomfort in the abdomen. Some individuals may also experience heightened sensitivity in the abdominal area due to these hormonal shifts, making them more aware of sensations that they might not notice at other times in their cycle.

It is also important to consider other factors that might contribute to this sensation. For instance, conditions such as endometriosis, fibroids, or pelvic inflammatory disease can cause similar symptoms and may require medical evaluation if they are severe or persistent. If the sensation of drooping is accompanied by significant pain, changes in menstrual flow, or other concerning symptoms, it would be advisable to consult a healthcare provider for further assessment.

In summary, while a feeling of abdominal drooping or fullness before menstruation can be a normal part of the menstrual cycle due to hormonal changes, it is essential to monitor the symptoms. If they become bothersome or are associated with other concerning signs, seeking medical advice is recommended. Regular gynecological check-ups and open communication with healthcare providers can help manage any menstrual-related symptoms effectively.

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