Common Over-the-Counter Remedies for Menstrual Issues

Continuation #127464 Menstrual Issues

I apologize for bothering you, Doctor (thank you for taking the time to answer).
Are there any medications that can be purchased at a regular pharmacy? I do not have any drug allergies and I am unsure when the blood-tinged discharge from my coffee will resolve.
Are there any simple over-the-counter medications available at the pharmacy? Or will it resolve on its own? Is taking a hot bath helpful? Thank you, Doctor, and best wishes to you.

SL, 10~19 year old female. Ask Date: 2017/08/27

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Menstruation has always been normal, with a cycle of about 24-26 days.
This time, after 12 days of menstruation, on the 13th day, after masturbation, I noticed a thick, light red discharge on my hand.
The next day, upon waking up, it had turned brown and was sticky in small clumps, continuing for 2 days.
Additionally, on the second night, I started to feel menstrual cramps.
Is this a normal occurrence, even if it happens occasionally?
PS: During these 12 days, I have been masturbating intermittently, about 3-4 times a day.
I'm worried that this might be too frequent and could have caused some injury.
Answer:
1.
Masturbation is very common and generally not a problem.
Masturbating 3-4 times a day for 12 days is not considered excessive.
2.
The thick, light red discharge after masturbation, which turned brown and sticky the next day, along with the onset of menstrual cramps, may be due to superficial injury or a bacterial infection caused by masturbation.
Treatment with medication, topical ointments, and possibly suppositories, along with warm baths, can help.
It's important to choose the appropriate antibiotic.
3.
Is taking a warm bath helpful, or will it resolve on its own?
Answer: Taking a warm bath can be beneficial; you can observe the symptoms for 3 days.
4.
Are there any medications available at a regular pharmacy, or any simple medications that can be purchased?
Answer: It's better to see a doctor for a proper evaluation.

Reply Date: 2017/08/27

More Info

When it comes to managing menstrual issues, there are several over-the-counter (OTC) remedies available at pharmacies that can help alleviate symptoms such as cramps, bloating, and mood swings. Here’s a comprehensive overview of common OTC remedies and additional self-care strategies that may be beneficial.

Common Over-the-Counter Remedies
1. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs):
- Ibuprofen (Advil, Motrin): This is one of the most commonly used medications for menstrual cramps (dysmenorrhea). It works by reducing inflammation and alleviating pain. It is generally recommended to take it at the onset of cramps for the best effect.

- Naproxen (Aleve): Similar to ibuprofen, naproxen is effective for pain relief and can be taken for menstrual cramps. It has a longer duration of action, which means it may be taken less frequently.

2. Acetaminophen (Tylenol):
- While not as effective as NSAIDs for inflammation, acetaminophen can help relieve mild to moderate pain associated with menstrual cramps.

3. Antihistamines:
- Diphenhydramine (Benadryl): If you experience menstrual-related allergies or discomfort, antihistamines can help. However, they may cause drowsiness, so they are best taken at night.

4. Topical Heat Patches:
- Heat patches (like Thermacare) can be applied to the lower abdomen to provide soothing warmth, which can help relax muscles and reduce cramping.

5. Herbal Remedies:
- Some women find relief using herbal supplements such as ginger or chamomile. These can be taken in tea form or as capsules. However, it’s important to consult with a healthcare provider before starting any herbal supplements, especially if you are taking other medications.

Self-Care Strategies
1. Warm Baths:
- Taking a warm bath can be very soothing and may help reduce menstrual cramps. The heat can relax the muscles in the abdomen and provide comfort.

2. Hydration:
- Staying hydrated is crucial. Drinking plenty of water can help reduce bloating and discomfort.

3. Dietary Adjustments:
- Eating a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can help manage symptoms. Some women find that reducing caffeine and salt intake before and during their period can alleviate bloating and discomfort.

4. Exercise:
- Regular physical activity can help reduce the severity of menstrual cramps. Even light exercise, such as walking or yoga, can be beneficial.

5. Stress Management:
- Techniques such as deep breathing, meditation, or gentle yoga can help manage stress, which may exacerbate menstrual symptoms.

When to Seek Medical Attention
While many menstrual symptoms can be managed with OTC remedies and self-care, it’s important to consult a healthcare provider if you experience:
- Severe pain that is not relieved by OTC medications.

- Symptoms that interfere significantly with daily activities.

- Changes in your menstrual cycle or unusual bleeding patterns.

- Any other concerning symptoms, such as fever or unusual discharge.

Conclusion
In summary, there are several effective OTC remedies available for managing menstrual issues, including NSAIDs, acetaminophen, and topical heat patches. Self-care strategies such as warm baths, hydration, and exercise can also provide relief. If symptoms persist or worsen, it is advisable to consult a healthcare professional for further evaluation and management. Remember, every individual’s experience with menstruation is unique, and finding the right combination of remedies and self-care practices may take some time.

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