Ovulation Pain and PMS: Is It Normal? - Obstetrics and Gynecology

Premenstrual Syndrome (PMS) & Ovulation Pain

Hello doctor, I have been feeling uncomfortable from ovulation until my next menstrual period.
About ten days before my next period, my breasts start to hurt.
Is this normal? Can I take traditional Chinese medicine to regulate this?

pj, 10~19 year old female. Ask Date: 2018/02/13

Dr. Huang Jianzhong reply Obstetrics and Gynecology

It is normal to experience discomfort from ovulation until the next menstrual period, and breast tenderness can begin several days before the next period.
It may be possible to use traditional Chinese medicine for regulation.

Reply Date: 2018/02/13

More Info

Ovulation pain, also known as mittelschmerz, is a common experience for many women. It typically occurs around the time of ovulation, which is approximately midway through the menstrual cycle. This pain can manifest as a sharp or dull ache in the lower abdomen, and it may last from a few minutes to a couple of days. The discomfort is usually mild and self-limiting, but some women may experience more significant pain.

In your case, experiencing breast tenderness or discomfort starting about ten days before your next menstrual period could be related to premenstrual syndrome (PMS). PMS is characterized by a variety of physical and emotional symptoms that occur in the luteal phase of the menstrual cycle, which is the time between ovulation and the start of menstruation. Common symptoms of PMS include breast tenderness, bloating, mood swings, fatigue, and irritability. The hormonal fluctuations that occur during this phase can lead to these symptoms, and they are considered normal for many women.

Regarding the use of traditional Chinese medicine (TCM) to manage these symptoms, it is essential to consult with a qualified practitioner who can assess your individual condition and recommend appropriate treatments. TCM often employs herbal remedies, acupuncture, and dietary adjustments to help balance the body's energy and alleviate symptoms. Some herbs commonly used for PMS and menstrual discomfort include Dong Quai (Angelica sinensis), Chaste Tree (Vitex agnus-castus), and Ginger (Zingiber officinale). However, it's crucial to ensure that any herbal treatments do not interact with other medications you may be taking and are suitable for your specific health needs.

If your symptoms are severe or significantly impact your daily life, it is advisable to consult a healthcare provider. They can help rule out any underlying conditions, such as endometriosis or fibroids, which may cause similar symptoms. Additionally, they can provide guidance on lifestyle modifications, dietary changes, or medications that may help alleviate your discomfort.

In summary, experiencing discomfort from ovulation to your next menstrual period can be normal, particularly if it aligns with PMS symptoms. However, if the pain is severe or persistent, seeking medical advice is essential to ensure there are no underlying health issues. Traditional Chinese medicine may offer supportive treatments, but it is best to consult a qualified practitioner for personalized care.

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