Menstrual Pain: Causes and Remedies for Relief

Menstrual pain

My menstrual cycle has been very regular, but for the last two cycles, I experienced significant pain despite drinking hot water, ginger tea, and hot cocoa before my period.
In the past, using a heating pad or drinking hot cocoa would alleviate the pain, but this time it didn't seem to help.
I have researched online and found that it could be endometriosis, which typically causes irregular periods.
I previously consulted with a traditional Chinese medicine practitioner who mentioned that I have a cold constitution.
After my period, I used to drink a warming herbal remedy, but I haven't done so in the past year.
I would like to know if there are any methods to improve this situation.

Hong, 10~19 year old female. Ask Date: 2018/05/20

Dr. Huang Jianzhong reply Obstetrics and Gynecology

My menstrual cycle has been very regular, but for the last two cycles, I have experienced significant pain despite drinking hot water, hot ginger tea, and hot cocoa before my period.
In the past, using a heating pad or drinking hot cocoa would alleviate the pain, but this time it seems ineffective.
I have researched online and found that it could be endometriosis, but I read that those with endometriosis typically have irregular periods.
I have also consulted a traditional Chinese medicine practitioner who mentioned that I have a cold constitution.
Previously, I would drink a warm herbal remedy after my period, which helped, but I haven’t done that in the past year.
I’m wondering if there are any methods to improve this situation.

Answer: 1.
It is incorrect to say that those with endometriosis always have irregular periods.
2.
Since my menstrual cycle is very regular but accompanied by significant pain, I need to see a doctor for an examination to determine the underlying cause.

Reply Date: 2018/05/20

More Info

Menstrual pain, also known as dysmenorrhea, is a common issue that many women experience during their menstrual cycles. It can range from mild discomfort to severe pain that interferes with daily activities. Understanding the causes and exploring remedies for relief can help manage this condition effectively.

Causes of Menstrual Pain
1. Prostaglandins: These are hormone-like substances produced by the endometrium (the lining of the uterus) that help the uterus contract during menstruation. Higher levels of prostaglandins are associated with more intense contractions, leading to increased pain.

2. Endometriosis: This condition occurs when tissue similar to the lining of the uterus grows outside the uterus, causing severe pain, especially during menstruation. While irregular periods are often associated with endometriosis, some women may still have regular cycles.

3. Uterine Fibroids: These benign tumors can develop in the uterus and may cause heavy bleeding and pain during menstruation.

4. Pelvic Inflammatory Disease (PID): An infection of the reproductive organs can lead to chronic pain and discomfort during menstruation.

5. Other Factors: Stress, lack of exercise, and dietary choices can also influence the severity of menstrual pain.

Remedies for Relief
1. Heat Therapy: Applying heat to the lower abdomen can help relax the muscles and alleviate pain. This can be done using a heating pad, hot water bottle, or warm bath.

2. Herbal Teas: Ginger tea, chamomile tea, and peppermint tea are known for their anti-inflammatory properties and can provide relief from menstrual cramps.

3. Over-the-Counter Pain Relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can reduce pain and inflammation. It’s important to take these medications as directed.

4. Dietary Changes: Incorporating anti-inflammatory foods such as fruits, vegetables, whole grains, and omega-3 fatty acids can help reduce menstrual pain. Avoiding excessive caffeine, sugar, and salty foods may also be beneficial.

5. Regular Exercise: Engaging in regular physical activity can help reduce the severity of menstrual cramps. Exercise releases endorphins, which are natural pain relievers.

6. Acupuncture and Acupressure: These traditional Chinese medicine techniques can help relieve menstrual pain by promoting blood flow and reducing tension in the body.

7. Supplements: Some women find relief with supplements such as magnesium, vitamin B1 (thiamine), and omega-3 fatty acids. However, it’s advisable to consult with a healthcare provider before starting any new supplements.

8. Alternative Therapies: Techniques such as yoga, meditation, and mindfulness can help manage stress and reduce the perception of pain.

When to Seek Medical Advice
If menstrual pain is severe, persistent, or accompanied by other symptoms such as heavy bleeding, irregular periods, or pain during intercourse, it is essential to consult a healthcare provider. They may perform a physical examination, ultrasound, or other diagnostic tests to rule out conditions like endometriosis or fibroids.

Conclusion
While menstrual pain is common, it is not something that should be endured without seeking relief. Understanding the underlying causes and exploring various remedies can significantly improve quality of life. If home remedies and over-the-counter medications are not effective, it may be necessary to consult a healthcare professional for further evaluation and treatment options.

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