Shoulder Pain: Could It Be Related to Your Menstrual Cycle? - Obstetrics and Gynecology

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Shoulder pain


You had your menstrual period from June 9 to June 15, with an average cycle length of 30 days.
You took emergency contraception on June 18 and again on June 24 (as an app indicated a high-risk ovulation period).
Is there a possibility of pregnancy? When can you expect your next period?

Xiao Mei, 20~29 year old female. Ask Date: 2021/06/27

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the chances of pregnancy should be low.
Emergency contraceptive pills may cause irregular menstruation, so just monitor the situation.
Wishing you good health.

Reply Date: 2021/06/27

More Info


Understanding the relationship between shoulder pain and the menstrual cycle can be complex, as various factors can contribute to both conditions. In your case, it seems you are concerned about the possibility of pregnancy and how it might relate to your menstrual cycle and shoulder pain.

First, let’s address the menstrual cycle. A typical menstrual cycle lasts about 28 days, but it can vary from person to person, ranging from 21 to 35 days. You mentioned that your cycle averages 30 days, and your last period was from June 9 to June 15. If we consider a 30-day cycle, your next expected period would be around July 9. However, since you took emergency contraception (the "morning-after pill") on June 18 and June 24, this could potentially alter your cycle. Emergency contraception can cause changes in your menstrual cycle, leading to a delay or an earlier onset of your next period.
Regarding the possibility of pregnancy, emergency contraception is most effective when taken as soon as possible after unprotected intercourse. If you took the pills within the recommended time frame, the likelihood of pregnancy is significantly reduced. However, if your next period is late or if you experience unusual symptoms, it would be wise to take a pregnancy test for confirmation.

Now, concerning your shoulder pain, it is essential to note that while hormonal changes during the menstrual cycle can affect various body systems, shoulder pain is not typically directly linked to menstruation. However, some women experience musculoskeletal pain or discomfort related to hormonal fluctuations, particularly due to changes in estrogen and progesterone levels. These hormones can influence fluid retention, muscle tension, and overall pain perception, potentially exacerbating existing conditions like rotator cuff injuries or shoulder tendonitis.

If your shoulder pain persists, it may be beneficial to consult a healthcare professional. They can evaluate your symptoms, possibly recommend imaging studies like an MRI, and determine if there is an underlying issue such as a rotator cuff tear, bursitis, or other musculoskeletal conditions. Treatment options may include physical therapy, anti-inflammatory medications, or corticosteroid injections, depending on the severity and cause of the pain.

In summary, while your menstrual cycle can influence various physical symptoms, shoulder pain is likely due to other factors rather than directly related to menstruation. If you have concerns about your menstrual cycle or potential pregnancy, consider taking a pregnancy test and consulting with a healthcare provider for personalized advice. Additionally, for your shoulder pain, seeking medical evaluation will help identify the cause and appropriate treatment options.

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