Post-Menstrual Discomfort: Abdominal and Breast Pain

Discomfort in the lower abdomen after menstruation?

Hello Doctor: 1.
This time, my menstrual flow was much lighter than last time, and even four days after my period ended, I occasionally feel a slight dull pain in my lower abdomen.
Is there any issue with this? 2.
I know that it is normal to experience some breast discomfort within a week after my period ends, but on the morning of the fourth day after my period, I woke up with pain in my right breast, which was much stronger than before.
It gradually eased after a morning.
Is this still considered normal? Is it related to the previous issue? 3.
There is a painful spot on the protruding part of my left pelvic area that hurts when pressed, and this started three days after my period ended.
I read online that some pelvic pain can be related to gynecological conditions.
Can you tell me what the issue might be?

Weiwei, 20~29 year old female. Ask Date: 2021/08/06

Dr. Huang Yuande reply Obstetrics and Gynecology

1.
Young women may sometimes experience hormonal imbalances due to factors such as lifestyle, which can lead to similar symptoms.
Therefore, if these occurrences are infrequent, simple medications can be used for symptom relief.
However, if they happen frequently, it is advisable to seek medical attention to rule out other underlying causes.

2.
Pelvic pain is indeed often associated with gynecological issues, such as endometriosis.
My response remains the same; persistent and recurrent episodes should be evaluated by a healthcare professional.

Reply Date: 2021/08/06

More Info

Post-menstrual discomfort can manifest in various ways, including abdominal and breast pain, and understanding these symptoms is essential for addressing any underlying issues. Based on your description, let’s break down your concerns and explore potential causes and recommendations.

1. Light Menstrual Flow and Abdominal Discomfort: A lighter menstrual flow compared to previous cycles can be influenced by several factors, including hormonal fluctuations, stress, changes in weight, or even lifestyle alterations. The mild dull pain in your lower abdomen four days after your period could be related to ovulation, which typically occurs around 14 days before your next period. This is known as mittelschmerz, a common occurrence where some women experience discomfort during ovulation due to the release of an egg from the ovary. However, if the pain persists or worsens, it would be prudent to consult a healthcare provider to rule out any other conditions such as ovarian cysts or endometriosis.

2. Breast Pain After Menstruation: Experiencing breast tenderness or pain after your menstrual period is not uncommon. Hormonal changes throughout your cycle can lead to breast tissue swelling and discomfort. However, the sudden onset of sharp pain in your right breast, especially if it is more intense than what you have experienced before, warrants attention. While it may be related to hormonal fluctuations, it is essential to monitor the pain. If it persists, becomes severe, or is accompanied by other symptoms such as changes in breast appearance or discharge, it is advisable to seek evaluation from a healthcare professional. They may recommend a clinical breast exam or imaging studies like a mammogram or ultrasound to ensure there are no underlying issues.

3. Pelvic Pain and Potential Gynecological Issues: The localized pain in your left pelvic area, particularly when pressure is applied, could be indicative of several conditions. While some pelvic pain can be benign and related to muscle strain or ligamentous changes, it can also be associated with gynecological issues such as ovarian cysts, fibroids, or even pelvic inflammatory disease (PID). The timing of the pain, starting a few days after your period, could suggest that it is related to ovulation or other cyclical changes. However, if the pain is persistent, worsening, or associated with other symptoms like fever, unusual discharge, or significant changes in your menstrual cycle, it is crucial to consult a gynecologist for a thorough evaluation.

In summary, while some of the symptoms you are experiencing may be normal variations related to your menstrual cycle, it is essential to remain vigilant. Keeping a symptom diary can be helpful in tracking the timing, intensity, and nature of your symptoms, which can provide valuable information to your healthcare provider. Regular gynecological check-ups are also recommended, especially if you notice any significant changes in your menstrual cycle or if new symptoms arise. Always prioritize your health and do not hesitate to seek medical advice when in doubt.

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