Managing Severe Gum Pain Before Menstruation: Solutions and Insights

Q: Managing Severe Gum Pain Before Menstruation: Solutions and Insights

Hello： Regarding the issue of premenstrual tooth pain, it is one of the symptoms of premenstrual syndrome (PMS), and hormonal therapy may be considered. <br>For medication treatment, low-dose progestin (a type of contraceptive) can be used; however, contraceptives still have side

Experiencing significant discomfort before menstruation?

I experience severe and painful gum swelling before my menstrual period every month, with the pain lasting for over two weeks.
I have undergone periodontal treatment and surgery, but nothing has worked for over three years.
X-rays show no abnormalities.
Dentists have often misdiagnosed my condition, leading to unnecessary dental treatments.
How can I address the issue of swollen gums and tooth pain before menstruation? Is there a permanent solution? What immediate treatments are available? Which specialist should I consult? What medications should I take? Could these treatments lead to other issues, such as edema, weight gain, dizziness, or headaches?
Additionally, I have a history of medication allergies and poor liver and kidney function, making me sensitive to side effects.
Is there a way to achieve a permanent solution without causing discomfort? What supplements can I take to prevent these issues from recurring? How can I check for malnutrition? Can malnutrition cause symptoms like severe premenstrual depression, fever, ovarian pain, lower back pain, bone pain, breast pain, and edema? How can these be permanently resolved?
If I do not have a menstrual period, will I no longer experience these problems? Are surgical procedures to remove these issues related to premenstrual syndrome, menopause, or an underlying health problem? How can I find a definitive answer for a permanent solution? I am tired of hearing about tooth extractions and follow-ups that do not resolve my issues.
Lastly, can uterine fibroids be felt through the rectum?

Zixun, 40~49 year old female. Ask Date: 2023/09/10

Dr. Lin Manying reply Obstetrics and Gynecology

Hello: Regarding the issue of premenstrual tooth pain, it is one of the symptoms of premenstrual syndrome (PMS), and hormonal therapy may be considered.
For medication treatment, low-dose progestin (a type of contraceptive) can be used; however, contraceptives still have side effects, and the likelihood of weight gain is very low.
For nutritional deficiencies, please consult a family medicine physician for evaluation.
Additionally, a combination of traditional Chinese medicine and Western medicine may be considered for premenstrual symptoms.
It is difficult to palpate uterine fibroids through the rectum.
Hualien Hospital, Ministry of Health and Welfare, cares about your health.

Reply Date: 2023/09/10

More Info

Managing severe gum pain before menstruation can be a complex issue, especially when it has persisted for over three years despite dental treatments and surgeries. The symptoms you describe, including swollen and painful gums, may be linked to hormonal fluctuations that occur during the menstrual cycle, which can exacerbate existing dental issues or lead to new ones.

Understanding the Connection Between Hormones and Gum Health
Hormonal changes, particularly fluctuations in estrogen and progesterone, can affect the gums' health. These hormones can increase blood flow to the gums, making them more sensitive and prone to inflammation. This condition is often referred to as "hormonal gingivitis." If you experience significant swelling and pain in your gums leading up to your menstrual cycle, it may be worthwhile to explore this connection further with your healthcare provider.

Potential Solutions and Treatments
1. Consult a Specialist: Since you have already seen a periodontist without relief, it may be beneficial to consult with an endocrinologist or a gynecologist who specializes in hormonal issues. They can help determine if your gum pain is related to hormonal imbalances and suggest appropriate treatments.

2. Medication Options: Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and inflammation. However, given your history of medication allergies and liver/kidney issues, it’s crucial to discuss any medication with your healthcare provider to avoid adverse effects. They may also consider prescribing hormonal treatments that can help stabilize your hormone levels and potentially reduce gum inflammation.

3. Nutritional Support: Nutritional deficiencies can exacerbate gum problems. A diet rich in vitamins C and D, calcium, and omega-3 fatty acids can support gum health. A nutritionist can help assess your dietary intake and recommend supplements if necessary. Nutritional deficiencies can lead to weakened immune responses, making it harder for your body to fight inflammation.

4. Alternative Therapies: Some patients find relief through acupuncture or herbal remedies, which may help balance hormones and reduce inflammation. However, it’s essential to consult with a qualified practitioner and inform them of your medical history.

5. Lifestyle Changes: Stress management techniques such as yoga, meditation, and regular exercise can help regulate hormones and improve overall health. Additionally, maintaining good oral hygiene practices—like regular brushing and flossing—can help minimize gum issues.

Addressing Other Symptoms
You mentioned experiencing a range of symptoms, including severe depression, fever, and various pains. These could be indicative of a broader condition, such as premenstrual syndrome (PMS) or premenstrual dysphoric disorder (PMDD). If these symptoms are significantly impacting your quality of life, it’s essential to discuss them with a healthcare provider who can evaluate your overall health and recommend appropriate treatments.

Investigating Nutritional Deficiencies
To check for nutritional deficiencies, a healthcare provider can perform blood tests to assess levels of essential vitamins and minerals. If deficiencies are found, targeted supplementation can help alleviate some of your symptoms.

Considering Surgical Options
If hormonal treatments and lifestyle changes do not provide relief, you may want to discuss the possibility of surgical options with your gynecologist. Procedures like endometrial ablation or even a hysterectomy can be considered for severe cases of PMS or PMDD, but these should be discussed thoroughly, considering the potential risks and benefits.

Conclusion
In summary, managing severe gum pain before menstruation requires a multifaceted approach. It’s essential to work closely with healthcare providers to explore hormonal influences, nutritional support, and appropriate treatments. While it may take time to find the right solution, a comprehensive evaluation can help identify the root causes of your symptoms and lead to effective management strategies. Always prioritize open communication with your healthcare team to ensure that all aspects of your health are considered in your treatment plan.

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