Menstrual Pain and Fertility Challenges: When to Seek Help

Menstrual pain and pregnancy issues?

Hello, doctor.
I am currently trying to conceive and have been diligently using ovulation test strips for three cycles without success.
Both my partner and I have normal preconception check-ups.
During my last menstrual period, on the first day, I experienced severe menstrual pain, accompanied by cold sweats, an inability to speak or move due to the pain, blurred vision, and numbness in my hands.
I quickly took pain medication and ate chocolate, and after resting for about 30 minutes, I gradually recovered (this had never happened before).
Subsequently, I experienced menstrual pain and blood clots on days 2 to 4, but it was not as severe as on the first day.
Even on the sixth day, close to the end of my period, I had a few episodes of sharp pain.
I would like to ask if it is possible that I have endometriosis or uterine fibroids that could be preventing me from conceiving.
Would you recommend that I visit a hospital or clinic for further examination? Thank you.

Wei Lai Ma Ma, 30~39 year old female. Ask Date: 2024/04/23

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, if you still feel unwell, please visit a gynecologist for an examination.
Wishing you good health.

Reply Date: 2024/04/23

More Info

It sounds like you are experiencing significant menstrual pain and fertility challenges, which can understandably be distressing. Menstrual pain, also known as dysmenorrhea, can vary in intensity and is often accompanied by other symptoms such as nausea, headaches, and fatigue. In your case, the severe pain you experienced on the first day of your period, along with symptoms like cold sweats and tingling in your hands, is concerning and warrants further investigation.

Given that you have been trying to conceive for three cycles without success and that both you and your partner have undergone preconception checks with normal results, it is essential to consider other underlying conditions that may affect your fertility. Conditions such as endometriosis and uterine fibroids can indeed contribute to both painful menstruation and difficulties in conceiving.

Endometriosis occurs when tissue similar to the lining of the uterus grows outside of it, often leading to severe menstrual pain, especially during menstruation. It can also cause fertility issues, as the abnormal tissue can lead to scarring and adhesions in the pelvic area, affecting the reproductive organs. Symptoms of endometriosis can include chronic pelvic pain, painful periods, pain during intercourse, and sometimes gastrointestinal symptoms.

Uterine fibroids, on the other hand, are non-cancerous growths in the uterus that can also cause heavy menstrual bleeding, prolonged periods, and pain. Depending on their size and location, fibroids can interfere with implantation and pregnancy.

Given your symptoms and the fact that you are trying to conceive, it would be wise to seek medical attention. A healthcare provider can perform a thorough evaluation, which may include a pelvic exam, ultrasound, or other imaging studies to assess for conditions like endometriosis or fibroids. Additionally, they may recommend blood tests to check hormone levels, which can also provide insight into your menstrual cycle and fertility.

In terms of when to seek help, if you experience severe pain that disrupts your daily activities, as you did, or if your menstrual symptoms change significantly (such as increased pain or bleeding), it is advisable to consult a healthcare professional. Early diagnosis and treatment of conditions like endometriosis or fibroids can improve your chances of conceiving and alleviate painful symptoms.

In conclusion, while it is possible that your menstrual pain is related to conditions such as endometriosis or fibroids, only a healthcare provider can provide a definitive diagnosis. Seeking medical advice is a crucial step in understanding your symptoms and addressing any potential fertility challenges. Remember, you are not alone in this journey, and there are resources and support available to help you through it.

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