Menstrual Discomfort: Causes and Concerns - Obstetrics and Gynecology

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Menstrual issues


Hello, doctor.
I usually don't have much menstrual pain; I only experience some soreness on the second day when the flow is heavy, and by the third day, I have no discomfort.
However, on the third day of my current period, I drank a herbal medicine (just steep it in hot water, produced by Shun Tian Tang) that is supposed to help with blood discharge.
I had previously consumed it a few times without any major issues, but I hadn't taken it for six months.
After drinking it this time, I experienced mild soreness, similar to what I usually feel on the second day when the flow is heavy.
The soreness is located around the area where the penis would fully penetrate.
This soreness does not interfere with my daily activities, but since I have never experienced menstrual discomfort on the third day before, I am a bit concerned.
What could be the reason for this? Is there a problem? Thank you.

lovedandan, 20~29 year old female. Ask Date: 2005/12/31

Dr. Zhou Dali reply Obstetrics and Gynecology


It is advisable to visit the gynecology outpatient clinic for examination.

Reply Date: 2005/12/31

More Info


Menstrual discomfort is a common experience for many individuals, and it can manifest in various ways, including cramps, bloating, and other sensations of discomfort. Based on your description, it seems that you typically do not experience significant menstrual pain, except for mild discomfort on the second day of your period when bleeding is heaviest. However, this time, you noticed a mild aching sensation on the third day after consuming a traditional herbal remedy aimed at promoting blood flow.

Firstly, it is important to understand that menstrual cycles can vary significantly from month to month due to a variety of factors, including hormonal fluctuations, stress levels, diet, and lifestyle changes. The introduction of a herbal remedy after a six-month hiatus could also play a role in your current experience of discomfort. Herbal remedies can have different effects on individuals, and their efficacy can vary based on the body’s current state and hormonal balance.

The aching sensation you describe, particularly localized to the area where penetration occurs, may be related to several factors:
1. Uterine Contractions: During menstruation, the uterus contracts to help shed its lining. These contractions can sometimes cause discomfort, especially if they are more pronounced than usual. The herbal remedy you consumed may have stimulated these contractions, leading to the discomfort you are experiencing.

2. Hormonal Changes: The menstrual cycle is regulated by hormones, and any changes in hormone levels can lead to variations in symptoms. If the herbal remedy has an effect on your hormonal balance, it could potentially lead to increased sensitivity or discomfort during your period.

3. Pelvic Floor Tension: Sometimes, the muscles in the pelvic floor can become tense during menstruation, leading to discomfort. This tension can be exacerbated by stress or anxiety, which may be heightened if you are concerned about the discomfort itself.

4. Positioning and Activity: The way you position yourself during your period can also affect how you feel. If you are more active or in a different position than usual, it may lead to sensations that you are not accustomed to.

Given that the discomfort you are experiencing is mild and does not interfere with your daily activities, it is likely not a cause for concern. However, if the discomfort persists, worsens, or is accompanied by other symptoms such as heavy bleeding, severe pain, or unusual discharge, it would be advisable to consult a healthcare professional for further evaluation.

In summary, while it is understandable to feel concerned about changes in your menstrual symptoms, the mild discomfort you are experiencing may be a normal variation, particularly in response to the herbal remedy. Monitoring your symptoms and maintaining open communication with your healthcare provider can help ensure that any underlying issues are addressed promptly. If you have any further questions or if your symptoms change, do not hesitate to seek medical advice.

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