excuse me?
Hello Dr.
Jan: I experience dull pain in my lower abdomen before each menstrual period, particularly on one day when it feels especially uncomfortable.
After that, I gradually notice some premenstrual symptoms, and my period usually arrives about 14 days later.
However, the pain is almost always in the lower right abdomen; is this normal? My last menstrual period was from September 15 to September 22, but around September 29, I experienced dull pain in my lower abdomen again, followed by breast tenderness that has persisted until today.
My menstrual cycle ranges from 32 to 57 days.
Since my last period, I have not used contraception, and for the past two weeks, I have experienced dull pain and discomfort in my lower abdomen almost daily, in the same area as my menstrual cramps.
Although I have had similar premenstrual symptoms in the past, they were not as frequent or intense.
Recently, my vaginal discharge has been light yellow, sometimes slightly thick, and at times resembling a gelatinous texture.
It is odorless and does not cause any itching in the perineal area.
Is this normal? Could it affect my ability to conceive? Thank you!!!
yaya, 20~29 year old female. Ask Date: 2001/10/17
Dr. Zhan Deqin reply Obstetrics and Gynecology
Hello: 1.
Many people experience premenstrual syndrome, including abdominal pain, breast tenderness, and mood swings, which are generally not harmful to the body.
2.
Your abdominal pain on September 29 may be caused by ovulation.
3.
However, your menstrual cycle is somewhat irregular, ranging from 32 to 57 days, which may indicate some anovulatory cycles.
It is recommended to consult a gynecologist for further evaluation.
Reply Date: 2001/10/17
More Info
Understanding abdominal pain and symptoms before menstruation is crucial for women, especially when experiencing discomfort that may be linked to their menstrual cycle. The symptoms you describe, including lower abdominal pain, breast tenderness, and changes in vaginal discharge, can be associated with premenstrual syndrome (PMS) or other gynecological conditions.
Firstly, it is important to understand that many women experience varying degrees of discomfort in the days leading up to their menstrual period. This discomfort can manifest as cramping, bloating, and general abdominal pain. The pain you feel in the right lower abdomen could be related to ovulation, which typically occurs about 14 days before your next period. This is known as mittelschmerz, a term used to describe the pain some women experience during ovulation.
Your menstrual cycle length of 32-57 days is somewhat irregular, which can also contribute to the symptoms you are experiencing. Irregular cycles can be caused by various factors, including hormonal imbalances, stress, significant weight changes, or underlying health conditions such as polycystic ovary syndrome (PCOS). It is essential to monitor your cycle and any associated symptoms closely.
The breast tenderness you mentioned is another common symptom of PMS, which can occur due to hormonal fluctuations in the luteal phase of your cycle. This phase occurs after ovulation and before your period starts, where levels of estrogen and progesterone rise and then fall, leading to various physical symptoms.
Regarding your vaginal discharge, a light yellow, non-itchy, and odorless discharge can be normal, especially if it changes in consistency throughout your cycle. However, if you notice any significant changes in color, odor, or if you develop itching or irritation, it would be wise to consult a healthcare provider to rule out any infections or other conditions.
As for your concerns about fertility, mild premenstrual symptoms and changes in discharge are generally not indicative of fertility issues. However, if you are trying to conceive and have been experiencing persistent pain or other concerning symptoms, it is advisable to seek a thorough evaluation from a gynecologist. They may recommend tests such as ultrasounds or hormonal assessments to ensure that everything is functioning normally.
In summary, while the symptoms you are experiencing can be common and often benign, it is essential to keep track of any changes and consult with a healthcare professional if the pain becomes severe, if you experience significant changes in your menstrual cycle, or if you have concerns about your reproductive health. Regular check-ups and open communication with your healthcare provider can help you manage your symptoms effectively and address any underlying issues that may arise.
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