Menstrual Cycle Changes: Signs and Symptoms Explained - Obstetrics and Gynecology

More Info

---

Understanding the menstrual cycle and its changes can be quite complex, as it is influenced by various physiological and hormonal factors. The menstrual cycle typically lasts about 28 days, but it can vary from person to person, ranging from 21 to 35 days. The cycle is divided into several phases: the menstrual phase, follicular phase, ovulation, and luteal phase. Each phase is characterized by specific hormonal changes that can lead to various signs and symptoms.

In your case, you mentioned that your last menstrual period started on July 9 and ended around July 15, which suggests a typical cycle length. If we assume your cycle is around 28 days, you would expect your next period to start around August 9. However, you also noted that you had intimate contact with your boyfriend on August 3, which can lead to some anxiety regarding potential pregnancy, even if penetration did not occur.

The sensation of feeling like there is something in your lower abdomen can be attributed to several factors. It could be related to premenstrual syndrome (PMS), which often occurs in the luteal phase of the menstrual cycle, leading up to menstruation. Symptoms of PMS can include bloating, cramping, mood swings, and changes in appetite. The feeling of fullness or pressure in the lower abdomen is not uncommon during this time due to hormonal fluctuations and the body's preparation for menstruation.

Additionally, the luteal phase is characterized by increased levels of progesterone, which can cause the uterus to swell in preparation for a potential pregnancy. If fertilization does not occur, hormone levels will drop, leading to the shedding of the uterine lining, which is your menstrual period. The symptoms you are experiencing could indeed be a sign that your period is approaching, especially if they align with your typical premenstrual symptoms.

It is also important to consider that stress and anxiety about potential pregnancy can exacerbate physical sensations and lead to increased awareness of bodily changes. If you are feeling anxious, it might be helpful to take a pregnancy test if your period does not arrive on time, as this can provide clarity and peace of mind.

In summary, the sensations you are experiencing could be related to the normal hormonal changes associated with the menstrual cycle, particularly as you approach your expected period. If your symptoms persist or if you have any concerns about your menstrual health or potential pregnancy, it would be advisable to consult with a healthcare provider. They can offer personalized advice, conduct any necessary examinations, and provide reassurance regarding your reproductive health.