Severe Menstrual Pain: Causes and Relief Strategies

Dysmenorrhea

Hello, doctor! In the past few months, I've been experiencing severe pain on the first day of my menstrual period, to the point where I feel cold all over, break out in cold sweats, and feel completely weak, ultimately having to lie in bed and sleep, unable to do anything.
I also experience pain in my lower back and abdomen, and I have bowel movements as well.
I had similar experiences during high school (I consulted a doctor and received medication), but it stopped afterward.
I'm not sure why it has started again recently.
Could it be related to masturbation? Drinking ginger tea and eating chocolate are methods that help reduce the pain, but they don't completely alleviate it.
I'm unsure of what to do.
I hope you can help me, doctor! Thank you!

Jenny, 20~29 year old female. Ask Date: 2001/08/10

Dr. Li Guanghan reply Obstetrics and Gynecology

You must first go to the hospital to check for any pathological causes.
If there are no pathological causes, you must adhere to the following guidelines: 1.
Avoid cold foods one week before and after your menstrual period to maintain body temperature and prevent blood clots from forming.
2.
You can use a hot water bottle for heat therapy on the lower abdomen.
3.
Perform the knee-chest position to facilitate menstrual flow.
4.
If none of the above measures are effective, you will need to take pain relief medication.
Drinking ginger tea and consuming chocolate are intended to help maintain body temperature.
Self-defense is unrelated to menstrual pain.

Reply Date: 2001/08/10

More Info

Severe menstrual pain, also known as dysmenorrhea, can be a debilitating condition that affects many women. Understanding its causes and exploring relief strategies is essential for managing symptoms effectively.

Causes of Severe Menstrual Pain
1. Primary Dysmenorrhea: This type of pain is caused by the release of prostaglandins, which are hormone-like substances that trigger uterine contractions. Higher levels of prostaglandins can lead to more intense contractions, resulting in severe pain. This type of pain typically begins shortly before or at the onset of menstruation and can last for several days.

2. Secondary Dysmenorrhea: This type is usually caused by underlying reproductive health issues, such as endometriosis, fibroids, pelvic inflammatory disease, or adenomyosis. In these cases, the pain may start earlier in the menstrual cycle and last longer than primary dysmenorrhea.

3. Hormonal Imbalances: Fluctuations in hormone levels can also contribute to the severity of menstrual pain. Conditions such as polycystic ovary syndrome (PCOS) can lead to irregular menstrual cycles and increased pain.

4. Lifestyle Factors: Stress, lack of exercise, poor diet, and insufficient sleep can exacerbate menstrual pain. Additionally, certain habits, such as smoking, can increase the severity of dysmenorrhea.

Relief Strategies
1. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and inflammation. It is often recommended to start taking these medications at the onset of symptoms for maximum effectiveness.

2. Heat Therapy: Applying heat to the lower abdomen can help relax the muscles and alleviate pain. This can be done using a heating pad, hot water bottle, or warm bath.

3. Dietary Adjustments: Incorporating anti-inflammatory foods into your diet, such as fruits, vegetables, whole grains, and omega-3 fatty acids, can help reduce overall inflammation. Ginger tea, as you mentioned, is known for its anti-inflammatory properties and can be soothing.

4. Physical Activity: Regular exercise can help reduce the severity of menstrual pain. Activities like yoga, stretching, or even light aerobic exercise can improve blood flow and reduce cramps.

5. Stress Management: Techniques such as meditation, deep breathing exercises, and mindfulness can help manage stress, which may contribute to the perception of pain.

6. Alternative Therapies: Some women find relief through acupuncture, chiropractic care, or herbal supplements. However, it is essential to consult with a healthcare provider before starting any new treatment.

7. Consulting a Healthcare Provider: If your pain is severe and impacting your daily life, it is crucial to consult a healthcare provider. They can evaluate your symptoms, rule out any underlying conditions, and discuss potential treatments, including hormonal therapies or other medications.

Addressing Concerns About Self-Stimulation
Regarding your concern about whether masturbation could be contributing to your menstrual pain, there is no scientific evidence to suggest that it causes dysmenorrhea. In fact, some women find that sexual activity or orgasm can help relieve menstrual cramps due to the release of endorphins, which are natural pain relievers. However, if you notice a correlation between your activities and pain, it may be worth discussing with a healthcare provider.

Conclusion
Severe menstrual pain can significantly affect your quality of life, but there are various strategies to manage and alleviate symptoms. It is essential to listen to your body and seek medical advice if the pain persists or worsens. By understanding the underlying causes and exploring different relief strategies, you can find a combination that works best for you.

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