Pain and Discomfort During Menstruation: A Guide for Women

Experiencing pain and numbness while walking on the left side?

Hello, Doctor:
1.
My last menstrual cycle (MC) started on August 15.
Does that mean my ovulation period is around August 25 or 26? My menstrual cycle usually lasts about 25 to 27 days, and during these two days, I experience increased discharge and vaginal itching.
I also had intercourse during these days, hoping to conceive, although it seems unlikely due to the risk of infection.
2.
I have been applying the ointment regularly in the morning and evening, but I still feel a dull pain on the left side.
Sometimes I have to lower my pants a bit to relieve the pain.
3.
A friend mentioned that at my age, it's best to have a breast ultrasound once a year.
Do you provide this service? However, I only experience pain when I have my menstrual cycle; do I still need to get the ultrasound? Thank you.

huanzhe, 30~39 year old female. Ask Date: 2012/08/27

Dr. Lin Wenbin reply Obstetrics and Gynecology

The ovulation period can be estimated by taking the date of your next expected menstrual period (for example, September 9 to September 11) and subtracting 14 days, which gives you the estimated ovulation period (August 26 to August 28).
However, this is a very rough calculation and can have significant variability.
A more accurate method would involve using ultrasound to measure follicle size.
After surgery, it is common to experience unusual sensations at the incision site, which may take some time to heal.
Local heat application or warm sitz baths can also improve blood circulation and shorten the recovery time of the nerves.
You can visit our breast surgery outpatient clinic on Tuesday morning to seek expert advice.

Reply Date: 2012/08/27

More Info

Understanding pain and discomfort during menstruation is a common concern for many women. Menstrual pain, also known as dysmenorrhea, can vary in intensity and duration, affecting daily activities and overall quality of life. Here’s a comprehensive guide to understanding this phenomenon and exploring potential treatments.

1. Understanding the Menstrual Cycle
The menstrual cycle typically lasts about 28 days, but it can range from 21 to 35 days in adults. Ovulation usually occurs around 14 days before the start of the next period. In your case, if your last menstrual period (MC) started on August 15, ovulation would likely occur around August 25 or 26. This is the time when you are most fertile, and if you are trying to conceive, it is indeed a crucial period.

2. Symptoms and Causes of Menstrual Pain
Menstrual pain can manifest as cramps in the lower abdomen, back pain, and even discomfort in the thighs. The pain is primarily caused by the release of prostaglandins, which are chemicals that trigger uterine contractions. Higher levels of prostaglandins are associated with more intense pain. Other factors that can contribute to menstrual pain include:
- Endometriosis: A condition where tissue similar to the lining inside the uterus grows outside it, causing severe pain.

- Uterine fibroids: Noncancerous growths in the uterus that can cause heavy bleeding and pain.

- Pelvic inflammatory disease (PID): An infection of the reproductive organs that can lead to chronic pain.

3. Managing Menstrual Pain
There are several strategies to manage menstrual pain effectively:
- Over-the-counter pain relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation.

- Heat therapy: Applying a heating pad to the lower abdomen can relax the muscles and alleviate cramps.

- Lifestyle changes: Regular exercise, a balanced diet, and adequate hydration can help reduce the severity of menstrual symptoms.

- Alternative therapies: Some women find relief through acupuncture, yoga, or herbal supplements, although these should be discussed with a healthcare provider.

4. When to Seek Medical Advice
If menstrual pain is severe and interferes with daily activities, it is essential to consult a healthcare provider. They may recommend further evaluation, including:
- Pelvic ultrasound: To check for conditions like fibroids or cysts.

- Hormonal treatments: Birth control pills can help regulate periods and reduce pain.

- Other diagnostic tests: If endometriosis or PID is suspected, further testing may be necessary.

5. Breast Health and Monitoring
Regarding your concern about breast health, it is generally recommended that women begin regular breast screenings, such as mammograms, starting at age 40, or earlier if there is a family history of breast cancer. However, breast ultrasounds can be useful for younger women or those with dense breast tissue. If you experience any unusual changes in your breasts, such as lumps or persistent pain, it is advisable to consult a healthcare provider for an evaluation.

Conclusion
Menstrual pain is a common issue that can often be managed with lifestyle changes, over-the-counter medications, and, if necessary, medical interventions. Understanding your menstrual cycle and recognizing when to seek help is crucial for maintaining reproductive health. If you have ongoing concerns about your menstrual symptoms or breast health, do not hesitate to reach out to a healthcare professional for personalized advice and treatment options.

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