Right-Sided Pain During Menstruation: Causes and Solutions

Q: Right-Sided Pain During Menstruation: Causes and Solutions

Hello： Based on your description, your menstrual flow is excessive, and you should consult a gynecologist to understand the causes of menorrhagia for appropriate treatment. <br>Regarding the abdominal mass you mentioned, which appears during menstruation, it is advisable to seek

Pain on the right side of the pubic bone during menstruation?

Dr.
Dong: Hello! For the past 3-4 months, I have experienced heavy menstrual bleeding on the 2nd to 3rd day, usually filling a 24 cm pad in about 2 hours.
This is a situation I did not encounter when I was younger.
When the heavy bleeding starts on the second day, I also experience pain on the right side of the pubic bone (I hope I am describing this correctly; it is the soft area at the very bottom of the abdomen that touches the bone, specifically on the right side).
If I place my right hand along the right side of the bone, with my pinky touching the bone and the thigh groove, there is a sensation of swelling, as if something is swollen, causing pain.
When I raise my hand and stretch, it feels like there is a lump there, pulling on the surrounding muscles.
However, as the menstrual flow decreases, the sensation of swelling and pain gradually disappears.
Once my period ends, I do not feel anything unusual.
When my next period arrives, the same situation repeats itself.
This has been happening for 3-4 months now, and I would like to ask for your advice.
Thank you.

Ms. Hsu, 40~49 year old female. Ask Date: 2014/07/15

Dr. Dong Yuhong reply Obstetrics and Gynecology

Hello: Based on your description, your menstrual flow is excessive, and you should consult a gynecologist to understand the causes of menorrhagia for appropriate treatment.
Regarding the abdominal mass you mentioned, which appears during menstruation, it is advisable to seek medical attention during your menstrual period, as this will aid in accurate diagnosis.
Thank you!

Reply Date: 2014/07/15

More Info

Understanding right-sided pain during menstruation can be complex, as it may involve various physiological and anatomical factors. Based on your description, it seems that you are experiencing significant menstrual discomfort, particularly on the right side of your lower abdomen, which coincides with increased menstrual flow. This situation has been recurring for the past three to four months, and you have noted a sensation of swelling or a lump in that area, which alleviates as your menstrual flow decreases.

Possible Causes
1. Hormonal Changes: During menstruation, hormonal fluctuations can lead to increased blood flow and swelling in the pelvic region. This can cause discomfort and may explain the increased pain and swelling you are experiencing.

2. Ovarian Cysts: It is possible that you may have functional ovarian cysts, which are fluid-filled sacs that can develop on the ovaries. These cysts can cause pain, especially during menstruation, and may lead to sensations of swelling or pressure in the lower abdomen.

3. Endometriosis: This condition occurs when tissue similar to the lining of the uterus grows outside of it, often affecting the ovaries, fallopian tubes, and the tissue lining the pelvis. Endometriosis can cause significant pain during menstruation and may lead to the symptoms you are describing.

4. Pelvic Inflammatory Disease (PID): An infection of the reproductive organs can cause pain and swelling in the pelvic area. PID can lead to chronic pain and may be exacerbated during menstruation.

5. Muscle Strain or Ligamentous Pain: Sometimes, the pain may not be directly related to reproductive organs but rather to the muscles or ligaments in the pelvic region. Straining these muscles during physical activity or even during menstruation can lead to discomfort.

Recommendations for Management
1. Consult a Gynecologist: Given the recurring nature of your symptoms, it is essential to consult a gynecologist for a thorough evaluation. They may recommend imaging studies, such as an ultrasound, to assess for ovarian cysts or other abnormalities.

2. Pain Management: Over-the-counter pain relief medications, such as ibuprofen or naproxen, can help alleviate menstrual pain. However, it is crucial to follow the recommended dosages and consult with a healthcare provider if you have any underlying health conditions.

3. Monitor Symptoms: Keep a detailed record of your menstrual cycle, including the severity of pain, the amount of bleeding, and any other symptoms. This information can be valuable for your healthcare provider in diagnosing the issue.

4. Lifestyle Modifications: Regular exercise, a balanced diet, and stress management techniques can help improve overall well-being and may alleviate some menstrual symptoms.

5. Consider Hormonal Treatments: If hormonal imbalances are suspected, your doctor may discuss options such as hormonal birth control to help regulate your menstrual cycle and reduce pain.

6. Physical Therapy: If muscle strain or ligamentous pain is suspected, physical therapy may help strengthen the pelvic floor and alleviate discomfort.

Conclusion
In summary, the right-sided pain you are experiencing during menstruation could be attributed to several factors, including hormonal changes, ovarian cysts, endometriosis, or muscle strain. It is crucial to seek medical advice for a proper diagnosis and tailored treatment plan. By addressing these symptoms with a healthcare professional, you can work towards finding relief and improving your quality of life during your menstrual cycle.

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