Pelvic Pain and Menstrual Flow Changes in Women

Pelvic issues

Why does my menstrual flow decrease significantly after the third day each time? Could it be because I've been drinking Si Wu Tang? Also, I feel some pain on the left side of my pelvis after this period.
What could be the reason for this? I'm desperately seeking answers.

Yúyú, 20~29 year old female. Ask Date: 2016/02/19

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, the two may not necessarily be related.
Having a menstrual period lasting 3 to 4 days should be fine.
As for the pain on the left side of the pelvis, it is advisable to consult a gynecologist.
Wishing you good health.

Reply Date: 2016/02/19

More Info

Understanding pelvic pain and changes in menstrual flow is crucial for women's health, as these symptoms can indicate various underlying conditions. Your observation that menstrual flow tends to decrease significantly after the third day is not uncommon. Many women experience a pattern where menstrual bleeding is heaviest during the first two to three days, after which it tapers off. This pattern can be influenced by hormonal changes, the shedding of the uterine lining, and individual physiological differences.

The use of herbal remedies, such as "Si Wu Tang" (四物), which is a traditional Chinese medicine formula often used to nourish the blood and regulate menstruation, may also play a role in your menstrual flow. While some women report that such remedies help in managing menstrual symptoms, it is essential to note that individual responses can vary. If you find that your menstrual flow is significantly altered after starting any new herbal treatment, it may be worth discussing this with a healthcare provider.

Regarding the pelvic pain you are experiencing on the left side after your period, there are several potential explanations. One possibility is that this pain could be related to ovulation, which typically occurs about two weeks after menstruation. Some women experience "mittelschmerz," or ovulation pain, which can manifest as a sharp or cramping sensation on one side of the pelvis, depending on which ovary is releasing an egg. This pain is usually mild and temporary but can be more pronounced in some individuals.

Another consideration is the possibility of conditions such as ovarian cysts or endometriosis. Ovarian cysts are fluid-filled sacs that can form on the ovaries and may cause discomfort, especially if they rupture or become large. Endometriosis, on the other hand, is a condition where tissue similar to the uterine lining grows outside the uterus, leading to chronic pelvic pain, especially during menstruation or ovulation.

If the pain persists or worsens, it is advisable to consult a healthcare provider for a thorough evaluation. They may recommend imaging studies, such as an ultrasound, to assess for any abnormalities in the pelvic region. Additionally, they can provide guidance on managing your symptoms and determining whether further treatment is necessary.

In summary, changes in menstrual flow and pelvic pain can be influenced by various factors, including hormonal fluctuations, lifestyle changes, and underlying medical conditions. It is essential to monitor your symptoms and seek medical advice if you experience significant changes or discomfort. Regular check-ups with a healthcare provider can help ensure that any potential issues are addressed promptly, allowing for better management of your menstrual health.

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