No menstruation but lower abdominal pain

Menstruation is commonly referred to as "daiyima." Experiencing lower abdominal pain without the arrival of menstruation may result from physiological factors or pathological conditions such as pelvic inflammatory disease or adnexitis. It is important to seek timely medical attention and follow a doctor's recommendations for targeted treatment.

I. Physiological Causes

Poor dietary habits, especially long-term consumption of large amounts of cold or raw foods, may lead to accumulation of coldness in the body, resulting in lower abdominal pain before menstruation. However, symptoms generally improve once dietary habits are adjusted appropriately.

II. Pathological Causes

1. Pelvic Inflammatory Disease (PID)

When the pelvis becomes inflamed due to infections such as Neisseria gonorrhoeae or Chlamydia, persistent inflammation may stimulate the lower abdomen, causing premenstrual pain. Under a doctor’s guidance, anti-infective treatment with medications such as cefaclor capsules, ofloxacin tablets, or metronidazole tablets is recommended.

2. Adnexitis

Inflammation of the fallopian tubes or ovaries caused by bacterial infection may irritate nerves and tissues within the pelvis, leading to abdominal discomfort before menstruation. Following medical advice, anti-inflammatory and pain-relief treatments may include azithromycin tablets, ibuprofen sustained-release capsules, or cefixime capsules.

In addition, endometritis may also cause lower abdominal pain even when menstruation has not started. It is recommended to use clindamycin phosphate tablets under medical supervision to improve symptoms.