What causes abdominal pain on the third day of menstruation?
Apr 19, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Abdominal pain on the third day of menstruation may be caused by physiological reasons or pelvic inflammatory disease. Large ovarian cysts or those in improper positions can press against surrounding organs or nerves, causing pain, which may intensify on the third day of menstruation as the endometrium sheds. In addition, endometriosis may also cause abdominal pain during menstruation and should be addressed promptly.
Abdominal pain on the third day of menstruation may be caused by physiological reasons or pathological conditions such as pelvic inflammatory disease or ovarian cysts. It is recommended to seek timely medical attention and follow a doctor's instructions for targeted treatment. Specific causes and treatments are as follows:
I. Physiological Causes
If one frequently consumes excessively cold or raw foods before menstruation, coldness may accumulate in the body and lead to lower abdominal pain. However, this typically does not require special treatment and usually resolves gradually after the menstrual period ends.
II. Pathological Causes
1. Pelvic Inflammatory Disease (PID)
When the pelvic region becomes inflamed due to viral or bacterial infection, prolonged inflammation can cause abdominal pain during menstruation. Under a doctor’s guidance, anti-infective treatment with medications such as azithromycin, ofloxacin, or metronidazole is recommended.
2. Ovarian Cyst
A large ovarian cyst or one in an unfavorable position may compress surrounding organs or nerves, causing pain. This discomfort may intensify particularly on the third day of menstruation, when the shedding of the endometrial lining increases pain sensitivity. For severe pain, laparoscopic surgery may be performed as directed by a physician.
In addition, menstrual abdominal pain may also occur in individuals with endometriosis, which should be properly evaluated and managed under a doctor’s supervision.
