What causes abdominal pain during menstruation at age 45?

May 11, 2023 Source: Cainiu Health

Dr. Lv Aiming

Introduction

During menstruation, pelvic congestion and elevated prostaglandins stimulate uterine smooth muscle contraction and spasm, leading to abdominal pain and discomfort. Prolonged inflammatory stimulation in the pelvic region can cause abnormal blood vessel constriction during menstruation, resulting in dysmenorrhea. In endometriosis, bleeding within the ectopic endometrial lesions triggers local inflammatory reactions in the tissues, causing abdominal pain and discomfort.

Menstrual abdominal pain at the age of 45 is a symptom of dysmenorrhea, which is often caused by physiological factors, but may also result from pathological conditions such as pelvic inflammatory disease or endometriosis. The specific analysis is as follows:

I. Physiological Causes

During menstruation, pelvic congestion and elevated prostaglandin levels stimulate spasmodic contractions of the uterine smooth muscle, leading to abdominal pain. This discomfort can be relieved with local heat application and usually does not require special treatment.

II. Pathological Causes

1. Pelvic Inflammatory Disease (PID)

Long-term inflammation in the pelvic region can interfere with the shedding, regeneration, and repair of the endometrium, causing abnormal blood vessel contraction during menstruation and resulting in painful periods. Treatment may include medications such as ibuprofen sustained-release capsules, amoxicillin capsules, or Fuke Qianjin tablets, taken as directed by a physician.

2. Endometriosis

Bleeding within endometrial lesions triggers local inflammatory reactions in surrounding tissues, causing abdominal pain. Medications such as leuprolide acetate, mifepristone tablets, or ibuprofen sustained-release capsules may be used under medical guidance to alleviate symptoms.

In addition, dysmenorrhea may also be caused by uterine fibroids, intrauterine adhesions, or adenomyosis. It is recommended to maintain warmth during menstruation, undergo timely gynecological examinations, and receive appropriate treatment after identifying the underlying cause.

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