Is swelling before menstruation a normal phenomenon?

May 11, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
Before menstruation, due to changes in hormone levels—specifically relatively high estrogen and low progesterone—water and sodium retention may occur, leading to edema. This usually resolves spontaneously after the onset of menstruation and is considered a normal physiological phenomenon. However, if the edema is severe or does not subside after menstruation, it is considered abnormal and could be caused by kidney disease or heart disease.

Menstruation, commonly referred to as "auntie's visit," is accompanied by mild swelling before the period, which is a normal phenomenon. However, severe swelling is considered abnormal and requires identifying the underlying cause and receiving appropriate treatment. The details are as follows:

1. Normal Phenomenon

Prior to menstruation, women may experience swelling due to hormonal changes—specifically, relatively high estrogen levels and low progesterone secretion—which can lead to water and sodium retention. This type of swelling typically resolves on its own once menstruation begins and is considered a normal physiological occurrence.

2. Abnormal Phenomenon

If swelling before menstruation is particularly severe, or if it persists even after the menstrual period ends, this is considered abnormal. It could be caused by kidney disease or heart conditions, and prompt medical evaluation and treatment are necessary.

Women experiencing premenstrual swelling should maintain a light diet and avoid overly salty foods. If swelling is severe, it is recommended to visit a hospital for tests such as urinalysis, renal ultrasound, and cardiac ultrasound to identify the specific cause and receive targeted treatment.