Lower right abdominal pain before menstruation

Pain in the lower right abdomen before menstruation may be caused by physiological factors or pathological conditions such as adnexitis or pelvic inflammatory disease. Appropriate treatment should be based on the specific cause. The details are as follows:

I. Physiological Factors

Before menstruation, hormone levels in women decrease and immunity declines. If abdominal warmth is not maintained and the abdomen becomes chilled, it may lead to contraction of local smooth muscles, resulting in pain in the lower right abdomen. This is considered a normal phenomenon.

II. Pathological Factors

1. Adnexitis

If a patient has frequent sexual activity, external microorganisms may enter the body and colonize or multiply in areas such as the fallopian tubes, leading to adnexitis. When the inflamed area is located in the right fallopian tube, inflammatory factors can stimulate surrounding nerves, causing pain in the lower right abdomen. It is recommended to seek medical care and, under a doctor's guidance, use medications such as levofloxacin hydrochloride tablets or azithromycin tablets for treatment.

2. Pelvic Inflammatory Disease (PID)

Frequent sitz baths or using unclean sanitary napkins may allow pathogens to invade the body, triggering an inflammatory response and leading to pelvic inflammatory disease. The inflamed area may produce purulent discharge, causing lower right abdominal pain. Other symptoms may include fever and prolonged menstrual periods. It is recommended to follow medical advice and take medications such as cefixime capsules or tinidazole tablets.

In addition, conditions such as vaginitis, cervicitis, or uterine fibroids may also cause similar symptoms. It is advised to keep the body warm during menstruation and avoid consuming cold or raw foods.