Severe abdominal tearing pain during menstruation
Jun 01, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Menstruation, commonly referred to as "getting your period," may be accompanied by abdominal pain. Severe tearing pain in the abdomen during menstruation could be due to physiological dysmenorrhea or pathological conditions such as endometriosis or pelvic inflammatory disease, requiring targeted treatment based on the underlying cause. In addition to these relatively common causes, other possible reasons include adnexitis, endometritis, and intestinal obstruction.
"Coming of Auntie" refers to menstruation, and "abdomen" means the stomach area. Abdominal tearing pain during menstruation may be caused by physiological dysmenorrhea, or it could result from pathological factors such as endometriosis or pelvic inflammatory disease. Treatment should be targeted according to the specific cause. Detailed analysis is as follows:
1. Physiological Dysmenorrhea
During menstruation, if abdominal warmth is not properly maintained, cold exposure may lead to uterine contractions and vascular spasms, resulting in tearing abdominal pain. In such cases, it's important to keep the abdomen warm and avoid chilling.
2. Pathological Factors
1) Endometriosis
During menstruation, the endometrial tissue sheds, and ectopic endometrial tissue also bleeds, which can easily irritate nerves in the uterus and pelvic peritoneum, leading to progressively worsening menstrual pain. Pain relief can be achieved by taking medications such as ibuprofen sustained-release capsules or naproxen capsules as directed by a physician.
2) Pelvic Inflammatory Disease (PID)
In patients with pelvic inflammatory disease, the pelvic peritoneum becomes significantly congested and swollen during menstruation, accompanied by abnormal exudation, which may cause abdominal pain manifesting as tearing pain. This can be alleviated under medical guidance using medications such as ofloxacin tablets or gynecological Qianjin tablets.
Besides the above relatively common causes, other conditions such as adnexitis, endometritis, or intestinal obstruction may also be responsible. If any discomfort symptoms occur, timely medical evaluation and treatment are essential to prevent delay in diagnosis and management.
