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How to relieve severe abdominal pain during menstruation

Jul 24, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, severe abdominal pain during menstruation refers to dysmenorrhea. Causes of dysmenorrhea may include uterine contractions, unhealthy lifestyle habits, endometriosis, adenomyosis, uterine fibroids, and others. It is recommended to seek timely medical attention and follow the doctor's guidance for general treatment, medication, and other methods to alleviate symptoms. During menstruation, it is important to change sanitary pads frequently and select products that are of qualified quality and have good breathability.

Generally, severe abdominal pain during menstruation refers to dysmenorrhea. Possible causes of dysmenorrhea include uterine contractions, unhealthy lifestyle habits, endometriosis, adenomyosis, and uterine fibroids. Relief can be obtained through general treatments and medication under a physician's guidance. Detailed explanations are as follows:

1. Uterine Contractions

During menstruation, the uterus undergoes a series of contractions to help expel the endometrial tissue and blood. These contractions can cause pain, especially when the endometrium passes through the cervix, which may cause more intense pain. Applying a warm compress to the abdomen can help relieve the pain caused by uterine contractions, and drinking warm water also helps regulate and alleviate abdominal pain.

2. Unhealthy Lifestyle Habits

Long-term smoking, alcohol consumption, or staying up late may affect endocrine function and interfere with the shedding of the endometrium. Women may experience persistent abdominal pain during menstruation due to intense uterine contractions. It is recommended to improve lifestyle habits by avoiding smoking and alcohol consumption, maintaining regular作息 patterns, and ensuring sufficient sleep to help regulate the endocrine system.

3. Endometriosis

Endometriosis may be related to endometrial implantation, immune function, genetic factors, and environmental influences. This condition can lead to internal bleeding of the endometrium during menstruation that cannot be expelled, resulting in severe pain. It may also be accompanied by symptoms such as heavy menstrual bleeding and pain during sexual intercourse. Follow medical advice to use medications such as ibuprofen tablets, desogestrel ethinyl estradiol tablets, or leuprolide acetate depot microspheres for injection to alleviate symptoms.

4. Adenomyosis

Adenomyosis may be caused by genetic factors, endometritis, or abnormal hormone secretion. Endometrial tissue within the uterine muscle layer bleeds during menstruation but cannot be expelled, leading to severe abdominal pain. Symptoms may also include prolonged menstruation and infertility. Under a physician's recommendation, medications such as medroxyprogesterone acetate tablets, ibuprofen sustained-release capsules, and triptolide capsules may be used for treatment.

5. Uterine Fibroids

Uterine fibroids may be associated with genetic predisposition, sex hormone levels, and dysfunction of stem cells. When fibroids are large or located in specific positions, they can cause abnormal uterine contractions during menstruation, leading to abdominal pain. Patients often experience symptoms such as anemia and abdominal masses. Under a physician's guidance, medications such as mifepristone capsules, triptorelin acetate injection, and Guizhi Fuling capsules can be used to relieve discomfort.

During menstruation, it is important to change sanitary pads frequently, choose products that are of high quality and breathable, wash the external genitalia daily with warm water, keep the area clean, and prevent the growth of pathogens that could cause infection and abdominal pain.

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