How to relieve abdominal pain during menopause
Jul 31, 2025
Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, menopausal lower abdominal discomfort can be relieved through methods such as strengthening pelvic floor muscle exercises, adjusting diet, applying local heat therapy and physical therapy, alleviating anxiety and stress, and treating underlying conditions specifically. If symptoms persist or worsen, for example, accompanied by fever or abnormal bleeding, prompt medical attention is necessary to rule out organic diseases and prevent treatment delays.
In general, menopausal lower abdominal discomfort can be relieved through strengthened pelvic floor muscle exercises, dietary adjustments, local heat application and physical therapy, alleviation of anxiety and stress, and targeted treatment of underlying conditions. A detailed explanation is as follows:
1. Pelvic Floor Muscle Exercises
Declining estrogen levels during menopause can cause relaxation of the pelvic ligaments and muscles, which may lead to uterine prolapse and vaginal wall bulging, subsequently causing lower abdominal discomfort. Performing Kegel exercises can strengthen the supporting power of the pelvic floor muscles. Consistent exercise improves the elasticity of pelvic tissues and reduces the sensation of heaviness caused by organ prolapse.
2. Dietary Adjustments
Menopause may disrupt normal intestinal function, such as slowed peristalsis and imbalanced gut microbiota, potentially leading to bloating and abdominal discomfort. It is recommended to reduce gas-producing foods and increase intake of foods rich in dietary fiber, such as oats, celery, and apples, to promote intestinal motility. Maintain regular meals, avoid overeating or extreme dieting, and drink plenty of water to prevent constipation from worsening abdominal discomfort.
3. Local Heat Application and Physical Therapy
Poor circulation in the pelvic region may intensify the sensation of heaviness and discomfort. Applying a hot water bottle or infrared lamp to the lower abdomen can promote pelvic blood flow through thermal stimulation and relieve muscle spasms. If possible, pelvic floor electrical stimulation therapy can be conducted at a medical facility, using low-frequency currents to stimulate pelvic muscle contractions, thereby improving local circulation and muscle function.
4. Alleviating Anxiety and Stress
Autonomic nervous system disturbances during menopause are easily influenced by emotions, and anxiety or tension may intensify the subjective sensation of abdominal discomfort. Practicing meditation, deep breathing exercises, or participating in social activities can help shift attention and regulate emotions. When necessary, seeking psychological counseling may reduce the amplification of physical symptoms due to psychological factors.
5. Targeted Treatment of Underlying Conditions
Abdominal heaviness and discomfort may be caused by organic diseases such as pelvic inflammatory disease, endometriosis, or intestinal inflammation, so it is important to seek medical advice for accurate diagnosis. If diagnosed with pelvic inflammatory disease, antibiotics such as cephalosporins combined with metronidazole should be taken as directed by a physician. If significant uterine prolapse is present, a pessary may be used under medical guidance, or surgical indications may be evaluated.
If symptoms persist or worsen, especially if accompanied by fever or abnormal bleeding, prompt medical attention is necessary to rule out organic diseases and avoid delayed treatment.
