What causes lower abdominal fullness and pressure before menstruation?
Disease description:
My period is coming this month, and for the past few days I've been feeling a constant heaviness in my lower abdomen, which feels different from previous experiences. I'd like to ask, what could be the reason for lower abdominal heaviness before menstruation?
Doctor's answer (1)
Dr. Chen Zhe
A sensation of heaviness and bloating in the lower abdomen before menstruation may be caused by factors such as pregnancy or pelvic congestion. Lower abdominal pain before menstruation requires ruling out pregnancy. If pregnancy is excluded, the symptoms are generally related to conditions like pelvic congestion. Before menstruation, hormonal changes can lead to pelvic congestion, uterine contractions, and gastrointestinal spasms, resulting in a feeling of distension and pain. However, these symptoms tend to be more pronounced in early pregnancy; therefore, it is essential to promptly rule out pregnancy.
