What causes lower abdominal pain before menstruation?

Lower abdominal pain before menstruation is often related to factors such as uterine contraction pain, premenstrual syndrome, endometriosis, adenomyosis, etc. Understanding these causes can help you better cope with and manage symptoms.

1. Uterine contraction pain: When menstruation comes, the level of prostaglandins in the body increases, causing excessive contraction of uterine smooth muscle and vascular contraction. This physiological change may cause lower abdominal pain and back pain. In most cases, this pain is tolerable. Keeping the abdomen warm and relaxing can help relieve it to a certain extent. If the pain is unbearable, you can use drugs such as ibuprofen under the guidance of a doctor.

2. Premenstrual syndrome: This problem involves hormonal changes and psychological factors. Women may feel lower abdominal pain, mood swings, breast tenderness, etc. during the luteal phase before menstruation. Although these symptoms usually subside on their own after the end of menstruation, the discomfort can be reduced through proper exercise and healthy diet in daily life.

3. Endometriosis: This is a disease caused by the growth of endometrial tissue outside the uterus, often accompanied by dysmenorrhea and irregular menstruation. The symptoms of dysmenorrhea will gradually worsen over time. If you find that dysmenorrhea is becoming more and more severe, it is recommended to seek medical attention and treatment in time.

4. Adenomyosis: The exact cause of this disease is still unclear, but it may be related to the invasion of the endometrium into the myometrium. Patients usually begin to feel lower abdominal pain a week before menstruation, and this pain may worsen over time. Increased menstrual flow is also a common symptom.

5. Other possible causes: In addition to the common causes mentioned above, lower abdominal pain may also be caused by other health problems, such as ectopic pregnancy, ovarian or fallopian tube tumors, cholecystitis, etc. If the symptoms persist or worsen, it is recommended to see a doctor for professional evaluation as soon as possible.

In daily life, a proper diet and appropriate exercise can help relieve premenstrual discomfort. You can try to reduce caffeine and salt intake and increase foods rich in magnesium and calcium, such as nuts and green leafy vegetables. Relaxation exercises such as yoga and meditation can also help reduce stress and pain. Understanding your own physical condition, seeking medical treatment in time and taking appropriate measures are the keys to managing and improving premenstrual lower abdominal pain.