Why do we have premenstrual pelvic pain?

There are many discomforts that occur due to menstruation. One of them is pelvic pain, which occurs in the lower abdomen and usually occurs in the days before or during the menstrual phase.

5 causes of pelvic pain before menstruation

  • Endometriosis or endometritis. It is a pain that always begins in the pelvic part and is usually accompanied by a very abundant menstruation. This process consists of the appearance and growth of endometrial tissue outside the uterus, specifically, in the pelvic cavity, in the intestine or in the bladder. All this is detected, because pain begins in the pelvic part before the arrival of the ruler.
  • Chronic salpingitis. It is usually caused by an infection that directly affects the fallopian tubes. This disease should be treated as soon as possible, since the woman is at risk of infertility or other problems.
  • Pelvic pain syndrome. Seven or ten days before the arrival of the period, the woman feels discomfort in the pelvic area. The back of her legs may ache, sexual intercourse may be more painful, and vaginal discharge may occur, as well as symptoms associated with PMS (headache or insomnia). It may be caused by the congestion itself that occurs when the blood supply to the uterus increases before menstruation.
  • Pelvic pain in the middle of the cycle. Also known as Mittelschmerz, the pain is very strong and can last from a few minutes to a few hours. The woman suffers it in the lower part of the abdomen in the middle of the cycle.
  • Dysmenorrhea. This is severe pain during the menstrual phase, due to the increase in prostaglandin produced by the endometrium or by starting to take contraceptives or using a contraceptive device (IUD). All this can lead to a pelvic or vaginal infection, if fever or vaginal discharges are noted.

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