Why the first day of menstruation is very painful


Female cycle can be divided into 4 phases. The first one is menstruation. Normally, it lasts from 3 to 6 days and is accompanied by bleeding. Women often complain of pain on the first day of their period. To alleviate the condition can be with the help of drugs or non-drug way.

The first day of menstruation is often accompanied by pain.

Hormonal changes

The beginning of the female cycle involves the separation of the inner layer lining the uterus. Endometrium grew and thickened throughout the previous month. His rejection begins in the event that no pregnancy occurs.

The arrival of menstruation is controlled at the hormonal level. The central structure of the endocrine system - the hypothalamus regulates the other part of the brain. The pituitary gland secretes luteinizing and follicle-stimulating hormones. These substances affect the functioning of the ovaries by stimulating the production of estrogen and progesterone.

On the first day of menstruation, the pituitary gland is inactive. The concentration of sex hormones is minimal. The ovaries do not enter the active work phase. During the menstrual cycle, the level of these hormones will vary.

Symptomatology of the first day of menstruation

The first day of menstruation is characterized by scanty discharge. Normally, their intensity reaches its peak for 2–3 days. The color of the blood may be dark red or brown. In the discharge should not be large clots. An unpleasant smell is also an indicator of the presence of pathology. Perhaps the development of the inflammatory process in the uterus.

On the first day of menstruation, the concentration of prostaglandins rises. For this reason, pain often occurs. They have the character of spasms and are localized in the lower abdomen. Another cause of discomfort are uterine contractions in the rejection of the endometrium. The intensity of the painful sensations is not the same for different women. It depends on the individual sensitivity threshold and age.

Often, the painful onset of menstruation is observed in young girls, whose cycle has not yet been fully formed. This is due to unstable secretion of hormones by the ovaries. Similar sensations may be present in women during menopause. The functioning of the ovaries fades away, in parallel with this hormonal fluctuations are noted.

At the beginning of the menstrual cycle, other symptoms are often observed. The main ones are:

  • nausea,
  • weakness,
  • temperature rise,
  • dizziness,
  • pallor of the skin,
  • bloating.

In severe cases, pain may radiate to the lumbar region. Dizziness sometimes leads to loss of consciousness and fainting.

Normally, all unpleasant symptoms go to the second day of the menstrual cycle.

The first day of menstruation is often bloating.

How to get rid of painful sensations

Pain on the first day of menstruation can be a warning sign. For this reason, it is recommended to visit a gynecologist. The doctor after the examination will prescribe tests to determine the level of hormones. If the endocrine system malfunction and the presence of inflammation are excluded, the gynecologist will offer the woman medical treatment.

At the beginning of the menstrual cycle, you can take painkillers. Well relaxes the muscles of the uterus No-shpa. The active ingredient of the drug is drotaverine. This safe drug has a minimum of contraindications. Similarly, papaverine acts. This tool is convenient to use in the form of rectal suppositories. The substance as quickly as possible into the blood and relaxes smooth muscles. For this reason, painful cramps.

Metamizole sodium medications are effectively anesthetized. It took, Baralgin or Analgin. One tablet is enough to eliminate the discomfort in the abdomen for a few hours.

If an inflammatory process is diagnosed, as evidenced by an increase in body temperature, the doctor will recommend the drug Indomethacin in the form of tablets. At the same time, such remedies as Ibuprofen or Ketoprofen will help to cope with pain and inflammation.

Regular pain at the beginning of menstruation in combination with irregularity of the cycle signals a hormonal failure. In this case, the gynecologist may advise taking oral contraceptives. After 3-4 months of use, the menstrual cycle is normalized, and the painful sensations cease to bother. Pick up the drug can only be a doctor, based on test data.

Ibuprofen - effective against pain

Drug-free pain relief

To cope with the pain at the beginning of the menstrual cycle will help regular physiotherapy. For this purpose, apply:

  • acupuncture,
  • acupressure
  • ultrasound therapy.

Such techniques are aimed at improving blood circulation in the pelvic organs. Due to this, reduced pain. Procedures to maintain the effect must be carried out continuously.

You can do a light self-massage. To relieve pain, make circular stroking movements in a clockwise direction in the lower abdomen.

Should pay attention to your diet. Fatty and heavy foods aggravate the situation. Women predisposed to painful periods, it is recommended to use foods rich in iodine and calcium. These include:

The basis of the diet should be lean meat, cereals and vegetables. It is better to follow a diet regularly, paying special attention to drawing up a menu a few days before the expected menstruation.

Light exercise will relieve pain

Special herbal preparations and teas effectively relieve light pain. Ready-made mixtures can be purchased at the pharmacy. Raspberry or mint leaves are commonly used for this purpose. The drink can be consumed directly on the first day of the cycle, if the pain is disturbed.

Helps relieve cramps and moderate exercise. Exercises can be performed on any day of the menstrual cycle, the very first is not an exception.

Useful yoga, jogging or swimming. Light workouts in the fitness club are also relevant. Physical exercise improves blood flow to the pelvic organs, which allows you to remove the spasm and relax the lower back.

In the presence of pain is unacceptable to heat the lower part. Such a procedure may contribute to the development of the inflammatory process. It is allowed to take a warm bath for 10–15 minutes, but a contrast shower will bring more benefits. Unsharp temperature drops will ease cramps.

Soreness at the onset of menstruation is not uncommon. This affects many women. Proper combination of moderate physical activity and a special diet will do without the use of drugs. If it is not possible to eliminate the pain in such ways, you can consult a doctor. He will select the optimal analgesic or anti-inflammatory drug.

Types of pain

For the first time, physical ailments may appear in girls already with menarche or within 1-3 years after the establishment of the ovulatory cycle. Discomfort covers the first hours of menstruation or can begin in 1-2 days. The severity and strength of pain symptoms are different for everyone: from barely perceptible to unbearable. Similar symptoms are usually combined by medical specialists with the concept of algodmenorrhea - menstrual disorder. If the painful sensations are associated with periodic delays in menstruation due to ovarian dysfunction, they are talking about dysmenorrhea.

Menstrual pain can be primary: to pursue from the beginning of puberty. In such cases, the suffering of the first day is rather difficult: accompanied by nausea, vomiting, diarrhea, fever.

Secondary algomenorrhea appears after a period of relative well-being due to various kinds of diseases, surgical interventions, neurotic disorders, disorders in the sexual sphere. In such cases, severe heaviness may occur in the lower third of the abdomen, spasms.

Why pains are painfully transferred on the first day depends on a number of interrelated factors, including fluctuations in hormonal balance, the work of the nervous, muscular and vascular systems, the psychological state of a woman.

Causes of pain

When primary algomenorrhea secrete conditionally natural and pathological causes of painful menstruation. At the beginning of the next cycle, the uterine cavity, lined by a dense mucous membrane, without receiving a fertilized egg, begins to contract, pushing out the unnecessary epithelium. The process is regulated by sex hormones. During this period, the walls and neck of the organ are filled with blood and the separating myometrium. Therefore, the first cuts are always transferred especially uncomfortable. Even with full well-being, women feel squeezing and stiffness in the lower abdomen before menstruation, accompanied by physical fatigue. The following reasons may cause severe pain:

  • increased number of prostaglandins - painful neurotransmitters in the myometrium,
  • violation of the synthesis of hormones: dopamine, serotonin, adrenaline,
  • lack of minerals and hypovitaminosis,
  • abnormal development of the connective tissue of the body,
  • features of the location and shape of the uterus: deviations, excesses, bends, underdevelopment.

The reason why the stomach hurts before the menstrual period is severe, there is a hidden neurological impairment, psychological trauma and other mental health conditions of the woman, which are reflected on the physical level.

Secondary algomenorrhea always suggests the presence of pathologies. Common causes of pain disorder of the cycle that occurred in women after a successful period:

  • improper contraception, usually the IUD,
  • development of systemic diseases: diabetes, ischemic disease, thyroid pathologies,
  • previous inflammations of the internal genital organs,
  • surgical abortions, therapeutic curets,
  • growing uterine tumors, endometriosis,
  • nervous or physical exhaustion on the background of active yoga or sports.

In women older than 40 years old, wondering why their periods have become painful recently, thus beginning menopause can manifest itself.

Pain on the first day

Since the body of each woman is different, the pains on the first day of the next menstruation begin and flow in different ways. Characteristic clinical picture: a gradual increase in discomfort for 10-12 hours before the appearance of discharge. The syndrome develops as a series of consecutive contractions, cutting in the abdominal cavity. The pain can be felt as stabbing, singing, burning, jerking, radiating to the rectum, bladder, lower back, thighs, and chest glands. The following symptoms are also noted:

  • The initial degree of algodismenorrhea is tolerated as a slight discomfort: the pain is quite tolerable, does not require medical relief, and gradually disappears within 1–2 days. Women while not paying attention to the trouble or just more rest.
  • With a moderate degree of getting along with the pain is no longer possible. Contractions or abdominal cramps begin before menstruation, and in the first hours of discharge become unbearable. Almost always, impairment of well-being occurs with autonomic and neurological symptoms: severe irritability, headaches, sweating, tremors in the limbs, numbness.
  • In severe cases, the first painful symptoms appear several days before menstruation, at the beginning of the cycle a woman is forced to lie in bed all day due to excruciating pain and complete inability to perform any actions. Frequent associated symptoms: severe tachycardia, heavy sweating, high fever. Recovery of health can take several days after menstruation.

How to relieve pain

To tolerate even a “natural” deterioration of well-being is very harmful for the nervous system. This can lead to the development of depression, neurosis, greatly complicates life. If the severe pain of the first day is not the result of a tumor or another organic lesion, you need to resort to medical methods of help. It is good to start drinking painkillers not at the beginning of the cycle, but a day before the expected discharge. Preparations based on paracetamol, ibuprofen, and drotaverine help relieve pain during menstruation. More effective painkillers, combining several active ingredients. For example, Trigan-D, containing analgesic and antispasmodic. Usually, the use of a suitable remedy helps to alleviate severe pain.

If the pills do not help or their effect is insignificant and short, you can try physiological methods. The day before the start of menstruation and on the first day, it is recommended to drink more diuretic liquids: weakly brewed tea, decoctions of parsley, fennel seeds, root-devil, currant compote. This will contribute to better resorption and removal of edema. Additionally, you can apply dry heat to the stomach and lower back: a heating pad, a bottle of hot water. It is not the warming up of the abdominal wall, but the cold that helps relieve severe cramps. It is undesirable to use ice, it is enough to put a towel moistened with cold water on the lower part of the abdomen.

Additional tips on how to reduce pain during menstruation can be obtained from your gynecologist.

Pain treatment

If the first painful day of the menstrual cycle is not associated with impairment of health, is not accompanied by delays, the discharge has a normal appearance - without massive blood clots and pus, the therapy does not imply any specific methods. Treatment of pain in this case consists in the timely prevention of symptoms and their maximum relief:

  • It is recommended to choose a suitable anesthetic drug. For each woman he has his own: one helps Ketanov, Ibuklin, the other - No-Shpa, Trigan-D or Neise.
  • If you can feel better, you need to walk more on the first day of your period - movement contributes to a better discharge of edema, myometrium and mucus.
  • It is useful to perform special relaxing stretching exercises, asanas from yoga.
  • It helps light massage of the abdominal wall, which can be performed independently: palms for 1-2 minutes. stroking and rubbing the abdomen in a clockwise direction.

In some situations, in addition to symptomatic measures, the following are required: taking medicinal complexes with calcium, magnesium, and vitamins to compensate for their deficiency in the body. It is useful to correct the food: in case of dysmenorrhea, dairy products should be present in the menu: cottage cheese, kefir. It is useful to use fatty fish, sea kale, beets, pumpkin, green vegetables, berries. The amount of salt, sugar, various hot spices should be limited. It is desirable to completely abandon strong coffee, energy drinks and alcoholic beverages, stop smoking.

If the cause of severe pain in dysmenorrhea is the wrong location of the uterus, the violation of its structure, the presence of a bend, doctors call among others the most effective way to eliminate discomfort: taking oral hormonal contraceptives. The gynecologist-endocrinologist selects them, taking into account the individual balance, health and habits of the patient. In addition to the correction of dysmenorrhea, such agents stimulate the normal synthesis of their own hormones and eliminate hormone-dependent problems, including reducing the risk of developing cysts, fibroids and other types of tumors. In the case of structural abnormalities or irregular uterus, pregnancy and childbirth can contribute to the subsequent reduction of pain. At this time, the body, stretching and returning to its original size, changes, many defects disappear on their own.

If the pain at the beginning of menstruation appeared for the first time recently, is accompanied by copious secretions, high temperature, vomiting, and before that the state of health was normal, it is impossible to drown out the signs with analgesics. An urgent medical examination is required. The causes of this condition can be an ectopic pregnancy, ovarian rupture, fibroids and other life-threatening conditions. In such situations, urgent surgery is required.


It is necessary to constantly monitor the state of health during the entire monthly cycle and, especially, during your period. Hormonal imbalances and other health problems can occur at any age, and dysmenorrhea is an eloquent symptom of so many dangerous pathologies. Regular medical examinations and visits to the gynecologist make it possible to identify and treat various diseases at the early stages, as well as to be aware of new effective methods for the correction of well-being during painful periods.

Lower abdominal pain

Before the onset of these days or during them, most women become melancholic, and more often become irritable. But perhaps the most unpleasant moment of these days is the painful sensations in the lower abdomen, sometimes unbearable. Many women and girls during menstruation experience discomfort from lower abdominal pain.

So why is this happening? Is this a normal phenomenon or a reason to turn to a specialist? Of course, there can be plenty of reasons, and in order to know for sure, you need a visit to a gynecologist.

Usually, girls have a feeling that pulls the lower abdomen. Discomfort in the lower back and even in the anus. The pain is stitching and twitching and occurs in cramps. Подобные ощущения не длятся долго, и на следующий день после начала месячных все эти признаки исчезают.

Болевой синдром во время месячных специалисты называют «альгоменореей». This condition often torments young women who have not given birth. Discomfort occurs either before menstruation or on the first day of menstruation. That is, those who have this pain unexpressed and do not interfere with their business, can not worry, most likely, they have no violations. If there are violations in the cycle, that is, the monthly do not go regularly, then this violation is called algomenorrhea. This condition also provokes painful periods.

Causes of Algomenorrhea

Experts identify two types of disease state:

  • Primary algomenorrhea.
  • Secondary algomenorrhea.

In the first case, the incorrect position of the uterus and the individual characteristics of the structure of the body are the causes of very painful periods.

What should I do to make this feature known as early as possible? In general, this is usually already noticeable in adolescence. When only the girl begins her period, she begins to experience discomfort in the lower abdomen. Sometimes these phenomena start to alarm her two or three years after they start. In any case, you will need to see a doctor.

In the second case, women are usually older. When secondary algomenorrhea pain syndrome is a sign of malfunction of the pelvic organs and (or) gynecological disease. Such pain can also be caused by the intrauterine device, which women use to prevent pregnancy. In this case, it is necessary to undergo examination by a specialist.

Causes of painful periods are usually associated with uterine contraction. In the female body there are changes of a cyclical nature, which occur once a month. These changes are due to egg maturation. If it is not fertilized, it is rejected when the uterus mucosa is renewed. And at this moment it is excreted from the body along with blood. This process is called menstruation. And it happens every month, until the onset of menopause. In order for the body to push an unfertilized egg out, the uterus contracts. This contraction is a spasm and causes pain.

Therefore, initially, the pain caused by uterine muscle spasms is normal. But beyond that, there are other reasons. Some women have a special sensitivity, because they have a large number of receptors in the abdominal region, so they feel more pain.

Hormonal causes

The female body contains the hormones estrogen and progesterone. On critical days prostaglandin is especially bright, and his active work contributes to unpleasant feelings on critical days. It is he who causes the uterus to make cuts, and the more prostaglandin in the body, the stronger the contraction of the body, and accordingly the stronger the intensity of sensations. Increased hormone activity also leads to increased sweating, chills, heart palpitations and nausea.

In this case, the pain should not be unbearable in nature and deprive the girl of the opportunity to move. It should be treatable with analgesics and antispasmodics. Should not be severe bleeding.

Pathology and neoplasm

Pathological pain is difficult or impossible to relieve with analgesics. The girl becomes completely incapacitated and can only lie in bed. In this case, you must immediately contact a gynecologist. Especially it is worth paying attention to it, if such acute pain is observed for the first time.

Such pathologies include sexual infantilism. It comes to light at young representatives. Sexual infantilism is the uterine underdevelopment or its abnormal, wrong position. A symptom of such a problem is a strong painful symptom in the abdomen on the first day and similar, but weaker, painful manifestations two to three days before. The reason for what is happening is the problem of removing blood due to the narrow cervical canal due to insufficient elasticity of the uterus.

The uterus can be guilty of the causes of painful events, more precisely, its not quite correct position.

The abnormal position of the uterus due to a small deviation can press on the nerve endings and, accordingly, cause more pronounced pain.

This can lead to a feeling of heaviness in the lumbar region.

Endometriosis is a pathology that is the third most common gynecological disease. This disease is associated with the growth of tissue beyond the uterus.

This benign growth can be observed in various parts of the reproductive system, as well as in other organs. Symptoms of the disease will depend on the localization process.

Common symptoms include severe pain, an increase in endometriotic nodes, bleeding from the outer areas before and during critical days, and discomfort during vaginal sex.

This pathology can lead to menstrual disorders, the formation of cysts and even infertility.

Endometriosis mainly occurs in women from twenty-five to forty years old, less often in girls during the period of the menstrual cycle. And it is extremely rare for women in menopausal age. There is a possibility that the disease is more common, but difficulties in diagnosis make it difficult to establish this diagnosis, and in some cases asymptomatic endometriosis occurs.

For tumors in the pelvic organs include:

If menstruation lasts a long time, and the woman experiences too much pain, there is heavy and thicker discharge, interspersed with a different color, then this may be a sign of a cyst, fibroids, or even a tumor.

Other symptoms include urination problems.

There are other reasons for severe pain on critical days, for example, excitable nervous system, the result of childbirth or abortion, heredity, lack of mineral compounds in the body, poor diet, lack of physical activity.

Thyroid activity

This disease can cause too active work of the thyroid gland. Excessive activity of the gland in the body makes the concentration of prostaglandins too high, and this can result in severe pain in the abdomen on critical days.

In addition, periods can be more intense and prolonged.

Inflammatory diseases

Severe pain during menstruation, nausea, fever, chills, and the feeling that pulls the lower abdomen after menstruation, although this will not happen with standard menstruation - all this may indicate inflammatory diseases of the uterus, problems of a hormonal nature or an infectious disease reproductive system.

If a woman has an itch, and the discharge has an unpleasant odor, then it is probably an infection. Cystitis - inflammation of the bladder can also aggravate the course of painful periods.

Home Treatment

Treat best non-drug ways. Such methods can help reduce pain during this period. They will help those with whom they are moderate and not associated with diseases and pathologies. If these methods do not help, then you can use heavier artillery in the form of drugs.

Massage and physical education

To reduce or remove the pain, you need to come to a state of rest, relax the abdominal muscles and warm them. To do this, you can make a gentle massage of the abdomen. You need to do it clockwise. You can rub the essential oil in the abdominal area, if you are not allergic to it.

It will also perfectly help and relax the massage of the lumbar area. You can additionally rub a mixture of essential oils and in this area.

Exercise, Pilates, yoga will help get rid of pain. But here in no case can not include exercises for the press.

As an exercise, light stretching, bending and rotation of the body will do. There are many exercises in Pilates and yoga that are suitable for dealing with abdominal pain.

Warm bath and swimming

Perfectly relax and reduce the discomfort of a warm bath. For example, a bath using sea salt. Bath with sea salt is better to take shortly before the onset of menstruation, for 15−20 minutes. Contrast sessile baths, which are also worth taking before menstruation, can also help. After a bath or a contrast shower, you need to dress warmly so that the body does not have time to cool down, and the muscles remain in a relaxed state, and lie down for at least half an hour or an hour. And compresses can be used directly during critical days.

Swimming in the pool or in the pond helps with the propensity for severe pain, it contributes to the release of endorphins, and endorphins are a natural painkiller.

Pain pills and oral contraceptives

As medicines, you can use popular painkillers. One pill is usually enough to remove the pain syndrome.

Such well-known drugs include:

If the cause of painful menstruation is overexcitement of the nervous system or stress, then you can try to use a sedative of plant origin - valerian. Either tincture of valerian or tablets.

An effective way to get rid of unpleasant pain can be taking oral contraceptives, as they normalize hormones. For proper administration of such drugs, consultation with a gynecologist is necessary.

The causes of painful menstrual mass. Some may be handled by a simple intake of vitamins and proper nutrition, and in some cases, serious treatment is necessary. Moreover, the symptoms in both cases may be similar.

If there is too much pain in the lower abdomen, then in any case, you should consult a gynecologist.

In addition, it is impossible in principle to neglect visiting this doctor, because there are various diseases that do not manifest themselves, occurring in a latent, that is, asymptomatic manner, and the sooner such a disease is detected, the greater the chances for a complete cure.

Notion Definition

Painful menstruation (medical name algomenorrhea) is a pain syndrome that occurs during menstruation and a few days before its onset. Painful periods are characterized by aching or cramping pains in the lower abdomen, lumbar region and sacrum. They may be accompanied by general malaise.

Clinical symptoms

Other symptoms that accompany painful periods such as nausea, headaches, vomiting, and dizziness may join the pain syndrome. In some women, sleep is disturbed, the appetite increases or decreases sharply, sensitivity to various odors increases, and taste sensations change. With the most severe course of painful menstruation, a woman may increase pressure, migraines appear or worsen. In addition, a painful menstrual cycle can cause heart palpitations and fainting. Painful periods may occur with blood clots and vary in intensity of bleeding.

A fever with painful menstruation is a rare symptom. It is observed in those cases where a woman suffers from secondary algomenorrhea, developed on the basis of endometriosis.

A characteristic feature of painful menstruation is the period of their occurrence. As a rule, it occurs 1-1.5 years after the first menstruation. It is also noted that algomenorrhea occurs more often in women with an ovulatory, regular menstrual cycle.

Epidemiology. Statistical data

Painful periods are quite common. According to statistics, women aged 14–44 years (for primary algomenorrhea) and women aged 30–40 years (for secondary algomenorrhea) are subject to this pathology. Painful periods in this age group occur in 31-52% of women. Of the total number of women who have a painful menstrual cycle, about 10% of women lose their ability to work with the onset of menstruation.

Painful periods can be primary and secondary. Primary algomenorrhea is considered functional because it is not associated with changes in the internal genital organs of the anatomical nature. Secondary algomenorrhea is one of the symptoms of congenital abnormalities of the internal genital organs (malformations) or gynecological diseases: endometriosis, chronic inflammatory diseases of the uterine appendages.

Until the end has not yet been clarified all the reasons that can cause painful periods. At primary algomenori, no abnormalities are detected in women at all with a thorough examination. In the secondary form, signs of endometriosis or inflammatory diseases of the appendages can be detected.

In women with secondary algomenorrhea, internal or external endometriosis is often diagnosed. In these cases, the pain lasts more than 1-2 days.

The causes of secondary algomenorrhea can also be: childbirth, abortion, surgery on the appendages and the uterus, uterine fibroids (with submucous placement of the node), the use of intrauterine contraceptive devices (spiral).

Varicose veins of the pelvis may be another cause of painful periods, as well as ruptures of the wide ligament of the uterus (this pathology is known in medicine as Allen-Masters). Pelvic veins are rarely an independent disease. Most often it is a manifestation of a systemic disease that occurs with varicose veins of the lower extremities and hemorrhoidal veins. Tears of the wide ligament of the uterus can occur during birth injuries and with very rough curettage of the uterus.

The mechanism of pain in painful menstrual cycle

Why do painful periods arise, or, more precisely, what is the mechanism of pain syndrome development in this case? The immediate cause of pain is a contraction of the uterus, which causes a spasm of blood vessels, which leads to malnutrition of tissues. Uterine contractions in turn are caused by elevated levels of prostaglandins.

In addition to the causes directly related to the internal genital organs, painful periods can be observed in cases where a woman has flat feet, poor posture. A certain role is also assigned to the psychological state of a woman. Some women have a subconscious expectation of the onset of a painful menstrual cycle, in connection with which, when menstruation comes or is approaching, a woman experiences fear, which increases even the usual discomfort that characterizes these days of the month. That is why in each case it is important to determine which component plays a primary role - biological or psychological, and if both are present, then the doctor should determine which one is predominant.


Painful periods are classified by various signs.
Depending on the cause, the algomenorrhea is divided into:

  • Primary,
  • Secondary.

Painful periods are three degrees of severity:
  • Easy
  • Medium
  • Heavy (with disability),


With painful monthly complications and with mild or moderate severity is not observed. In severe cases, disability (short-term, temporary) and the development of severe forms of depression are possible. In secondary algomenorrhea, complications are not directly related to pain, but are determined by the underlying disease and its course.

Diagnostics and differential diagnostics

For diagnostic purposes, the following is prescribed.:

  • Clinical examination,
  • Ultrasound of the pelvic organs,
  • Laparoscopy,
  • Vascular dopplerography (to detect varicose veins of the pelvis),
  • Consultation of a psychologist.

In the treatment of painful menstruation, not only the elimination of the pain syndrome, but also adequate therapy of the underlying disease is of great importance.
Methods of treatment are divided into drug and non-drug.

Drug therapy for painful menstruation
The main drugs for the treatment of painful menstruation are: antispasmodics and analgesics. It is noted that the combination of no-shpa and nurofen gives a good effect. In addition, in many cases, the effective appointment of oral contraceptives, such as Diane-35, Yarin. Vitamin E, which needs to be taken by courses, is a good help.

Non-drug methods of treatment of painful menstruation
If you have painful periods, tablets are not always the only way to reduce pain. There are many other, non-drug methods that may not completely eliminate the pain, but will help to significantly reduce its intensity and duration.

The following measures are recommended for women with painful menstrual cycles.:

  • Compliance with the day regimen
  • Full sleep
  • Sports (to strengthen the press),
  • Diet (decrease in the use of high-calorie foods, an increase in the menu of fruits, vegetables and liquids),
  • Complete cessation of smoking and alcohol,
  • Reducing emotional fatigue, minimizing stressful situations,
  • Yoga classes,
  • Acupuncture,
  • Acupressure and general massage,
  • Electrophoresis with novocaine on the solar plexus area (6-8 sessions are appointed so as to complete them by the beginning of the menstrual period).

Preventive measures

Если женщина страдает болезненным менструальным циклом, то первым делом следует обратиться к врачу. Только грамотная консультация врача поможет выяснить настоящую причину и рассмотреть варианты решения проблемы.

Помимо этого, есть ряд мер, соблюдая которые можно уменьшить интенсивность болей. Some of them need to be applied constantly, that is, made part of their lifestyle (playing sports, visiting the pool, quitting smoking and alcohol, dieting), and there are those that need to be used immediately before the onset of another menstruation.

The latter include the following: before the onset of menstruation, you can take a warm bath with essential oils, drink tea with soothing herbs and sleep well. And it is also very important to tune in to positive emotions. This harmless set of measures will improve your overall well-being, and the upcoming periods will not be so painful.
Stay healthy!

Types of pain during menstruation on the first day, which are

With the advent of the first menstrual bleeding, which is called the menarche, and during the formation of the menstrual cycle, adolescent girls already face painful sensations. Already during the first few hours after the onset of menstruation, discomfort appears, which gradually increases. In one or two days, the pain can significantly increase. The intensity and nature of pain are manifested in different ways: they can be constantly aching or let go for a while and increase again, have the character of sharp spasms or constant feeling of heaviness in the lower abdomen. A set of similar painful symptoms is combined with a diagnosis of algodimenorrhea - one of the menstrual disorders, when a woman has a complex of painful sensations, which are often observed several days before the onset of menstruation (PMS) and at the very beginning.

When lower abdominal pains are present throughout all subsequent days of menstruation, it is called dysmenorrhea. This is a cyclic pathological process, which is observed, according to various sources, in almost 50% of patients. In addition to painful sensations, with dysmenorrhea, the condition of a woman can worsen due to

1 attacks of nausea, sometimes turning into vomiting, may be secondary symptoms if pain occurs on the 1st day of menstruation,

2 headache and dizziness during menstruation,

3 deterioration (loss) of appetite,

4 excessive drooling or, conversely, excessive dryness in the mouth,

5 sensations of “dullness” of the legs may appear along with pain on the left or right of the abdomen during menstruation,

6 feelings of general malaise, up to faintness,

7 emotional or vegetative disorders,

8 if on 1 day of menstruation the stomach became seriously ill, then an increase in body temperature up to subfebrile digits (37.1 - 37.5 ° C) may appear.

There are two forms of dysmenorrhea:

1 In primary dysmenorrhea, pain in the lower abdomen usually appears during the period of menarche and is not associated with functional changes of a pathological nature in the internal genital organs. The pains of a whining, bursting, spasmodic character begin to disturb girls especially in the first 2-3 years after the onset of menstruation. Sometimes pains in the groin, lumbar region and external genital organs are accompanied by nausea and vomiting. The root cause is not fully clarified and is under study. It is believed that a significant role in the development of primary dysmenorrhea belongs to psychological factors, and for physiological reasons this may be due to the action of prostaglandins.

2 Secondary dysmenorrhea is associated with the course of processes in the pelvic organs, which are characterized by organic changes against the background of inflammation and endometriosis. This form of dysmenorrhea usually affects women after 35 years of age. Some experts consider possible the occurrence of secondary dysmenorrhea when using the IUD (intrauterine device). In gynecological diseases, the blood flow is disturbed, spasms occur in smooth muscle fibers, internal tissues are irritated, which is why abdominal pain may appear on the first day of menstruation. Nerve tissue elements respond to this complex of disorders with pain syndrome.

Unpleasant painful sensations in the first days of menstruation are triggered by several factors that are closely intertwined:

1 deviations in the indicators of hormonal balance can cause a pulling pain in the abdomen, aching, cramping, weak and barely felt pain in the groin on the left or right of the lower abdomen,

2 activities of the nervous, muscular, vascular structures, all this can increase abdominal pain during menstruation,

3 pain in the lower abdomen on the first day of menstruation may be caused or aggravated by the psychological and emotional state of the woman.

Causes of abdominal pain on the first day of menstruation (menstruation)

The primary form of dysmenorrhea is characterized by painful periods, which are explained by natural physiological and conditionally pathological causes. As a result of the action of hormones, in the initial phase of the cycle, there is an active growth of the inner endometrial layer in order to receive a fertilized egg. Its absence during ovulation forces the uterus to free itself from the enlarged endometrium layer. The excess layer begins to exfoliate from the inner surface of the uterine cavity and its cervix, menstruation begins. Often, the first contractile movements of the muscular layers of the uterus are intense, therefore they cause a feeling of severe discomfort and pain.

Severe pain at the beginning of menstruation is associated with:

1 with an increase in the number of prostaglandins acting as painful neurotransmitters in the endometrium,

2 if the stomach is seriously ill on the first day of menstruation, this may be due to a violation of the synthesis of such hormones as adrenaline, serotonin, dopamine,

3 with vitamin and mineral deficiency,

4 if there is pain in the abdomen at the beginning of menstruation, then this may be due to abnormalities in the structural structure of the uterus or its displaced position: bend or underdevelopment, deformation of the cervix.

It happens that the source of severe pain in the abdomen on the eve of menstruation can be stress, psycho-emotional injury or nervous tension, which adversely affect the physical condition of the woman. Secondary dysmenorrhea is characterized by abdominal pain, left or right abdomen, present in the period of menstruation, occurring against the background of gynecological pathologies. The source of pain can be:

1 deviations as a result of abortion, diagnostic curettage - these are all procedures that can cause serious complications,

2 the consequences of the inflammatory processes of the uterus, appendages, fallopian tubes can be disturbed for a long time in the form of pain in the lower abdomen during moments of exacerbation of existing health problems

3 incorrect selection of contraceptives, errors in setting the IUD or its displacement in the uterus,

4 formation of neoplasms in the uterine cavity (polyps) is often accompanied by the appearance of a pulling, aching, sharp, and even stabbing pain in the lower abdomen,

5 if the lower abdomen periodically hurts during menstruation, in the first 1, 2, 3 day of menstruation, it may be endometriotic pathology,

6 systemic disorders in the activity of the endocrine glands (ischemia, thyroid disease, diabetes mellitus),

7 excessive physical exertion (yoga, working with weights) can cause mild pain or weak painful (more uncomfortable) sensations in the lower abdomen.

Women who have crossed the 40-45 year-old frontier, and have not previously experienced severe discomfort during menstruation, may face the problem of painful periods as one of the forerunners of an early onset of menopause.

What can be done to relieve pain, symptoms and signs

Often women simply do not know what to do to relieve, get rid of or eliminate abdominal pain during menstruation, which pills to relieve abdominal pain to choose and whether or not to endure the pain in the lower abdomen during menstruation. It is not easy to sustain a painful load, it can negatively affect the nervous system, which can result in a state of depression or neurosis. If a woman regularly visits a gynecologist and is confident in the absence of a serious gynecological pathology, you can use the help of medications to relieve severe pain on the first day of your period.

Painkillers for severe pain in the abdomen, it is desirable to start taking, not with the onset of bleeding, but a day or two before that point. Knowing your monthly schedule, a woman can easily calculate the right time to receive them. Pain can be relieved by medications, where paracetamol, ibuprofen, drotaverine is the main active ingredient. If you use a multi-component analgesic, then the effect will be stronger. For example, Trigan D, has pronounced analgesic properties due to the action of dicyclamine hydrochloride, enhanced by the capabilities of paracetamol.

What if the pills for abdominal pain during menstruation do not help? Not everyone finds salvation in pills, some women prefer to do without them, using other ways to relieve pain:

1 For example, a couple of days before the onset of menstruation and during the first day it is very useful to drink natural diuretics, or more simply, diuretic herbs or juices. Suitable: dandelion tea, hawthorn, horsetail, hibiscus, currant or cranberry juice. Diuretics help eliminate excess fluid, relax muscle fibers.

2 What else can you do if your stomach gets very bad during your periods? By applying a heating pad to the lumbar region and the sacrum, it is possible to significantly reduce the intensity of sharp spasms.

3 Reduce pain syndrome helps a cold compress on the pubic area. In this case, ice is recommended to be discarded; therefore, it is enough to put a thick cloth dipped in cold water.

How to stop pain in the first days of menstruation, tell the attending gynecologist.

What to do if lower abdomen hurts on the first day of menstruation, how to relieve abdominal pain

Taking measures, especially of a medical nature, that is, drinking pills to reduce the intensity of abdominal pain, you can, having the confidence that they are not associated with a serious gynecological problem. Otherwise, you can harm your body. If a woman is delayed due to the pain syndrome, there are clots or inclusions in the menstrual flow, the pain may be due to the development of the disease. Therefore, you need to see a doctor.

In other cases, if there are no signs inherent in gynecological disorders, symptomatic therapy is used, which allows to relieve painful sensations. What to do if the lower abdomen gets sick during menstruation:

2 Individual selection of anesthetic, for example, No-Spa, Nise, Ketanov, Ibuklin.

2 Walking in the fresh air or relaxing in the garden. When the motor activity of the tissue faster released from swelling, mucus, improves blood flow,

3 Reduce painful periods can help moderate exercise, stretching the muscles.

4 Perform a light massage of the peritoneum with stroking movements of the palms in a clockwise direction.

5 Follow the principles of diet. It is necessary to minimize the use of salt, sweet, spicy seasonings and spices. It is advisable to switch to a vegetable diet, especially in the autumn season, there are more beets, carrots, pumpkins, tomatoes. Be sure to supplement the food fermented milk products, berries and fresh fruit.

6 To compensate for the deficiency of vitamins and minerals, you can with the help of a large number of vitamin-mineral complexes and dietary supplements.

If it is established that the source of pain during menstruation is the displacement of the uterus or its bend, other violations of its structure, gynecologists recommend hormone therapy. Together with an endocrinologist, the attending gynecologist selects an individual course of oral contraceptives for each patient. This can eliminate the manifestations of dysmenorrhea, as well as reduce the risk of the formation of polyps, myomatous nodes, cystic growths. A number of abnormalities in the structure of the uterine cavity is eliminated due to the onset of pregnancy. In the process of gestation of the fetus, the uterus is strongly stretched, and after successful births, its size returns to its original state without previous deformations and defects.

If, as a result of the examination, the patient reveals systemic disorders associated with the endocrine sphere or vascular disorders, it is necessary to treat the main diseases. Without adequate therapy and the solution of these problems, it will not be possible to get rid of pain during menstruation. In a situation where the pain syndrome was previously absent, and suddenly appeared during the next menstruation, accompanied by fever and uncharacteristic blood secretions with clots, it is undesirable to arrest the unpleasant effects of anesthetic. There is an urgent need to undergo a diagnosis in order to rule out conditions that threaten the patient’s life, for example, an ectopic pregnancy or uterine bleeding. In such situations, urgent surgical care may be needed.

It is very important to monitor the reactions of your body during different phases of the cycle and during menstruation. Disruptions in hormonal indicators, other deviations in the sexual sphere and manifestations of dysmenorrhea occur in women of different ages. To eliminate the pathological causes of the disease state during menstruation, it is necessary to be regularly examined by a gynecologist. His recommendations will also help a woman find the option that will minimize discomfort during painful menstruation.

Pozharova Alexandra Anatolyevna

Psychologist, Psychoanalyst. Specialist from the website

The same thing, ((I drink and noshpu, and spazmalgin, and nurofen nothing helps.

the same problem was, it was suffering for a long time, I tried many different pills. As a result, Solpadein helped. Really relieves pain, but the discomfort remains, well, at least there is no pain, it is already good

Spazmalgon to help me

I, too, had such problems, it ached like that, even though howling. I tried using folk remedies for treatment, but to no avail. I made an appointment with an endocrinologist at the gynecologist. It turned out that I have a high level of prostaglandins, they cause spasms. It was treated, now there are no such problems. She was treated at the medical center on Novoalekseevskaya, she got a good gynecologist, Candidate of Medical Sciences.

By the way, my pain started after I lost weight.

I drink Novigan or spazmolgon. a few months later, she noticed that general well-being had improved these days. now even if I don’t drink, there’s no such pain anymore. otherwise they twisted me too, I really became disabled all day.

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And contraceptives helped me a lot. and start on the same day. and before it was all horrible.

spazmalgon helps 90 percent

Nurofen capsules - 2pcs.

A double dose of pain pills, as soon as it starts to hurt, and the problem is solved. Really for 10 years it was not to think?

Oh, here I am, too, so tormented .. horror! sometimes they even called an ambulance - it was so bad. And once the nurse in the ambulance advised to drink 2 tablets of noshpy along with the tablet of dipyrone. I do so already half a year! Super))

And on my fourth day, HAPPENING pain, increasing, if I don’t have time to eat painkillers, just pain to nausea!

I always from the very morning on the first and second day, as soon as I wake up and have breakfast, I drink two pills of spazgan. But the spa for some reason does not help at all! With pills, of course, the discomfort remains, but at least you can move less.

And after childbirth the pain goes away.

the same problem was, it was suffering for a long time, I tried many different pills. As a result, Solpadein helped. Really relieves pain, but the discomfort remains, well, at least there is no pain, it is already good

I have passed after birth. and then suffered the first day, so that remembering sick

three doctors had said such pains are common, drinking those painkillers that suit me best. The author, in any case, it is better to consult a doctor, as severe pain can be a harbinger of a serious illness.

It can not be that they suffered for 10 years and did not know how these pains are removed.
I do not believe !

there was such a thing now, OK - the so-called beauty contraception, I had problems with women. Here, with OK, there is pain - but not strong, the lower back pulls and a little chest ache.
In general, go to the doctor if you did not have it before or ask the gynecologist online for a question.

Who fights how. I can’t curl me too much, so the lower abdomen hurts, I have been suffering for 10 years, I can eat folk remedies for this misfortune.

Diclofenac Candles 100 mg 1 candle per day 3 days before the beginning of the mass in the ass.
and during the month if the pain again, then 1 -2 candles per day 1 morning, 1 night, 2 days 1 candle or do not need me already the gynecologist said plus motherwort and valerian in these days

I also have very strong pains on the first day, all sorts of analginum, pentalgin etc. I did not help, saw Ketanov, it is a strong painkiller. It is prescribed almost in the postoperative period. I went to the doctor, she told me not to drink ketans, but to drink fasik. It relieves pain like ketans, but less harmful.

Diclofenac Candles 100 mg 1 candle per day 3 days before the beginning of the mass in the ass.
and during the month if the pain again, then 1 -2 candles per day 1 morning, 1 night, 2 days 1 candle or do not need me already the gynecologist said plus motherwort and valerian in these days

faspik banal ibuprofen current for a beautiful name
It is impossible for those who have a stomach ulcer, kidney patients, asthmatics.

It seems to me only to endure. У меня у самой месячные очень болезненные, да еще и обильные. Без кучи обезболивающих и сидерала даже с постели встать тяжело.

Может быть попробовать боровую матку (ортилия однобокая)? Её надо настаивать на водке и пить. Прочитайте в интернете должен быть написан рецепт. почитайте эту информацию.

у меня аж ноги немеют и трусить начинает.такие боли. пью кетанов,через мин 30 боль немного притупляется,но полностью не исчезает!этот день просто нужно пережить ="(

If it’s really bad, it’s better to go to the gynecologist, a good doctor will say that this is not normal and will look for the cause. For me, if the monthly painful are associated with the inflammatory process. I will go through the course of treatment and it becomes normal. In general, you need to take care of yourself.

It can not be that they suffered for 10 years and did not know how these pains are removed. I have had hellish spastic pains for more than 14 years, only candles with indomethacin help me. Moreover, I do not eat or drink anything on the first day (utter disgust) The most interesting thing is that all gynecologists say that they are "gynecologically healthy", but this is not easier for me.
I do not believe !

I once in a pharmacy advised revalgin. If there are no other reasons for pain (any diseases), then 100% helps. Usually, one is enough, if in fifteen minutes it does not get easier, then the second. And after half an hour, everything takes off like a hand. But he is very strong. Neither noshpa nor analgin alone helped. Well, or you can drink a couple of shots of brandy or something that is strong, so that the blood vessels widen.

the same problem was, it was suffering for a long time, I tried many different pills. As a result, Solpadein helped. Really relieves pain, but the discomfort remains, well, at least there is no pain, it is already good

2 packages nemisila and all, and so, just warm

Who fights how.
I can’t curl me too much, so the lower abdomen hurts, I have been suffering for 10 years, I can eat folk remedies for this misfortune.

Nurofen lady, one capsule is enough !! I know a gynecologist advised. helps a lot.! and so twisted me, I crawled all over the apartment from wild pains!

And I suffer on the first day. I wake up on the toilet. Tears several times per hour. Tablets can not take-immediately pulls out. Fever often. Went to the doctors, everyone says after birth, everything will change. And how to change? Will it get worse? Will it remain the same or will the pain pass? Usually I take a babble on that day, or I am glad if it falls on a day off, because it is in bedtime, and the pain cannot be relieved.

Previously, when the monthly came (about 6 years ago), the pain was, but right now I understand that she was tolerant, everyone said that if you gave birth to pain, it would end, as a result, the first month after birth was really painless, I could not get over it, but now, curls up so that his legs are cramping, lying down, sitting, I can't walk, this pain can only be compared with labor contractions. I drink 2 tablets of no-shpa beforehand and after an hour it seems easier, but now even shpa does not help. went to the doctor, they said the woman was completely healthy! -That, too, I think what kind of painkillers to buy to help

I am 16 years old and the first day is very painful periods. Moreover, the work is such that every day you need to walk a lot, and you can not even take time off (but no help at all, tell me plz

Noshpa beztolku.toshnit, diarrhea, twists and pain such - I do not want to live.
I lie down. I warm up when the heat is a little easier or it seems to me. I try to fall asleep and live like this :(

Just drink the ketans it helps

I used to drink alcohol, but then I stopped helping. Now I drink BRAL. Two tablets at once. But it is better to start with one. After 40 minutes relax. It also twists without pills, if you don’t have time to eat in the morning, then you faint as a plop. I didn’t say the doctor said that this was due to pressure. Falls hard on this day. So as soon as I feel that the stomach is pulled immediately BARTED and chocolate)))

I have the same problem. A terrible pain in the lower abdomen. It is on the first day. But the spa does not help at all. I always accept Pentalgin or a moment.

The same problem on the first day ((TAMIPUL helps me. Literally 20 minutes and easier to get older.

My mother and my sister suffered from such pains. and the same fate overtook me. noshpa + analgin (which is recommended by all doctors) does not help, nurofen, spazmalgan too-0 effect! I visited 4 or 5 gynecologists, they all say there is nothing to complain about, 1 just undertook to treat me. I went to her in another city in the frost, after I gave her for 2 courses that were useless for me about 20t.r. and she prescribed me the third one, I was hospitalized by the ambulance, where they were told to urgently stop the pseudo-treatment and everything would be ok, and with the pain, it would be better to live after the birth! Childbirth. the first. it did not pass. Doctors say, well, after the second just pass. second birth. and all in the old way, if I don’t drink the pill (while the ketone saw was being sold, now I drink niss) in the first 10 minutes of a sharply deteriorating state of health, then in an upright position I just faint from a painful shock (on the floor I come to my senses, but when trying to get up all the most). a couple of times in public at hand did not have pills - the spectacle is not for the faint of heart, I tell you! At the same time, wallowing on the floor in consciousness convulses in such a way that it is just an urgent horror + from spasms to the toilet, but immediately rising from the floor I lose consciousness !! So it goes. I have not found a solution yet. By the way, mothers, sisters pain weakened and eventually disappeared. toli with age, toli after childbirth. I’m almost 30 already, until I feel better.

In different years, she also searched for parasites carefully enough, but the cornfields of one of the laboratories didn’t reveal anything on any of the tests (many times calla / blood) ..

Only refusal to eat helps me. Day to days and first 3 days. There is as little as possible.

For myself, I found the perfect combination of pills, one day before menstruation I drink Ketonal, and when I feel the menstruation is approaching, I drink Ketonal and the nurofen express lady. I am nowhere without them. Prior to this, everything ached, nausea, day fell out of life, and already half a year how wonderful.

As soon as 3 months without pills, without pain and fainting !! Uraaa! tried a course of "female pain" EraserStart. The pain passed in the first hour! I am happy and pleased))))


Since it is already known why the stomach hurts badly during menstruation on the first day, it is necessary to understand what to do with this syndrome, because to endure even natural discomfort is harmful, and this primarily affects the state of the nervous system. If the syndrome does not develop under the influence of a progressive tumor, and also has no connection with pathology, then it is necessary to stop it with the help of medications.

If the stomach hurts on the first day of menstruation, what to do to a woman, it is better to consult a doctor. Often, experts recommend taking analgesics not at the beginning of the cycle, but a day before the expected discharge. It is best to give preference to medicines that include paracetamol, ibuprofen, or drotaverine.

Preparations of the latest generations have a wide spectrum of action and consist of a larger number of active ingredients. These include the famous Trigan-D, in which there are antispasmodics and analgesics. It can be used when a girl's lower abdomen hurts on the first day of her period.

In the absence of a therapeutic effect from the pills, or it remains for a short period of time, you can try to stop discomfort by physiological methods. For example, the use of a large amount of fluid with a diuretic effect a few days before the start of the discharge, and for two days after it helps.

In this case, suitable decoctions of medicinal herbs and plants, such as weak green tea, parsley, dill seeds, root elecampane, currant compote.

Thanks to this, it is possible to eliminate congestive syndromes, remove puffiness and improve the process of removing excess fluid from the body. If the first day is painful for menstruation, then you can try to apply a dry type of warmth to the stomach, for example, a bag of heated salt or sand, and some, on the contrary, help the ice, but it is important to monitor the level of cold so as not to get overcooling of organs.

When the stomach hurts on the first day of menstruation, it is necessary to pay attention to the accompanying symptoms. A woman should have a discharge of normal color, smell and volume, hormones should be stable, there are no delays. That is, the unpleasant syndrome has a biological, normal character and does not act as a sign of a developing disease.

Here are some ways to tell how to reduce pain during menstruation on the first day:

  • It is necessary to determine which drug to relieve discomfort, is best suited (Ketanov, Ibuklin, Nise, No-spa, etc.)
  • If this is possible, then on the first day of discharge it is necessary to walk more and be in the fresh air, since it will be better to move the myometrium and the swelling will not begin to appear.
  • You can do some yoga or pilates exercises to help you relax,
  • It is necessary to do a light massage of the abdominal wall, rubbing and stroking her palms for two minutes.

In certain situations, when the stomach is very painful on the first day of menstruation, the effect on the body should be systematic. It is necessary to saturate it with the missing vitamins and minerals, as well as other useful substances, for which it is recommended to drink the appropriate medicinal complexes.

You also need to pay attention to the diet, if necessary, should adjust your diet. If algomenorrhea is diagnosed, then the girl should drink kefir, eat cottage cheese, fatty fish, sea kale, beets and pumpkins, green vegetables. Should limit the use of salt, sugar and spices, alcoholic beverages are prohibited.

With an abnormal structure or location of the reproductive organs, it is necessary to seek medical help, because only after the root cause is removed, the woman will have pain during menstruation on the first day. In particular, experts can prescribe hormone therapy. Sometimes in such situations pregnancy and childbirth can help, as well as surgery.

Patients who have not been accompanied by such a syndrome before, and have developed pain, nausea and vomiting in the ensuing cycle, have increased body temperature, it is strictly forbidden to take drugs of analgesic action. The fact is that such a situation requires immediate medical advice, and tablets can smear the clinical picture, which will not allow the doctor to make the correct diagnosis and prescribe treatment.

Every woman should be attentive to her health and regularly monitor her condition during the initial phase of the menstrual cycle. It is not recommended to engage in self-therapy and diagnosis based on the advice of friends and acquaintances, it is better to go without delay to a gynecologist, who will tell you if there are any violations.