Why does the stomach hurt before the menses: treatment, medications, effects


A few days before menstruation, not only the stomach, but also the lumbar region and chest can hurt. This is considered normal if the pain disappears when the period begins. This effect is called premenstrual syndrome, and many refer to it as a sad given. However, there are more serious reasons why the stomach hurts before menstruation.

Premenstrual syndrome

PMS appears due to a surge of hormones occurring during the preparation of the female body for menstruation. After all, he needs to reject the active layers of the uterine mucosa, that is, the endometrium.

If pain appears maximum a day before the onset of menstruation and is accompanied for 2 days after the onset, this condition is called dysmenorrhea.

To the premenstrual syndrome, in addition to abdominal pain, sometimes accompanying signs are added:

  • irritability,
  • often want to cry
  • fast fatiguability,
  • nagging pain, but slight.

PMS is also manifested by increased appetite, disruptions in the emotional background, abdominal distension, and bowel problems. Headache, drowsiness, high blood pressure may occur.

Other causes of abdominal pain

Algomenorea refers to a gynecological abnormality, in which the pain in the abdomen begins about 7-8 days before the onset of menstruation and lasts another week after the onset.

Feelings are not pronounced, there are related symptoms:

  • nausea,
  • depressed state
  • headache.

Occurs in the presence of intrauterine device or in the wrong location of the uterus. It may also appear during inflammatory processes in the pelvic organs and after surgery (abortion, etc.).

Quite often, algomenorrhea acts as a symptom of other pathologies of a gynecological nature, for example, inflammation of the uterus and appendages, endometritis, and diseases of the urogenital apparatus.

Adnexitis, inflammation of the appendages and other gynecological pathologies. In this case, the pain in the abdomen has a sharp character, the body temperature rises, the cycle is disturbed, and during intercourse the woman experiences a strong feeling of discomfort. This leads to hypothermia, infection with bacteria such as chlamydia, gonococcus.

Endometriosis, that is, excessive growth of the epithelium. The pain is manifested not only in the abdomen. The back, legs also hurts. Feelings are progressive in nature, while blood discharge is very abundant.

Genitourinary infection characterized, in addition to abdominal pain, such symptoms:

  • headache,
  • high body temperature,
  • burning, itching in the genitals,
  • odor
  • unusual discharge.

It can be an infection with bacteria such as herpes, gonorrhea, mycoplasmosis, trichomoniasis, etc.

Myoma is also the cause of pain in the abdomen before menstruation. Related symptoms: profusion of blood discharge, violation of the schedule (delay or, on the contrary, early menstruation).

For spasmodic pains, the cause may be intestinal problems. Additionally, you may receive:

  • constipation,
  • diarrhea,
  • nausea,
  • vomiting.

Low endorphins causes not only pain in the lower abdomen, but also in the chest. This happens because of hormonal imbalance, which is quite natural before menstruation.

Appendicitis also accompanied by abdominal pain. Additional features:

  • nausea and vomiting,
  • diarrhea,
  • temperature rise.

The pain can be localized in one place or wander around the entire area of ​​the abdomen. About other causes of abdominal pain - read here.

When do I need to see a doctor urgently?

If you are accompanied by persistent and severe abdominal pain, you are uncomfortable in any position, you can not stand, lie, sit - contact your gynecologist immediately! Perhaps you are developing one of the above pathologies. And such signs may indicate ectopic pregnancy.

Be sure to visit the doctor in the event that the pain does not pass on their own. To get rid of it you have to take strong painkillers. If you do not pay attention to these symptoms, it can lead to the development of serious pathological abnormalities, including infertility and death.

What if stomach hurts before menstruation, but they are not?

There is also such that pain in the lower abdomen is, and menstruation does not occur. At the same time, the pains are pulling in nature, they are no different from the sensations that accompany a woman every month. And the reasons may be the following:

  • Ovulatory pain syndrome refers to the most innocent reason. Appears for 10-15 days before the estimated time of menstruation. They are localized mainly on one side of the abdomen. This is due to the location of the egg. Why do ovulation pains occur? It turns out that during this period the follicle is broken, as a result of which minor bleeding opens, irritating the abdominal wall. It is absolutely not dangerous, as it is a feature of the female body.
  • Pregnancy. During pregnancy in the first trimester in the uterus of a woman the tone increases. This is an unusual condition, so this process is manifested by pain, as during menstruation. In this case, you need to immediately contact a gynecologist, as this may indicate spontaneous abortion or ectopic pregnancy. In the second case, the pain syndrome radiates to the rectum. A woman feels sick, vomiting begins, dizzy, up to loss of consciousness. You need to be very careful, as internal bleeding can open.
  • The acyclic pains last for a long time, but without cramps and the onset of menstruation. Arise on the background varicose veins in the pelvic organs, with congestion, adhesions and endometriosis. Other causes of acyclic pain syndrome: osteoarthritis, urolithiasis, cystitis, uterine myoma, etc.

Treatment: how to remove cramps

To find out the cause of pain, you need to contact a gynecologist, who will prescribe an ultrasound examination of the pelvic organs. And if necessary - and other internal organs. Be sure to pass general urine and blood tests. In some cases, other hardware diagnostic methods can be assigned:

  • CT scan
  • MRI,
  • laparoscopy,
  • hysteroscopy, etc.

Treatment is always determined after a thorough examination and identifying the causes of pain before menstruation. Therapy is prescribed depending on the etiology, features of the disease and the woman's body. If the cause is an inflammatory process in the uterus, then the appropriate treatment is prescribed.


If abdominal pains are spasmolytic in nature, it is necessary to take appropriate medications. After all, spasms always occur against the background of contractions of the muscular system. In our case, it happens in the uterus. Antispasmodics can be bought without a prescription, but it is not advisable to exceed the dosage specified in the instructions. The most effective painkillers antispasmodics:

  • "Papaverine" in the form of tablets and rectal suppositories. Contraindications: liver failure, heart problems, glaucoma.
  • "No-shpa" is based on Drotaverinum, is issued in the form of tablets. Contraindications: lactation, lactose intolerance, heart disease, kidney, liver. Analogs: "Unispaz", "Spakovin."
  • "Halidor" consists of a benziklan, has an additional property - sedative.
  • "Buscopan" has the active substance butin bromide hyoscine. It is produced in tablet form and in the form of rectal suppositories.

Nonsteroidal anti-inflammatory drugs (NPS)

Non-steroids, that is, non-hormonal drugs, quickly eliminate pain and neutralize the inflammatory process. It is strictly forbidden to take without prior consultation with the doctor.

  • Regular "Paracetamol" in the form of tablets, suppositories, suspensions. Contraindications: diseases of the kidneys and liver, alcohol intoxication. He also has analogues: Acetaminophen, Lupocet, Panadol, Febritset, etc.
  • "Ibuprofen": tablets, rectal suppositories, capsules, suspension. Contraindications: asthma, ulcerative manifestations in the digestive tract, kidney and liver pathologies. Analogs: "Ibuklin", "Brustan", "Hayrumat", "Next", "Sedalgin", etc.
  • "Diclofenac" in the form of candles, tablets and capsules. Contraindications: ulcers and inflammation of the gastrointestinal tract, asthma. Similar drugs: "Naklofen", "Voltaren", "Rapten", "Diklovit", "Sanfinak", "Revmavek."
  • Naproxen tablets can be taken no more than twice a day. Contraindications: ulcers, lactation, asthma. Analogs: “Pronaksen”, “Naproxen”, “Bonifen”, “Apronax”.
  • Ketoprofen tablets and capsules. Contraindications: gastrointestinal ulcers, hemophilia, diseases of the liver and kidneys. Analogs: Flamax, Ketonal, Dexalgin.

Alternative methods

Abdominal pain before menstruation, you can try to remove is not medication. Of course, if it is not associated with a serious illness. There are such alternative methods of getting rid of pain:

  • Charging tightens the muscular system of the pelvic organs. Therefore, frequent exercises, and especially in the period of PMS, contribute to the prevention of pain.
  • Remove the pain syndrome will help a hot water bottle on the abdomen or back.
  • Massage in the lumbar region, back, abdomen and legs.
  • Let's rest your body, sleep more.
  • Use a lot of vitamins just before the onset of menstruation.
  • Take a hot bath, relax. You can add essential oils and decoctions of herbs to water.
  • If you are experiencing pain, do not use hygienic tampons, give preference to gaskets.
  • Try the acupuncture method. To do this, you need to visit a certified specialist. When exposed to certain points with the thinnest needles, you can get rid of abdominal pains before menstruation.

Remove pain in the abdomen before menstruation, you can use simple gymnastics. The video presents a set of exercises that will help get rid of pain:

Folk remedies

The most popular and effective recipes for abdominal pain before menstruation:

  • Herbal decoction: shepherd's purse, knotweed, white mistletoe, valerian root. Take all components in equal proportions. For 1 cup of boiling water enough 1 tablespoon of the collection. To use twice a day on 200 ml.
  • Take in the same ratio the root of the silverweed, yarrow, shepherd's bag (25 grams). Add oak bark (10 g). Fill with boiling water (200 ml). Drink twice a day.
  • Tincture. In the ratio of 1: 2: 1 take the root of valerian, chamomile flowers and mint leaves. Brew and insist for half an hour. Take three times a day for 2 tbsp. spoons, always after meals.
  • Buy in a pharmacy calendula tincture, mix it with water according to the prescription specified in the instructions. Use for douching.
  • Wild strawberries in the form of dry leaves. At 1 tbsp. l Take 400 ml of water. Insist 7-8 hours. Drink 0.5 cups a day.
  • Crush hop cones. At 2 tbsp. l herbs take 2 cups boiling water. Pour the cones in a thermos, cover with water. Insist 2-3 hours. Be sure to strain. Drink once a day in the evening 0.5 cups.
  • It helps the grass elecampane. It is considered universal and effective. It is necessary to take the root part in the amount of 1 tbsp. l Pour 300 ml of boiling water and boil on low heat for 15 minutes. Then leave to infuse for 4 hours. Drink 1 tbsp. l three times a day.

Prevention of abdominal pain before menstruation

In order to avoid the painful pain in the abdomen before menstruation, use the advice of experts. Be sure to visit a gynecologist, at least 2 times a year. So you eliminate the risk of gynecological diseases.

Rest with benefits, lead an active lifestyle, play sports, yoga, fitness, gymnastics and especially swimming. But do not overload yourself physically.

Take enough time to rest and sleep. Avoid stressful situations, spend more time outdoors. Get rid of existing diseases in a timely manner.

Eat right. Choose fresh fruits and vegetables to saturate the body with nutrients and vitamins.

Abdominal pain before menstruation is most often simply a part of premenstrual syndrome. To make it easier, it is enough to be more often in the fresh air, to eat right and moderately physically load yourself. But if additional symptoms appear, it is better to be examined in order to detect the disease in time.

Causes of abdominal pain before menstruation

As we have said, almost every woman in her life is faced with such a problem as abdominal pain before menstruation, however, in each individual case, the pain syndrome manifests itself in different ways. So, for example, someone is experiencing a pulling and aching pain of a weak nature, and someone is faced with a fairly intense and acute pain that interferes with a full-fledged lifestyle. And this happens due to various factors. So, for example, hereditary predisposition, lifestyle, general health and other factors affect the intensity of pain.

As a rule, the majority of women face the pain of a whining and pulling character, which may occur about 5-7 days before the onset of menstruation and continue in its first days, gradually becoming less intense. In this case, you really should not panic, because this is a completely acceptable norm.

If you experience severe and sharp pain that recurs from month to month, then in such a situation, you should contact your doctor, because such painful sensations already indicate the presence of various diseases and pathologies. Next, we will tell you in more detail about the possible causes of abdominal pain before menstruation.

This medical term refers to a gynecological abnormality, which occurs in almost every second woman and during which she experiences painful sensations of not a pronounced nature. As a rule, these sensations appear about a week before the onset of the menstruation and persist throughout its entire length. In addition to the immediate appearance of the abdominal pain itself, a woman may experience such comorbid symptoms as general malaise and weakness, headache, nausea and depression.

What causes this syndrome? And this happens for two different reasons. So, for example, most often algomenorrhea - is a consequence of improper location of the uterus or the presence of intrauterine contraception, for example, a spiral. The second cause of this syndrome is the presence of any inflammatory processes in the pelvic organs. Gynecological operations previously carried out (including abortion abortion) may also lead to the occurrence of this pathology.

It is also worth considering that algomenorrhea can be a concomitant symptom of other various gynecological diseases. For example, such a pathology is a “supplement” of diseases such as endometritis, inflammation of the appendages, inflammation in the uterus, as well as in various diseases of the genitourinary system. Therefore, if each menstrual cycle is accompanied by painful sensations, it is necessary to consult with your doctor, who after the examination, will diagnose and prescribe adequate treatment. It should be borne in mind that in this case it is necessary to treat the original cause, only after identifying the true disease it is possible to reduce the manifestations of algomenorrhea itself.

There is an opinion that this pathology affects only the emotional state of a woman, as a result of which her mood changes regularly, however, in reality this is not so. In addition to the above symptom, premenstrual syndrome also affects such factors as increased appetite, the occurrence of abdominal distention and intestinal dysfunction, as a result of which there is a pulling pain in the lower abdomen. In addition, symptoms such as headache, malaise, increased blood pressure and excessive sleepiness may also be present.

Having problems with the intestines.

Quite often, a woman finds it difficult to determine the true place of pain, because most often the pain syndrome is pulling and aching, which is why women most often “write off” these attacks of pain to premenstrual syndrome. However, in some cases, the resulting painful sensations are due to the presence of intestinal problems. As a rule, if the stomach hurts as a result of a bowel disease, then the woman does not experience nagging and aching pains, but spasms. In this case, it is necessary to turn to a gastroenterologist for identification of the diagnosis and the appointment of adequate treatment, after which, in turn, abdominal pain before menstruation will become noticeably weaker.

Reduced endorphins.

The female body is designed in such a way that, on the eve of menstruation, the level of endorphins is significantly reduced, causing a rather sharp hormonal jump, resulting in the beautiful half of humanity experiencing discomfort and pain in the lower abdomen. In addition, a low level of endorphins is also a cause of pain in the mammary glands and an abrupt change in mood. By the way, this factor can also affect the state of the intestine, namely, its disorder.

Other causes of abdominal pain before menstruation.

As we have said, abdominal pain on the eve of menstruation may be associated with various gynecological diseases, however, in some cases, the existing disorders of the urinary system become the cause of these pains. For example, a similar pain syndrome may occur against the background of the presence of diseases such as cystitis or urolithiasis.

Abdominal pain and delay.

In rare cases, a woman may feel pain in the abdomen before menstruation, however, while the menstrual cycle itself may be disturbed, resulting in a delay. And this can happen for the following reasons:

the presence of inflammatory processes in the uterus and appendages,

In order to identify the cause of the delay, it is initially necessary to determine whether there is a place to be pregnancy. If the pregnancy has come, then in this situation the lower abdomen may hurt because of the increased tone of the uterus. By the way, the manifestation of such pain during pregnancy may be associated with the threat of miscarriage, so it is strongly recommended to contact your doctor.

If the pregnancy was not confirmed, it is also necessary to consult a gynecologist for determining the cause of the delay and for prescribing adequate treatment.

Severe abdominal pain before menstruation.

As we have already said, every woman experiences abdominal pains different in intensity before menstruation: someone experiences a little noticeable and pulling pain, and someone faces a fairly strong pain syndrome - it all depends on a great many factors and is considered quite acceptable. the norm. However, in some cases, there are severe abdominal pains - there is a deviation from the norm, requiring an immediate emergency call. For example, it is necessary to call a specialist in a house in the following situations:

acute and severe pain arose sharply, this “attack” may indicate the presence of an ectopic pregnancy,

severe dizziness, or a condition close to loss of consciousness,

acute and cramping abdominal pain that suddenly arises, forcing you to sit or bend down, assuming a semi-vertical position,

the presence of impurities in the menstrual blood of gray or silver.

If all of the above symptoms are present, an ambulance should be called in urgently.

The main causes of pain

The menstrual cycle is normal in healthy women, girls lasts from 28 to 34 days. The duration of the cycle is individual for everyone, depends on various reasons and may vary throughout life. At times, girls experience discomfort a few days before the onset of menstruation, suffering from pronounced, severe pain. The stomach can ache, pull. This condition is accompanied by a deterioration in general well-being.

Most representatives of the fair sex are trying to eliminate the unpleasant symptoms on their own, taking antispasmodics, painkillers. But keep in mind that severe premenstrual pain may indicate the presence of various pathological processes in the female body, functional disorders in the reproductive system. It is necessary to guard even if the stomach does not hurt, but spotting appears in the middle of the cycle.

Weak pain symptoms that occur 5 days before menstruation do not indicate a serious pathology. Soreness is most often localized in the lower peritoneum, in the lower back, the sacrum.

If the stomach hurts before menstruation, but the pain is mild, this condition indicates a change in hormonal levels. The pain may occur during menstruation, but normally passes on the second or third day. But if the girl feels sick, strongly aches, pulls and hurts the stomach, pain of a spastic nature, there are uncharacteristic discharges, you need to undergo a comprehensive gynecological examination in a medical center.

Causes of pain before menstruation:

  • pregnancy,
  • algomenorrhea,
  • oncological diseases,
  • hormonal imbalance
  • reduction of endorphins, insufficient luteal phase,
  • metabolic neuropeptides (serotonin, dopamine),
  • PMS,
  • functional disorders in the reproductive organs,
  • disturbance in the organs of the endocrine system,
  • infectious diseases of the urinary tract,
  • genital pathology.

The stomach before menstruation can get sick with the development of acute inflammation, congestion in the pelvis. Discomfort due to congenital abnormalities, a violation of the anatomical structure of internal organs, genetic predisposition, failure of the menstrual cycle.

In addition, premenstrual pain can occur after an artificial termination of pregnancy, after stress, excessive exercise, with chronic fatigue, a violation of the daily routine.

Insignificant in strength, intensity of pain in the middle of the menstrual cycle, ten days before menstruation are due to minor bleeding from the ovary, which leads to irritation of the mucous membrane of the peritoneum. Slight pain when ovulation is normal physiological.

If the pain is mild, intermittent, short-lived, the stomach has stopped hurting with the onset of critical days - this can be called the norm, so there are no signs to worry.

Abdominal pain and pregnancy

If you have premenstrual pain in the middle of the menstrual cycle, if a woman becomes sick, the pain is localized in the lower part of the peritoneum, lower back, have a nagging, pulling character, this may indicate the onset of pregnancy. Pain caused by hormonal changes in the body, increased uterus tone before childbirth, labor activity.

If the pains are spasmodic, the general condition has worsened, the increased tone of the uterus will lead to a spontaneous miscarriage, so an urgent need to contact the attending gynecologist.

When pregnancy occurs, if a woman does not suffer from gynecological pathologies, the stomach may not hurt. The development of pregnancy can be judged by a change in the psychological, emotional state, bouts of nausea, a change in taste preferences.

Pain in the lower abdomen usually occurs a month before childbirth, in the last trimester of pregnancy. Painful sensations before childbirth can have a different character and intensity, since serious physiological changes occur in the female body.

Soreness may be caused by uterine training contractions before delivery, which is preparing for the upcoming load. False contractions increase 10 days before childbirth, provoke pain, discomfort at the bottom of the peritoneum, in the lower back, sacrum, small pelvis.

If the pain syndrome is accompanied by nausea, vomiting, a sharp increase in temperature, the menstruation has not come on time, this may indicate an ectopic pregnancy. In medical practice, this condition is noted in women, girls with a narrow lumen of the fallopian tubes. With this pathology, the fertilized egg is implanted into the tube, it cannot reach the uterus. If the surgical treatment is not performed at the proper time, the pipes may rupture and cause severe bleeding.


Algomenorrhea is a common gynecological pathology characterized by a cycle disorder, painful menstruation. This disorder manifests itself in severe pain several days before menstruation. Pain can have different intensity, duration, character. Algomenorrhea develops seven to ten days before menstruation, it can disturb women throughout the cycle.

Algomenorrhea is usually divided into primary and secondary.

The primary form of algomenorrhea develops against the background of violation of the outflow of menstrual blood as a result of enhanced spastic uterine contractions. Diagnosed with the wrong anatomical position of the body, endocrine disruptions. Endometriosis can occur with the use of intrauterine contraception.

Secondary algomenorrhea is caused by inflammation in the pelvis, which can develop after gynecological operations. The pain is localized in the lower peritoneum. Marked abdominal distension, nausea, headache, fever, chills, migraine, depression.


Endometriosis is an inflammatory disease characterized by the proliferation of endometrial cell structures outside the uterine lining. Diagnosed in women aged 20-45 years.

Gynecological pathology is manifested by severe pain in the lower part of the peritoneum, especially at the beginning of menstruation. Pulling unpleasant pain can spread to the lower back, give to the lower limbs. Increased pain symptom is noted during intimacy, a few days before the onset of critical days.

Depending on the localization of pathological foci, endometriosis is classified into:

  • genital (internal, external),
  • extragenital.

When the genital form affects the genitals. Extragenital endometriosis is characterized by the presence of lesions that are located outside the genitals.

Gynecological pathology causes menstrual disorders, provokes hormonal failure, anovulation. Chronic inflammation causes infertility.

The treatment is carried out by conservative methods, nonsteroidal anti-inflammatory, hormonal drugs. Combined oral contraceptives may be prescribed to treat endometriosis.

Other causes of premenstrual pain

If the stomach hurts before menstruation, girls experience severe pain five to seven days before menstruation, in addition to gynecological problems, functional failures in the reproductive system, this condition may indicate that something is wrong with the body.

In the abdomen before menstruation, various physiological processes occur, which lead to the emergence of pain syndrome. But you can always determine the exact location of the pain. So, it is quite difficult to understand if the stomach and intestines are painful if the pain syndrome is periodic. Therefore, it is important to take into account the nature of pain, to know the difference between pain before menstruation and painful spasms in the intestine.

The pain in the intestines is predominantly spastic, short-lived. Premenstrual pains are characterized by aching, pulling unpleasant sensations at the bottom of the peritoneum. Pain syndrome can be caused by weak intestinal motility, which leads to chronic constipation. The abdomen is enlarged due to excessive gas formation, there are violations, digestive disorders.

Abdominal pain, combined with a cheesy discharge, indicate such an unpleasant disease, such as thrush, to indicate violations in the endocrine system, metabolism in the body. Premenstrual pains are noted in patients with diabetes mellitus, after taking certain pharmacological drugs, with beriberi.

Acyclic pains

Premenstrual pain may be acyclic. Most often due to venous, arterial blood stasis in the pelvis. Acyclic pains before critical days are diagnosed in chronic cystitis, pyelonephritis, and kidney stones.

Acyclic pains are not associated with the menstrual cycle, most often they do not result from gynecological problems. But for the symptoms, it seems to women that the stomach hurts like it was before menstruation, although the reasons are quite different.

The pain syndrome is due to systematic chronic diseases, various disruptions in the functioning of body systems. As a rule, they are periodic in nature and may manifest irregularly. It is necessary to distinguish between pain syndrome, find out the root cause, having been examined in the medical center, to eliminate unpleasant pain symptoms in a timely manner.

Treatment of premenstrual pain

Before removing premenstrual pain, it is necessary to establish the root cause, to know why the lower abdomen hurts before the critical days. Therapy consists in an integrated approach, competent selection of drugs.

The scheme, the treatment is prescribed by the gynecologist individually, taking into account the age, the general condition of the patients. To eliminate pain syndromes, discomfort, and unpleasant sensations in the lower abdomen, physiotherapeutic methods are used (laser, ultrasound treatment).

Patients can be prescribed anti-inflammatory drugs, analgesics, symptomatic medications, hormones to normalize the menstrual cycle.

If the stomach hurts before the menstrual period, with a strong, pronounced pain symptom, you should immediately contact the medical center for examination.