Heart hurts (presses) before menstruation - physiology or a dangerous symptom, what to do


The processes occurring in a woman’s body are largely determined by the hormonal activity of the sex glands. The different phases of the menstrual cycle set the overall background for the functioning of organs and systems, changing as the concentrations of estrogen and progesterone shift. Weakness, dizziness, headaches and heart pains during menstruation are likely signs of a hormonal imbalance in the body, which must be distinguished from other organic diseases of the cardiovascular system.

Communication of pain in the heart and the menstrual cycle

The menstrual cycle of the female body is characterized by periodic changes in tissues and organ systems, caused by the gradual increase and decrease in the concentration of sex hormones. There are two phases of the cycle:

  • follicular (from the first day of menstruation to ovulation, 14-15 days), which is characterized by the minimum amount of estrogen and progesterone in the blood. At this time there is a proliferation of the endometrium of the uterus for future implantation of the egg. In the middle of the follicular phase, the level of estrogen rises, which reaches a maximum by the time of ovulation,
  • luteal (from the moment of ovulation to the first day of menstruation) - an increased synthesis of progesterone by the corpus luteum in the ovaries occurs.

The occurrence of cardialgia (pain in the heart) during menstruation or in the first days after is associated with a low concentration of estrogen and progesterone. Estrogens provide vasoprotective ("vessel protection") function against the formation of atherosclerotic plaques that provoke coronary heart disease (CHD).

Hormonal action, aimed at preventing spasm of the vascular muscles, is implemented through the blockade of channels transporting calcium ions into the muscle fibers for adequate reduction.

In addition, the presence of special estrogen receptors in the heart, which determine the activity of nitrogenogenic synthase, has been proven. The latter is an enzyme that provides the release of nitric oxide, which expands the pathologically constricted vessels of an organ. The low concentration of these substances contributes to myocardial ischemia in stressful situations and the development of cardialgia. Characteristics of pain in the heart after menstruation:

  • long, more than 10 minutes
  • squeezing character
  • accompanied by a panic attack with a lack of air,
  • heart palpitations (frequency over 90 beats per minute), a feeling of heart failure.

The appearance of pain in the heart in the second phase of the menstrual cycle is a rarer occurrence, since a sufficient amount of estradiol and estriol provides a cardioprotective effect.

What to do when chest discomfort on critical days?

The emergence of intense pain in the heart in any phase of the menstrual cycle is an alarming symptom that requires emergency medical care.

With the appearance of cardiac pain in the first phase of the menstrual cycle (the first 15 days after menstruation), development of coronary heart disease is excluded. The most frequent provocative factor in angina pectoris (one form of CHD) is physical exertion. Cardialgia on the background of hormonal changes cause:

  • emotional turmoil
  • acute stress factors
  • smoking,
  • alcohol intake.

The most effective method of preventing the occurrence of pain is lifestyle modification and prevention of situations causing cardialgia.

In order to eliminate the adverse effects of the lability of the nervous system, spasm of smooth muscles of the coronary vessels are used:

  • nitrates ("Nitroglycerin", "Isoket", "Nitrosorbid") - drugs that stop angina, restore adequate blood flow through the coronary vessels to the muscle fibers of the heart,
  • calcium channel blockers ("Pharmadipine", "Amlodipine") - used exclusively for the elimination of vascular spasm,
  • sedatives ("Valeriana Extract", "Glitsised", "Novo-Passit") - used in the stressful etiology of pain,
  • cardioprotective drugs ("Mildronat", "Asparkam", "Ritmokor", "Corvitin") - substances that increase the resistance of the myocardium to oxygen deficiency.

In addition, the regular repetition of episodes of pain in the heart before the coming months requires a detailed examination of the cardiologist in order to exclude organic pathology. Also recommend laboratory diagnosis of the concentration of sex hormones in different phases of the menstrual cycle.

The appearance of pain in the heart in women of reproductive age is associated with functional fluctuations in the concentration of estrogen in the blood during different phases of the menstrual cycle. Periodic recurrence of episodes of cardialgia indicates persistent changes in the sex glands of the female body or cardiovascular diseases, therefore, consultation of narrow specialists is recommended. Treat pain syndrome after diagnosis as prescribed by a doctor.

Causes of pain before critical days

Premenstrual syndrome in every woman manifests itself in different ways. Experts have identified about 100 of all kinds of manifestations, several types. The main cause of PMS is hormonal adjustment. Manifestations occur due to nervous overexcitation, changes in metabolism, disruption of the cardiovascular system.

It is not difficult to guess that the work of the central nervous system, the heart is interconnected. Often during stress, a nervous shock begins to prick in the chest area. Since the nervous system is in an excited state before menstruation, this affects the work of the main human organ. Psychosomatic manifestations of PMS are expressed in the appearance of:

  1. Irritability,
  2. Weeping,
  3. Aggressiveness
  4. Depressive state
  5. Weakness
  6. Heart pain.

Vegetovascular manifestations of PMS are associated with impaired metabolic processes, edema. The amount of circulating blood increases, the pressure in the vessels increases, the accumulated fluid in the tissues presses on the nerve endings. The result is:

  • Headache,
  • Nausea,
  • Swelling of limbs, faces,
  • The appearance of the tummy
  • Dull aching heart
  • Cardiopalmus,
  • Dizziness,
  • Blood pressure drops.

Heart pains are part of the somatic, vegetative manifestations of PMS. The main reason - hormonal fluctuations.

The effect of hormones on the heart

Exchange-endocrine manifestations associated with impaired adrenal glands. After ovulation, the synthesis of steroid hormones responsible for salt, glucose metabolism slows down. The level of prolactin increases, which causes an increase in blood pressure, swelling, changes the normal heart rhythm. In the body, ions of salts - potassium, sodium, chlorine, phosphorus, etc. - begin to linger. They prolong the excitation phase during heart contractions. As a result, there is a feeling of constriction in the chest, a sharp pain that passes after 15 seconds. They say crushes, pricks the heart.

Immediately before menstruation, estrogen and progesterone levels are at a low level. They have a mild sedative effect. Instead, they increase the level of oxytocin, with an anesthetic effect that stimulates. Heartbeat becomes frequent, unpleasant sensations appear in the heart area.

There is nothing dangerous in this situation, if the painful sensations are cyclical. Do not bother on other days of the monthly cycle. Repeat every month or periodically.

Factors affecting the appearance of pain

Each woman has its own set of premenstrual

symptoms. They depend on lifestyle, nutrition, the presence of chronic diseases.

The following factors provoke the appearance of pain in the heart:

  1. Stress, anxiety,
  2. Nervous exhaustion
  3. Depression,
  4. Unfavorable psycho-emotional situation
  5. Alcohol abuse,
  6. Cigarettes
  7. Excessive physical activity
  8. Bad sleep, defective rest,
  9. Addiction to coffee, strong tea,
  10. Malnutrition with fat deficiency,
  11. Lack of minerals,
  12. Rare stay in the fresh air.

To prevent the recurrence of unpleasant painful symptoms, it is enough to go through all the points of unfavorable factors, take appropriate measures to eliminate the negative impact.


With no pain in my heart. If she appears constantly before each menstruation, you should consult with experts. First go to a cardiologist. The doctor checks the heartbeat, pressure, makes a cardiogram. In the absence of obvious pathologies sends to the neurologist. This doctor specializes in the work of the nervous system. Very often, pain in the chest area indicates neuralgia, myalgia, more concerns of the vessels than of the heart itself.

If the neuropathologist did not see anything on his part, he recommends that you contact the gynecologist with this problem. Specialist examines the hormonal background of women. To do this, you must donate blood from a vein on certain days of the cycle. It is necessary to tune in, that the procedure will stretch for several months.

In some cases, the cause of all ills lies in the work of the nervous system. It coordinates the production of hormones, affects the work of the internal organs, sets the rhythm of the heart. The help of the psychologist, the psychiatrist can be necessary.

Diagnosis of cardiac pain before menstruation is based on the analysis of everyday factors, laboratory tests, studies of the heart. Diagnosis should be comprehensive, the only way to find an effective treatment.

Heart pain medications

Therapeutic measures depend on the severity of the manifestations. If the pain causes anxiety, you must use drugs.

  • With minor pain, take sedatives in the form of tincture of valerian, motherwort, glode. You can drink a pill or a drop of Novo-Passit, Afobazol.

  • With the appearance of weakness, dizziness, it is necessary to put a tablet of Validol under the tongue, drip drops of Corvalol, Valocordin, Barboval. These drugs are taken for insomnia, acute, dull pain in the heart. Sedatives normalize blood pressure, relax muscles, reduce heart rate.
  • If heart pain occurs due to severe swelling, diuretic drugs are prescribed. Veroshpirol, Triamteren, Hlortalidon, Manitol. Of folk remedies in such cases, it is recommended to take a decoction of burdock, kupyr forest, birch leaves. Good helps green tea.
  • When the imbalance of the hormones is disturbed, hormone preparations containing estrogen and progesterone are prescribed. Most often it is Yarin, Regulon, Janine.

Hormonal drugs are taken by appointment specialist. The course lasts an average of 3 months.

Causes of PMS Headaches

The causes of headaches with menstruation may be several. The most common ones are:

Bad vessels. With the onset of regulars, the blood vessels are under great strain. And therefore, if they are not in order, there may be strong negative feelings. With regular menstrual headaches, examine the vessels - this will save you in the future from a huge number of other “sores” that significantly impair the quality of life (memory impairment, reaction speed, vision), as well as leading to death. Cervical osteochondrosis. Pinned blood vessels of the neck do not allow the accelerated blood flow to provide the brain with high-quality oxygen. With a strong cervical osteochondrosis, dizziness is observed during regul, and fainting is possible. Water-salt imbalance. For many women, PMS is characterized by edema, which is associated with elevated estrogen levels. Edema leads to compression of blood vessels, and, as a consequence, poor blood supply to the brain. If menstruation is accompanied by edema, the headache will reduce the diet, taking diuretic drugs. Clogged intestines. As you know, monthly - the time of "general cleaning" in the body. Accelerated blood flow throws waste into the intestine. If there is a tendency to constipation, there is a reverse absorption of slags, intoxication of the body. In addition to the headache, this phenomenon can cause aches in the whole body, similar to the flu-like state. You may not know, but in the process of vital activity in an adult with regular constipation, and even without them, potassium stones are formed in the intestines. Therefore, regular cleaning of the intestines is recommended. Anemia. Blood loss during the regulation for women with a reduced number of red cells in the blood results in a decrease in oxygen supply to the brain tissue. The body signals its oxygen starvation by pain. In this case, the negative feelings will begin after the start of "bloodshed." Oral contraceptive use. Headache is one of the most common side effects from taking this type of pill. Usually the symptom most clearly manifests itself in the first three cycles of reception, gradually the susceptibility of the organism decreases. Dysplasia, endometriosis, inflammation in the genitals. All this is accompanied by a headache along with pain in the lower abdomen, nausea.

It should be noted that at the age of 30 years dysmenorrhea (painful menstruation, pronounced PMS) is defined as primary. Most often, it passes after the first birth. Secondary dysmenorrhea and its symptom, such as regular and severe headache, are usually caused by serious disorders in the work of the organs of the reproductive system, and require more careful attention to finding the causes of appearance.

With a headache before menstruation, it is also necessary to measure blood pressure, because often PMS also includes an increase or decrease in its level. To make a conclusion about the level of blood pressure, based on feelings, it is not necessary, since low and high blood pressure is often felt the same way.

Menstrual Migraine

The strongest and most unpleasant type of headache during menstruation. In migraine, throbbing pain is localized in one of the temples. Intolerance to loud sounds and bright light may occur. Any effort, movement, increase discomfort.

It is almost impossible to do anything, I just want to lie in the dark. The attack lasts from 4 hours to 3 days, the pain increases, nausea begins. For migraines, it is important to drink painkillers before nausea develops, otherwise it will be difficult to take the medicine because of the gag reflex. The intensity of painful sensations in migraines is from medium to high.

"Placed, if it occurs in 2 cycles out of three, 2-3 days before the start of regulation, lasts up to 3 days after the start of menstruation. Menstrual migraine is often characterized by a lack of aura. To prevent attacks of this disease, magnesium is recommended 5 days before a possible attack.

Headache treatment for PMS

What to do if headache during menstruation? If a woman or a girl associates regular headaches with the onset of menstruation, it is necessary to diagnose the cause of this phenomenon, especially if negative feelings are strongly pronounced. Depending on the reason, the drug will be selected from the following groups:

Nonsteroidal anti-inflammatory drugs - relieve pain. These include nurofen, aspirin, ketorol and others. Combined oral contraceptives with estrogen. Progestins are synthetic analogues of sex hormones, most often progesterone (the drug duphaston).

Preparations from the first group can be used without a doctor's prescription, while treatment with drugs of the second and third groups is carried out only with the appointment of a specialist. The 2nd and 3rd group of medications do not give immediate relief of pain, they are designed to prevent the appearance of an undesirable symptom.

In addition to the use of pills in the fight against menstrual headaches helps diet. Food provocateurs include coffee, chocolate, strong black tea, nicotine, alcohol, salty, fatty and smoked food, carbonated drinks. For food in the days before the monthly recommended low-fat varieties of meat and fish, cottage cheese, yogurt, buckwheat and oatmeal, a large amount of greens.

When a weak headache is enough short day nap, relaxing massage, warm bath with lavender oil or rosemary. Well-proven technique of self-massage point.

Video with self-massage technique:

Headache during menstruation is a common symptom characteristic of 60% of women. In case of weak and moderate pains, non-drug methods of pain relief are recommended, pain of moderate to severe intensity requires drug relief. If you regularly have a headache before menstruation, you should look for the cause of this phenomenon, since it can be a signal of serious diseases.

Almost every second woman is familiar with such a concept as premenstrual tension syndrome or just PMS. In some, the symptoms of this symptom complex are almost invisible (mild irritability, slight discomfort in the lower abdomen or weight gain by 1-2 kg), but in others the symptoms of PMS are so pronounced that a woman cannot even do her usual activities, her performance is completely lost several days.Moreover, there are a lot of symptoms that can destroy the female body (more than 150 different syndromes that can cause PMS are described in the medical literature), but the most severe, perhaps, headache.

Premenstrual tension syndrome

Premenstrual syndrome is a complex symptom of neuropsychiatric, vegetovascular, endocrine-metabolic disorders that occur in the premenstrual days and stop with the onset of menstrual bleeding. Many researchers believe PMS is the physiological norm of the female body, and argue that treatment of this condition is not required. But, nevertheless, if the signs are expressed to a significant extent, then therapy cannot be done.

Video on the causes of headaches:

Live healthy! : What hides a headache 12.11.12

As already mentioned, there are so many signs of PMS, which can be divided into 2 groups:

Psychoneurological manifestations - mood lability, irritability, tearfulness, depression, inability to concentrate, aggression, fatigue, insomnia, changes in appetite and libido. Somatic manifestations - abdominal distension, tenderness and tenderness of the mammary glands, weight gain, abdominal pain, edema, headache of varying intensity (mainly by migraine type), muscle and joint pain, nausea and vomiting, appearance of eruptions on the face, impaired physiological body shipments.

Only the most common signs of PMS are listed here. In the diagnosis of this condition, the main role is not played by clinical manifestations, since they are non-specific and can occur with a large number of other conditions, but their regularity and connection with menstruation (begin in the second half of the female cycle, reach a peak a day before regular bleeding and disappear from offensive). The duration of PMS depends on the individual characteristics of the organism and the length of the second (luteal) phase of the cycle.

The reasons for the development of PMS until today is not exactly established. There are many theories and hypotheses about the development of premenstrual disruptions in the body, but none of them has received adequate confirmation. Among the main etiological and pathogenetic links of the development of premenstrual tension can be noted:

trigger effect of adverse external and internal factors, congenital or acquired inferiority of the hypothalamic-pituitary system, fluctuations in the level of sex hormones in the female body, their imbalance, the hypothesis of “water intoxication”, an increase in the concentration of prostaglandins in the blood, impaired neuropeptide metabolism.

Depending on the prevalence of a symptom in the clinical picture of PMS, there are 4 main forms:

Neuropsychic. Puffy. Crisis. Cephalgic.

It is about the latter and will be discussed below.

The most frequent and at the same time severe symptom of PMS is headache, which in most cases proceeds as a migraine.

Causes and types of headache before menstruation

The cephalgic form of PMS is not only the most frequent type of this disorder, but also one that leads to the loss of the woman’s performance before the beginning of the menstrual period. Many women do not even complain of a headache before menstruation, if it does not become migraine. In such cases, it becomes very difficult to endure the symptoms, which requires both medical and non-drug correction.

Migraine headache, which includes PMS, is called menstrual migraine. It takes 50% of all migraine cases that occur in women. The development of such pain, researchers attributed to two main factors:

with increased concentration in the body of substances such as prostaglandins (formed in the endometrium of the uterus, from where they enter the systemic circulation), in the second phase of the monthly cycle, with a rapid decrease in the concentration of estrogen and progesterone hormones in the second part of the luteal phase of the cycle.

ICD 10 provides for the presence of 2 forms of menstrual migraine:

This is an episode of severe headache in a woman of childbearing age, who clinically clocks in like a migraine without an aura, developing in the time period 2 days before the onset of bleeding or 3 days after. Repeats at least in two of their three monthly cycles and does not occur in other periods. Migraine, which is associated with menstruation (menstrual-associated migraine) - an episode of severe headache in a woman of childbearing age, who clinically closes in as a migraine without an aura, develops during the time period 2 days before the onset of bleeding or 3 days after. Repeats in at least two of their three monthly cycles, and can also be observed at other intervals.

If the headache does not meet these criteria, then most likely we are talking about a normal migraine, which coincided in time with menstrual bleeding.

Menstrual migraine video

Clinical signs of menstrual migraine

Menstrual migraine is somewhat different from normal. As a rule, headache attacks are stronger and last longer (on average 72 hours), attacks occur more often (for some women, each cycle), almost never an aura before a migraine. Also, such a headache is worse amenable to special and non-specific treatment. Migraine is the cause of pain in the whole body, fatigue.

A characteristic feature of menstrual migraine is that it passes during pregnancy. But some women may persist until the end of the first trimester of pregnancy - the period of completion of the formation of the placenta and the elimination of progesterone deficiency, if any.

An attack of headache has a different duration: from 4 hours to 72, if no measures are taken to eliminate the pain. The nature of the headache is as follows. It is pulsating, often with one-sided localization, its strength comes from averages to high on a visual-analog pain scale (VAS). Soreness worsens after any physical exercise, even a normal walk. In parallel, you can observe nausea or even the urge to vomit, increased sensitivity to external stimuli (light, sound).

To diagnose menstrual migraine, you need to answer 3 questions:

Are you worried about headache, which is associated with menstruation, which develops in a period of 2 days before - 3 days after the onset of bleeding for 2 out of 3 cycles? Headache associated with menstruation is stronger than other types that you have? Is the headache associated with menstruation accompanied by increased sensitivity to external stimuli?

The diagnosis can be considered reliable with a positive answer to the first question and any of the following two.

With the help of a visually analog pain scale, the doctor will adequately prescribe pain therapy for you.

Headache treatment before menstruation

Therapy for menstrual headaches includes both medical correction methods and non-drug measures, and in some cases the latter can even become an alternative to taking pills. Treatment in time is divided into 2 periods - stopping the attack and its prevention.

Relief of attack

If you suffer from menstrual migraine, then remember what is necessary, as early as possible relief of a headache attack. With each minute, the pain will only intensify, and the behavior of “I will suffer - it will pass by itself, because the drugs are harmful” in this case is inappropriate and will play a cruel joke with you.

Medicines from several groups are used to eliminate migraine:

nonsteroidal anti-inflammatory drugs or non-narcotic analgesics - acetylsalicylic acid (up to 1000 mg per day), ibuprofen (400 mg per day), paracetamol (up to 1000 mg per day), diclofenac (50 mg per day), perfectly complements the therapeutic effect of caffeine (Ascofen preparation , Sedalgin). If the patient has vomiting and nausea, then NSAIDs can be combined with drugs such as metoclopramide (10 mg 3 times a day), domperidone (10 mg three times a day), ergotamine preparations (Digidergot, Cincapton) - a drug synthesized specifically from migraine pain, narrows the vessels expanded in migraine in the brain, take 1-2 mg orally as tablets or 10-20 drops of a 0.1% solution, there is also a dosage form in the form of a nasal spray, serotonin agonists - sumatriptan 100 mg ( Immigrant), zolmitriptan 2.5 mg (Zomig), narrat 2.5 mg ptan (Naramig).

In no case do not take drugs from these groups on their own, especially specific anti-migraine drugs. They have a lot of contraindications and various side effects, because they should be prescribed only by prescription and under the careful supervision of a doctor.

When choosing a drug for the relief of migraine, consider the following recommendations. If the patient assesses his pain as moderate for YOUR, then treatment should be started with NSAIDs, but not more than 10 days per month. If a woman’s headache is not relieved by non-narcotic analgesics, or lasts more than 10 days a month, or is initially rated as severe for YOUR, then treatment should be started immediately with serotonin agonists or ergotamine-based drugs.

Serotonin agonists, in particular the drug Sumamigren and its analogues, are the drugs of choice for the relief of menstrual migraine attack

One should be careful of prescribing combined anesthetic drugs (they contain NSAIDs, weak opioid substances, caffeine, barbituric acid derivatives), since such drugs significantly increase the possibility of developing abusus pain (caused by taking medications), which can have quite the opposite effect to the intended one.

Recent clinical studies in the field of menstrual migraine have shown that serotonin agonists are more effective for eliminating this pathological symptom than ergotamine preparations.

Also an important point is the use of the selected drug in an adequate dose, and not at the minimum, and at the very beginning of a migraine attack.

Preventive therapy

In order to decide on the need for prophylactic medical treatment of menstrual migraine, each patient must first complete a headache calendar. In the calendar, a woman should mark the days of menstrual bleeding, the days of migraine headache and the usual headache for at least three months. Such a diary will help the doctor to establish a connection between pain and menstruation, to establish the frequency of the onset of attacks and to draw conclusions about the need for preventive therapy for migraine.

Today, doctors use 3 schemes for the prevention of menstrual headache.

First it is used in the case of frequent headaches, if there are also pains not related to menstruation and in case the relief of an attack does not bring a positive result. The following drugs are prescribed daily in daily doses:

amitriptyline - 100 mg (from the group of antidepressants), topiramate - 100 mg (from the group of anticonvulsants), propranolol - 80 mg (from the group of beta-blockers), verapamil - 80 mg (from the group of calcium channel blockers), magnesium preparations - 350 mg (from the group of essential trace elements).

The second The method of prophylaxis consists in taking drugs of female sex hormones - combined oral contraceptives or estrogen preparations. Women who need contraception, as well as for some other medical reasons, for example, dysfunctional uterine bleeding, endometriosis, are prescribed COCs. It must be borne in mind that these hormonal contraceptives increase the risk of stroke in women with migraine with aura, so before starting treatment you need to accurately determine the type of migraine. If contraception is not necessary, then estrogen preparations can be used.

Third The scheme is called short-term prevention. Since during a menstrual migraine it is possible to foresee a future headache with great accuracy, it is possible to prescribe a preventive treatment the day before a possible migraine. For these purposes, non-narcotic analgesics, serotonin agonists, and hormonal estrogen drugs are used.

Keeping a diary of headaches - the path to the correct diagnosis and adequate treatment

Non-drug treatment

This type of therapy includes various methods of scientifically recognized and alternative medicine. They can be used as a complementary component to the main therapy, and in some cases can completely replace tablets. Among the most effective methods include:

psychotherapy, getting rid of risk factors for provoking migraine (optimal nutrition, adequate sleep, eliminating external adverse factors, working on your own stress tolerance), various methods of physiotherapy, reflex therapy and acupuncture, suggestive therapy, therapeutic gymnastics and massage, traditional medicine.

Prevention of menstrual headaches

It is much easier to prevent any disease, than to subsequently engage in its treatment. This statement applies to menstrual migraine. Sometimes drug prophylaxis is not enough to cope with the pathology. In such cases, it is necessary to supplement the treatment with non-drug prophylaxis. Perhaps in the future, thanks to simple recommendations on behavior and lifestyle, you will even be able to abandon the very “not harmless” pills against headaches before menstruation.

Basic preventive measures

rational distribution of the working day with alternating active work and rest periods, observing sleep patterns, avoid stressful situations, physical and mental surges, eliminate migraine triggers from your diet - chocolate, alcohol, nuts, too salty foods, enrich the menu with fresh vegetables and fruits , seafood, dried fruits, get rid of bad habits (especially smoking, which increases the risk of stroke in patients who use COCs), maintain a normal body weight (if you have exist extra weight, then try to reset them), regular exercise, a walk in the fresh air.

As you can see, there is nothing extraordinary in prophylactic recommendations. They correspond to a correct and healthy lifestyle and will help not only to get rid of a headache, but also to remain a healthy, beautiful and active woman for many years.

Premenstrual syndrome

Premenstrual syndrome is a cyclic complex of symptoms that manifests itself in some girls before menstruation. It is characterized by psychosomatic, vascular and metabolic and endocrine disorders, which are restored at the beginning of a new cycle.

PMS occurs for several reasons: nervous overexcitement, changes in the metabolic processes of the body, disruption of the cardiovascular system, but they are based on one major factor - hormonal alteration.

Vegetovascular manifestations

Vegetative symptoms of PMS are such manifestations:

  • headache,
  • dull, aching pain in the heart,
  • puffiness
  • a heartbeat that can increase or slow down
  • dizziness due to dysfunction of the cerebral vessels,
  • high blood pressure,
  • nausea.


Prostaglandins are substances that cause inflammation and pain. They stand out mostly

When the endometrium begins to reject at the beginning of the menstrual period, the cells of the uterine mucosa die and prostaglandins are secreted. This causes pain not only in the genital system, but also in the corpus organs: heart, liver, spleen, intestines.

The heart begins to hurt suddenly, the discomfort has a dull, aching character and lasts for 2-3 minutes, especially if the girl is given complete peace at this time.

PMS development factors

PMS is not manifested in all girls, so it can be assumed that not only hormonal changes, but also other additional factors are involved in the occurrence of premenstrual syndrome:

  • constant nervous tension
  • lack of minerals, especially potassium and calcium,
  • increased physical activity on the background of ovulation and menstruation,
  • poor diet low in fat
  • bad sleep
  • abuse of caffeine and cigarettes.

These factors greatly enhance the effect of hormonal changes, as well as contribute to the development of pain in the area of ​​the heart muscle.

Help yourself

Many during PMS help herbal teas from lemon balm, chamomile, mint or special soothing fees, as well as the rejection of severe dietary restrictions. For example, drinking 20-30 grams of chocolate a day will not spoil the shape, but will cause the release of serotonin, which relieves pain and soothes the nervous system.

Pain in the heart with PMS bother many girls. This is due to the violation of the hormonal background and other factors. To tolerate discomfort should not be longer than 2 months, it is better to contact the experts and find out the cause of the discomfort.