Uterine fibroids stomach pain before menstruation

Stomach pain in patients with uterine fibroids before menstruation may be related to hormone fluctuations, fibroid compression and other factors. It usually presents with symptoms such as lower abdominal distension and backache. It can be relieved through hot compresses, medication to relieve pain, and dietary adjustments. If the pain continues to worsen, it is recommended to seek medical treatment in time.

1. Hormone fluctuations

Changes in estrogen and progesterone levels before menstruation may stimulate the growth of fibroids, resulting in increased uterine contractions and pain. This type of pain mostly occurs cyclically. You can try to use a hot water bottle to apply heat to the lower abdomen, or use non-steroidal anti-inflammatory drugs such as ibuprofen sustained-release capsules and acetaminophen tablets as directed by your doctor to relieve it. It is necessary to reduce the daily intake of high estrogen foods such as soy products and royal jelly.

2. Fibroid compression

Enlarging fibroids may compress surrounding pelvic nerves or organs, and premenstrual uterine congestion can aggravate the pressure. Pain is often accompanied by symptoms such as frequent urination and constipation. It is recommended to avoid sitting for long periods of time and use knee-chest recumbent position to relieve compression. If necessary, the doctor may prescribe Guizhi Fuling Capsules, Mifepristone Tablets and other drugs to control the development of fibroids.

3. Ischemia

Rapid growth of fibroids may result in insufficient local blood supply, and increased premenstrual uterine blood flow may exacerbate ischemic pain. It manifests as persistent dull pain accompanied by paroxysmal exacerbations. You can try low-frequency abdominal massage to promote blood circulation. Your doctor may recommend using Xuefu Zhuyu Oral Liquid, drospirenone ethinylestradiol tablets, etc. to improve microcirculation.

4. Inflammatory response

Fibroid degeneration or endometriosis may be complicated by chronic inflammation, and increased premenstrual prostaglandin secretion may induce inflammatory pain. It is characterized by pain radiating to the lumbosacral region and may be accompanied by low-grade fever. Raw, cold and spicy foods need to be avoided, and the doctor may prescribe anti-inflammatory drugs such as Sanjie Analgesic Capsules and Cefaclor Dispersible Tablets.

5. Psychological factors

Long-term pain anxiety may lower the pain threshold and form a vicious cycle of pain. It is recommended to relax through meditation, abdominal breathing and other methods, and if necessary, psychological consultation and anti-anxiety drugs such as paroxetine enteric-coated tablets. Family members should provide emotional support and avoid excessive attention to pain symptoms.

You need to keep your vulva clean every day, and use cotton and breathable sanitary products during menstruation. In your diet, you should choose high-iron foods such as duck blood and spinach to prevent anemia, and avoid drinking alcohol and caffeinated drinks. Perform low-intensity exercise such as yoga or walking 3-5 times a week, monitor changes in menstrual flow and pain, and review ultrasound every 3-6 months to observe the progression of fibroids. If severe pain, heavy bleeding or fever occurs, emergency treatment is required.