Pulls the stomach, as before the monthly - what to do

Pulling the stomach, as before the menstrual period - this is a fairly frequent complaint of patients of the obstetrician-gynecologist. The onset of this pain syndrome can be associated with various conditions.

Because of what the lower abdomen can hurt? The list of main causes is as follows:

• Inflammatory process, which affects the reproductive system of a woman;

• Endometriosis is a disease characterized by the appearance of a tissue similar in structure to the tissue of the inner layer of the uterus, but outside this layer (for example, in the muscular layer of the uterus, ovaries, etc.);

• Imbalance in sex hormones (their level and ratio);

• Adhesive process;

• Ovarian cyst and various tumor-like formations that are associated with the uterus and its appendages;

• Symptoms of abortion (miscarriage);

• cystitis;

• Spasms of the intestine (intestinal colic).

If you pull the stomach before the month, you should seek help from a specialist (obstetrician-gynecologist). Self-medication is generally unacceptable. It is often ineffective, but only leads to a loss of time and contributes to the progression of the pathological process, greatly exacerbating the existing violations.

The complaint that pulls the abdomen, as before the monthly, makes the specialist appoint additional methods of examination. However, of course, at the first stage, the doctor will conduct an objective study, which implies a vaginal examination as well. Additional diagnostic methods include the following:

• ultrasonography;

• Hormonal analyzes;

• Hysteroscopy;

• Research on urogenital infections ;

• Colposcopy, etc.

After conducting the necessary examination, the doctor diagnoses and prescribes appropriate treatment. It can be represented by the following types:

• Antibacterial treatment;

• Antiviral therapy;

• Immunostimulating treatment;

• Reception of hormonal preparations for correction of available infringements;

• Operative treatment in the presence of certain indications;

• To treat a threatening miscarriage, antispasmodics and gestagenic preparations are used (according to indications).

When pulling the stomach, as before the menstrual period, it is necessary to exclude the most serious pathological processes. One should think about the possible formation of tubo-ovarian tumors (the formation of a purulent focus, which includes the ovary, the fallopian tube and the underlying tissues). To avoid purulent contents in the abdominal cavity, it may be necessary to perform a puncture of the abdominal cavity, performed through the protruding point on the border between the cervix and the uterus. If pus is obtained, then an operative treatment is indicated, the purpose of which is to remove the purulent focus from the body and perform sanitizing measures.

In addition to all the above conditions, the cause of pain in the lower abdomen can be idiopathic algodismenorea, that is, painful menstruation. The reason to establish modern research methods is not possible. Therefore, pain requires the use of only non-steroidal anti-inflammatory drugs.

Thus, if the stomach is pulled, as before the monthly, a doctor's consultation is mandatory. It includes an objective examination, additional methods of research, and the appointment of appropriate treatment.