It hurts lower abdomen, as in menses: what to do?

Each representative of the weaker sex at least once in their whole life faced with a situation in which the lower abdomen aches, as during menstruation, but before the menstrual bleeding the moment had not yet come. This situation is typical for the first days of the cycle when bleeding begins. In this case, the lower abdomen aches. On the other days of the cycle, the representatives of the weaker sex, as a rule, do not expect the appearance of aching pains.

But it happens that the characteristic monthly pain in the abdomen occurs in the remaining days of the cycle. And each of the women at least once wondered why this is happening and how to act in such a situation.

Each representative of the weaker sex at least once in their whole life faced with a situation in which the lower abdomen aches, as during menstruation, but before the menstrual bleeding the moment had not yet come. This situation is typical for the first days of the cycle when bleeding begins. In this case, the lower abdomen aches. On the other days of the cycle, the representatives of the weaker sex, as a rule, do not expect the appearance of aching pains.

But it happens that the characteristic monthly pain in the abdomen occurs in the remaining days of the cycle. And each of the women at least once wondered why this is happening and how to act in such a situation.

Etiology of pain

There are a number of factors contributing to the appearance of pain in the lower part of the wall of the abdominal cavity as in menstrual bleeding. Nevertheless, it is necessary to determine the most obvious of them:

  1. Similar pains are characteristic for the ovulation period. This is the most probable and harmless cause of this condition. This condition can be observed in every third representative of the fair sex in the reproductive age. The pain associated with the period of ovulation, occur approximately 2 weeks before the expected date of commencement of the next menstrual cycle. Very often, such sensations are observed in girls, whose cycle is not yet fully settled. In this case, there is nothing scary. If there is a long delay in menstrual bleeding, it is necessary to consult a gynecologist.
  2. A pain syndrome in the lower abdominal wall may warn that menstrual bleeding will begin soon. Anxiety in such a case should cause a situation when, against the background of arising pain, the delay increases. The reasons for which this may occur, the mass. To identify the exact cause should contact your gynecologist. Most likely this happened due to severe stress, heavy physical and mental stress, abrupt climate change, etc.
  3. Another factor contributing to the occurrence of pain in the lower abdomen, as with menstrual bleeding, may be pregnancy. Such sensations are considered one of the first symptoms of the conception that occurred. If a strong and pulling pain occurs, this indicates an increased uterus tone or the attachment of a fertilized egg to the upper layer of the endometrium of the uterus. In order to determine whether a pregnancy has occurred or not, a pregnancy test should be done. They allow you to identify the development of pregnancy, starting with the first days of delayed menstrual bleeding. Symptoms that are similar to premenstrual syndrome are also observed when pregnancy occurs. For this reason, do not ignore the pain in the lower abdomen against the background of the delay. It should also be taken into account that symptoms similar to the premenstrual syndrome may also be observed in ectopic pregnancy. But the test will be negative. Therefore, to exclude an ectopic pregnancy, it is necessary to consult a gynecologist, since such a condition is dangerous for the life of the woman herself.
  4. In addition to the reasons listed in the previous paragraph, pain in the lower abdomen against the background of the delay of menstruation may indicate the formation of cysts and other neoplasms in the ovaries. To identify the true causes of the doctor will prescribe an ultrasound of the pelvic organs. Together with cysts, delayed menstruation can cause inflammation of the endometrium of the uterus and amenorrhea. The condition can last for 6 months. However, signs of premenstrual syndrome appear every month. This is especially true of aching pain in the lower abdomen. In such a situation, the doctor will prescribe treatment with hormonal drugs after all the necessary studies on hormones.
  5. Pulling and aching pain in the lower abdomen may indicate the development of inflammatory processes in the organs of the urinary and reproductive systems. If the unpleasant sensations increase, the temperature rises and nausea appears, then this may indicate the beginning of the inflammatory process in the appendages - andexitis. At the initial stage of development of the pathological state of pain do not differ in intensity, but over time they increase.

Additional factors

With the development of the inflammatory process in the bladder or kidneys, abdominal pain also occurs, similar to the sensations of menstrual bleeding. If, in addition to this condition, there is an increased urge to urinate and there are aching pains in the lumbar area, then it is necessary to pass a urinalysis and consult with a urologist or a nephrologist.

If a woman has a hormonal balance, then pain, as at the beginning of the menstrual cycle, should not appear. In case, if the body actively produces prostaglandin F2a, then this can lead to a chaotic contraction of the uterus, which contributes to the appearance of pain in the lower abdomen. In addition, the wrong hormonal contraceptive preparations can greatly affect a woman's state of health. In this situation, too, should consult a gynecologist.

The appearance of pain in the lower abdomen may be associated with the intestines. This can be caused by various pathologies of an infectious nature, triggered by both external and microorganisms existing inside the body. Pathological condition of the intestine, leading to the appearance of abdominal pain, may be associated with the defeat of parasitic worms. In addition to the above, a huge impact on the work of the digestive system to provide human nutrition.

Pain similar to menstrual, can cause inflammation of the appendix at the initial stage. However, as the pathological state develops, the sensations will only increase, become more localized and concentrate in the lower right part of the abdomen. Often, an attack of appendicitis reaches its apogee in just a few hours.

Pain in the lower abdomen can be caused by trauma from sexual contact. To understand why they occur, should the attending physician. If after sexual intercourse there are severe pains in the lower abdomen, you should immediately contact your gynecologist for help. If the doctor did not reveal any injuries, then you need to remember if there have been any cases of mechanical damage to the back in the past. It is recommended to consult with a neurologist and undergo a tomographic or X-ray examination of the spine. Similar pains in the lower abdomen can be the result of old injuries or a hernia of intervertebral discs.

Conclusion and conclusions

When the characteristic pain in the lower abdomen does not need to engage in self-diagnosis and try to independently identify the cause of this condition. It is imperative to meet and undergo relevant examinations from several specialists, starting with a gynecologist. Only they will be able to identify the etymology of pain in the lower abdomen as during menstruation and select the appropriate treatment tactics, which will eliminate this symptom in the shortest possible time.

Premenstrual syndrome and pain

For many women and parts of men watching, premenstrual syndrome seems to be a frightening and disturbing period, as pain, weakness and dizziness are expected. A woman reacts badly to such a state, breaks down on others, is naughty and scandalous. During this period, she has a sore back and lower abdomen, her chest swells. But the pain in such a period is understandable, but if there is no reason, then it is not clear what to think. So what is the point?

How to determine the cause?

And if you are not pregnant, an hour? In this state, sometimes the lower abdomen hurts, which can be a bad sign. Alarms and alert you must and nature of pain. Pulling sensations can talk about violations in the development of the baby and the course of pregnancy.

Consider the situation more incomprehensible: the test is negative, the lower abdomen hurts, as during menstruation, but they are not. In this case, you have a direct road to the gynecologist, and you need to go there quickly, since the symptoms are similar to a cyst and other structures in the ovaries. The doctor will examine you, prescribe an ultrasound to conduct a study. Young women are often victims of endometriosis, which can be recognized just by the absence of menstruation and painful sensations.

In a new place

It is said that after moving a person acclimatization happens. Yes, and strong stress is a surge for the body, which must be experienced and accepted. Our body adapts more slowly than the brain, and external manifestations of such adaptation may be a delay. By the way, the reasons for the delay can be varied, such as climate change, excessive exercise, stray diet, diet and irregular sex life. Even the doctor admits a delay in such conditions, noting that the signs of the onset of menstruation may persist. Therefore, in difficult living conditions, do not be surprised that you have a lower abdominal pain, as in menstruation. Another reason for the absence of the main feature of the cycle will be a violation of the hormonal background of the woman, which is facilitated by the use of drugs to end the pregnancy or the adaptation period after the loss of the child.

Hard time

Long delay without any signs of pregnancy causes serious concerns and for good reason. This is a real disease called amenorrhea. With her menstruation may not be up to six months, but much lower abdomen hurts. After examination, the doctor sends for laboratory tests, ultrasound and stationary examination, after which he prescribes hormonal treatment. When should you start worrying about delaying painful sensations? Yes, perhaps, after 10 days it's time to see a doctor.

If, nevertheless, pregnancy ...

Without examination and doctor it is difficult to establish the exact cause of the ailment. An ordinary person does not know in such cases what to do. The lower stomach hurts, there is no menstruation, the heart is not in place from excitement, because the pain can come before menstruation and during ovulation. So pregnancy or menstruation? Surely the notorious law of meanness is fully reflected here, because the main signs of pregnancy and menstruation are similar. The test for the presence of a special hormone produced in a woman’s body during pregnancy works after a fertilized egg cell is better than the test. Our body is not a clock, and if the waist and lower abdomen hurts, then it is a signal of problems, and the need to see a doctor. So just does not pass the neglect of their own health, workload, chronic lack of sleep, climate change. When the lower abdomen hurts, as during menstruation, you should take it as a disturbing bell.

Serious diseases

Painful sensations can speak about the onset of dangerous diseases, including an ovarian cyst, endometritis, adnexitis, pyelonephritis, cystitis, urolithiasis. When the lower abdomen hurts, a swelling of some female organs is possible. Pain is an alarm from your intestines or stomach. Listen to yourself - is there nausea, fever? Maybe dizzy? It is possible that your appendicitis is agonizing in you or a adhesive disease manifests itself. Fears also cause problems with the locomotor system, which are preceded by painful sensations.

Life cycles of women

All diseases of the female body have their own causes, but you need to remember that life is a change of cycles, so the time of occurrence of painful sensations is of great importance. For example, if after childbirth, ovulation, or after menstruation, lower abdomen hurts, then the reasons may be different for each case. If, in addition to pain, there is also nausea, then an inflammatory process has begun in the body. Is the temperature added? Run to the doctor - or wait for inflammation of the appendages, which provocateurs are pathogenic microorganisms. They are not sensitive to all drugs, so the doctor should prescribe the medicine. If you start treatment and taking antibiotics in a timely manner, then serious consequences can be avoided. It should be warned that it is possible the accumulation of pus, which must be removed surgically, for example with laporoscopy. If you start the disease, it is fraught with very negative consequences, such as infertility or difficult pregnancy. In any case, if the lower abdomen hurts, as during menstruation, then it is impossible to delay, otherwise time will be lost.

Male question

It is necessary to consider the situation when the lower abdomen hurts in men. They don’t have their period, and this pain is new to them, although there may be a lot of reasons. But it is conditionally possible to separate the causes of pain by sex. In men, pain occurs less frequently, but it is possible that most often they silence them, considering complaints a sign of weakness. Pain in chronic diseases is aching, and during exacerbation of the disease - acute and resembling contractions. There is no gender difference in pain during inflammation of the appendix - the appendix, which is locally located in the lower right corner of the abdomen, near the colon. In addition to pain, appendicitis can be recognized by the permanent state of nausea, vomiting and elevated body temperature.

If the pain is localized in the left side of the abdomen, then it is possible that there is diverticulitis, which is also accompanied by nausea and low-grade fever. Often, pain indicates the occurrence of an inguinal hernia, which is a serious pathology. In this case, the pain is acute, and the consciousness is unstable. Possible loss of consciousness. Emergency surgery is required. Abdominal pain can become a symptom of pyelonephritis, kidney stones, orchitis, that is, inflammation of the process in the testicles or appendages. In the latter case, the pain is transmitted to the groin. Quite rarely, but it still happens that the pain speaks of the development of a cancer process in the intestine. It is alarming that the pain appears in the late stages of the disease, when the tumor is already too large and presses on the organs. A visit to the doctor becomes inevitable when a man begins to have problems with the process of urination, even until urinary retention. By the way, this is a symptom of not only cystitis, but also prostatitis. Do you care about your love life? Run to the doctor!

Why are there pains in the lower abdomen?

Here are several organs that give the same sensations as menstruation during inflammation:

  • the presence of pregnancy, including ectopic,
  • PMS,
  • injury of organs in the abdominal cavity
  • inflammatory processes - manifestation of adnexitis, salpingitis, rupture or torsion of a cyst on the ovary, etc.
  • inflammatory appendix, diverticulitis, intestinal inflammation,
  • the presence of cystitis, pyelonephritis, uric acid diathesis,
  • hernia in the lower spine.

How to determine the symptoms?

  1. Abdominal pains appear at the beginning of pregnancy: the egg of the gestation is attached to the uterine wall, the muscles are overstressed and let you know about it with pains. If the pregnancy is already occurring, then such pains can mean the onset of a miscarriage or an ectopic pregnancy.
  2. During PMS, a woman may feel pain in the lower abdomen.
  3. Inflammation of the appendages, the presence of fluid in the pipes, adhesions. If the pain intensifies, the temperature rises, bend painfully - an inflammatory process occurs.
  4. Appendicitis at the initial stage. The pain increases, gradually moving to the right.
  5. Cystitis, pyelonephritis, etc. Pains appear during urination, pus and blood appear in the urine. There are also urolithiasis: from the kidney sand and small stones follow the ureters, getting into the bladder. Their sharp edges wound passageways inside, causing pain.
  6. Pain may be aggravated by inflammation of the lower intestine. In addition, there are fermentation, diarrhea, flatulence. The same can be observed with the diverticulitis of parts of the small intestine.
  7. If your diseases do not belong to the competence of a gynecologist, urologist, surgeon, then refer to a neurologist. Lower abdominal pain can be caused by spinal hernia, neuralgia.
  8. The same pain can occur as a reaction to an unusual meal or a stressful situation.

Changes in hormonal background

If you explain to the doctor that you have a lower abdominal pain, as during menstruation, then, most likely, he will make an assumption that this is due to the hormonal background.

После того, как женщине исполняется тридцать лет, у нее часто увеличивается количество эстрогена, поэтому месячные становятся длительными и болезненными.

The presence of PMS also indicates an imbalance of hormones, in particular, progesterone and prostaglandins. The latter are the substances that provide you with discomfort during menstruation, as they stimulate the contraction of the uterus. The higher their level, the stronger the pain.

Internal organs malfunction

If you regularly suffer from pain in the lower abdomen, it is necessary to conduct an examination of the internal organs. First of all, pay attention to the thyroid gland, which regulates the production of hormones. The pain may provoke underdevelopment of the uterus or its improper location. After the tests, the doctor will be able to determine if you have any inflammatory processes.

Also, pain may occur in girls taking oral contraceptives for the first few months.

If the pain can be tolerated, it is better not to abuse painkillers, but lie down under a warm blanket with a heating pad in the lower abdomen.


During pregnancy, the appearance of discomfort in the lower abdomen, resembling menstruation, is due to various reasons:

  • physiological,
  • ectopic pregnancy,
  • threat of interruption,
  • premature birth.

The occurrence of such a symptom in a pregnant woman always requires close attention.

Within about 1-2 two weeks after fertilization, the implantation of the embryo occurs in the uterus. Sometimes this is accompanied by a feeling of soreness in the lower abdomen, as well as by smearing brown secretions and is not a pathology.

In the second trimester, pain in the lower abdomen is caused by constipation, which occurs due to errors in the future mother's diet.

Pain in the lower abdomen and sides in the late period of pregnancy is disturbed due to the growth of the uterus and stretching of the anterior abdominal wall, the peritoneum. Unpleasant sensations bring careless movements, turns, sharp rising. Increases the load on the back and there are pain in the lower back, reminiscent of menstrual pain.

Pathological manifestations

In a woman who lives sexually, regular periods may begin with the appearance of brown discharge, pain in the abdomen of a pulling nature, in the lower back, back. This is often a sign of ectopic pregnancy.

A terrible symptom is the appearance of a sharp pain in the lower abdomen, pallor, pressure drop. These are signs of ectopic pregnancy. This pathology is a condition requiring emergency care.

If in the late period of pregnancy hurts the lower abdomen, there are brown discharge, contractions, these are signs of premature birth or placental abruption.

Urinary tract infections

One of the reasons that mimic the pain, as during menstruation, are infectious inflammation of the urinary system. When cystitis hurts lower abdomen above the pubis. This pathology is characterized by increased pain during the filling of the bladder. A woman is worried about frequent painful urination, urine becomes cloudy due to impurities of pus.

When jade pain occurs in the lower abdomen and in the lower back, the general state of health worsens, nausea, vomiting, marked fever. The pain can be dull, dull, paroxysmal. Urine becomes the color of meat slop or becomes dark, like beer.

Hormonal disorders

Malfunction of the endocrine glands (hyperfunction of the thyroid gland, disorders of the pituitary gland) or hormonal medication, chosen incorrectly, often causes irregularities in the menstrual cycle. As a result, pain appears as during menstruation, which is permanent. But at the same time, pathological symptoms are also added: brown or yellow discharge, menstrual delays, scarcity or an abundance of vaginal secretions.

Painful intercourse

Approaching the period of menopause is sometimes accompanied by pain during intercourse. This is due to insufficient moisture in the vagina due to the gradual extinction of the functions of the reproductive system, reducing the concentration of sex hormones.

One of the causes of pain is the fixation of a conditioned reflex after an unsuccessful sexual experience. The first painful sex, pain after an inappropriate posture, rudeness of the sexual partner - all this can provoke psychological reasons.

The cause of a sudden sharp pain during sex may be ovarian apoplexy. Pain and brown discharge after sexual intercourse are among the symptoms of cervical erosion.

Chronic sensations during sex are caused by inflammation in the reproductive organs with a chronic course: adnexitis, cervicitis, endometritis.

If a woman has undergone surgery in the past in the abdominal cavity or small pelvis, then pain in intimate intimacy can cause adhesive disease.

One of the pathological phenomena is vaginismus - this is a sharp painful spasm of the vaginal muscles, making sexual contact impossible.

Cycle violations

Normal menstrual cycle should not be accompanied by unpleasant sensations. If pain and discomfort appeared during the menstruation or instead of them, the menstruation is over, and the stomach continues to ache and ache, this is one of the manifestations of a violation of the cycle.

These symptoms lead to dysmenorrhea (painful periods), oligomenorrhea (rare periods), hypomenorrhea (scanty periods). All these disorders, as a rule, are manifested by pain in the lower abdomen.


With an atypical course of the disease or its development during menstruation, the symptoms may resemble pain during menstruation. A woman begins to mistakenly think that abdominal pain is menstrual.

Its characteristic symptoms help to reveal the disease: the pain starts near the navel, and after a while it moves to the right lower abdomen. The discomfort is aggravated by a sharp release of the arm, after pressing on the stomach. There is a worsening of general well-being, constipation, vomiting, the stomach becomes tense and hard, and fever occurs later.

Appendicitis is cunning by the so-called period of imaginary well-being, when suddenly there comes a noticeable relief. The woman thinks that the pain was caused by menstruation and was gone by itself. In fact, the disease progresses at this time.

Diagnosis and treatment

The first step is to contact a gynecologist, a surgeon. It will be necessary to pass a general analysis of blood, urine, gynecological examination. To identify pathology, the doctor will recommend an ultrasound scan, an abdominal MRI scan, and colposcopy.

The laboratory uses the PCR method to detect pathogens, determine the concentration of sex hormones in the blood. In the case of pathological secretions take swabs.

Treatment depends on the underlying disease that caused these pains. So, infectious and inflammatory pathologies are eliminated with the help of antibiotics, antihistamines, vitamins. Disorders of hormonal balance require correction hormones.

Many diseases require hospitalization and surgery. Additionally appointed physiotherapy, spa treatment.