My period hasn’t come yet. What’s wrong with my stomachache?

Stomach pain before menstruation may be related to hormone level fluctuations, pelvic congestion, gastrointestinal disorders, endometriosis, pelvic inflammatory disease and other factors. It can be relieved through hot compress, diet adjustment, drug treatment, traditional Chinese medicine conditioning, surgical intervention and other methods.

1. Fluctuations in hormone levels

The menstrual cycle is regulated by estrogen and progesterone. Delayed ovulation or insufficient luteal function may lead to delayed menstruation. At this time, the increased secretion of prostaglandins will stimulate uterine contraction, manifesting as dull pain in the lower abdomen. It is recommended to avoid strenuous exercise, use hot water bottles to compress the abdomen, and drink appropriate amounts of ginger tea to relieve discomfort. If you have long-term menstrual disorders, you need to see a doctor to check six sex hormones.

2. Pelvic congestion

Pelvic blood vessel dilation during premenstrual period may cause a feeling of bloating, especially in those with sedentary habits or long-term constipation. This type of physiological pain is usually accompanied by soreness and swelling in the lumbosacral region. The pressure can be relieved by lying on the knee and chest, or by following the doctor's advice, Chinese patent medicines such as Xuefu Zhuyu Capsules and Guizhi Fuling Pills can be used to improve circulation.

3. Gastrointestinal dysfunction

Irritable bowel syndrome or improper diet may cause intestinal spasms, and the location of the pain can easily be confused with the proximity of the uterus. It is common to experience increased bowel sounds and flatulence after eating raw or cold food. It is recommended to temporarily abstain from gas-producing foods, massage the Zusanli point, and take belladonna tablets to relieve smooth muscle spasm if necessary.

4. Endometriosis

Ectopic endometrial tissue grows in the ovaries or rectal pits, causing progressively worsening dysmenorrhea and menstrual abnormalities. The pain is often tearing and may radiate to the anus. Vaginal ultrasound and CA125 testing are required to confirm the diagnosis. In mild cases, Sanjie Analgesic Capsules can be used, while in severe cases, laparoscopic surgery is required to remove the lesions.

5. Pelvic inflammatory disease

Inflammation of the fallopian tubes caused by gonococcal or chlamydial infection can cause persistent pain in the lower abdomen, along with abnormal discharge and fever. In the acute phase, ceftriaxone sodium combined with doxycycline needs to be injected intravenously. Chronic inflammation can be treated with Kangfuyan capsules. When an abscess forms, posterior fornix puncture and drainage is required.

It is recommended to record pain characteristics and periodic changes to avoid over-reliance on analgesics. Keep your vulva clean every day and reduce your caffeine and alcohol intake one week before your period. If the delay exceeds 7 days or the pain worsens, a pregnancy test and pelvic ultrasound are required to rule out emergencies such as ectopic pregnancy. Moderate practice of yoga cat pose can help relieve pelvic muscle tension.