Why do I have stomach pain and want to poop during menstruation?

Women's menstruation basically comes every month, and it can also cause some trouble to the female body, especially stomach pain, which is really unbearable. Some women not only have stomach pain, but also always feel the urge to defecate during menstruation, but when they go to the bathroom, they can't defecate. This is obviously not a normal situation, so it must be taken seriously. So what is the disease of having menstrual stomach pain and wanting to poop?

Dysmenorrhea is one of the most common gynecological symptoms. It refers to lower abdominal pain and distension before, during, or after menstruation, accompanied by backache or other discomfort, which seriously affects the quality of life. Dysmenorrhea is divided into two categories: primary dysmenorrhea and secondary dysmenorrhea. Primary dysmenorrhea refers to dysmenorrhea without organic lesions of the reproductive organs; secondary dysmenorrhea refers to dysmenorrhea caused by organic pelvic diseases, such as endometriosis and adenomyosis.

Causes

1. The occurrence of primary dysmenorrhea is mainly related to the increase in endometrial prostaglandin content during menstruation. Elevated PGF2α levels are the main cause of dysmenorrhea. High levels of PGF2α can cause excessive contraction of uterine smooth muscle and vascular spasm, resulting in uterine ischemia and hypoxia and dysmenorrhea.

2. Increase in substances such as vasopressin, endogenous oxytocin and β-endorphin.

3. Mental and neurological factors.

4. Secondary pain is often caused by endometriosis, adenomyosis, etc.

Clinical manifestations

1. Primary dysmenorrhea is more common in adolescence, often occurring within 1 to 2 years after menarche. The main symptom is lower abdominal pain that occurs regularly during the menstrual cycle. The symptoms of secondary dysmenorrhea are the same as those of primary dysmenorrhea. Secondary pain caused by endometriosis often progressively worsens.

2. The pain usually starts after menstruation, and the earliest appearance is 12 hours before menstruation. The pain is most severe on the first day of menstruation and lasts for 2 to 3 days before being relieved. The pain is often spasmodic. It is usually not accompanied by abdominal muscle tension or rebound pain.

3. It may be accompanied by symptoms such as nausea, vomiting, diarrhea, dizziness, fatigue, etc. In severe cases, the face will turn pale and cold sweats will occur.

4. No abnormalities were found during gynecological examination.