The cause of period pain on the first day [pain reduction methods]
Dr. Shiva Madani Hosseini
تهرانObstetrics and Gynecology Specialist
The cause of peripod pain on the first day
20/02/1404
Period pain for many women, especially on the first day, is not just a simple discomfort; It is an experience that can disrupt concentration, relaxation and even the ability to perform daily tasks. I, Dr. Shiva Madani, a gynecologist, have witnessed many times during my years of work that knowing only a few simple but scientific solutions can make this difficult day more bearable.
In this article, based on clinical experience and reliable sources, I will point out methods that are really effective; Uncomplicated, doable at home, and aimed at rapid pain relief in the first few hours Beginning of menstruation.
If you are looking for a practical and scientific solution, reading this article can be your first step to get through difficult period days more easily.
I, Dr. Shiva Madani, gynecologist and obstetrician, tell with a completely scientific-expert perspective why you may feel severe pain on the first day of menstruation: "The cause of peripodal pain on the first day" is related to the sudden increase of prostaglandins, which causes repeated uterine contractions and muscle spasms, and these contractions are the well-known pain. But the point: It is a combination of several factors – prostaglandin levels (which vary from person to person), – iron deficiency (sometimes hidden anemia increases pain intensity) and – nerve stress (amplifies pain messages from the spinal cord to the brain). It is interesting to know that small fibroids sometimes remain without symptoms, but if they get bigger, they intensify the pain, or endometriosis (formation of uterine tissue outside the uterus) causes adhesions and severe pain; In such cases, it is necessary to perform ultrasound or laparoscopy (one thing I was not aware of was that endometriosis is often diagnosed late!).
Reducing agents for period pain in the first days
Use of local heat
Using local heat (hot water bag on the lower abdomen) to relax muscles, practicing deep breathing or meditation to reduce tension, light exercise such as a short walk that releases endorphins.
Omega 3 consumption
proper nutrition with omega-3 (fatty fish or walnuts) to control inflammation, adequate hydration and regular sleep; If needed, non-steroidal anti-inflammatory drugs such as ibuprofen will work well with the doctor's opinion. Factors to reduce period pain on the first day
Drinking ginger tea
Drinking ginger or peppermint tea (limited evidence, but some patients have reported improvement), acupuncture (stimulating specific nerve points to block pain messages), gentle abdominal massage (I've tried this method myself for years and got great relief). An important perspective is that the "cause of peripodal pain on the first day" is not always the same; Genetic factors, the anatomical structure of the uterus (such as the septum or its congenital abnormalities) and secondary conditions (ovarian cyst or fibroid) play a role in aggravating the pain, and in case of a sudden change or excessive bleeding, you should go to the clinic immediately. Accurately recording the menstrual cycle in a notebook to recognize patterns, checking lifestyle factors and consulting with a doctor can help manage pain better, because sometimes after analyzing the notes, a person realizes that the pain is more severe on the second or third day! In addition, the effect of other hormonal factors such as progesterone and estrogen in increasing the sensitivity of pain receptors should not be ignored (for example, after taking birth control pills).
Vitamin D deficiency causes period pain on the first day
Vitamin D deficiency is associated with muscle weakness and spasms, and measuring its level is useful; Those who are obese, extra weight puts more pressure on the pelvis and this is also an effective factor. Checking BMI and correcting weight in the long term can reduce pain intensity. Finally, psychotherapy methods such as biofeedback and cognitive behavioral therapy (CBT) are helpful in learning pain management, and some studies show that the combination of CBT and drug therapy is both short-term palliative and long-term pain tolerance. The combination of drug treatments, lifestyle modification and complementary methods can improve the quality of life these days; If you experience abnormal symptoms or very debilitating pain, be sure to consult a specialist. Be happy and healthy always, friends.
Rapid reduction of period pain on the first day
I have some recommendations on how to quickly reduce period pain on the first day. Menstrual pains are caused by the release of prostaglandins in the uterine wall and are associated with a sudden decrease in hormone levels. For quick results, I suggest combining different methods:
- Local heat therapy (such as hot water bag or electric pad)
- Consumption of non-steroidal anti-inflammatory pain relievers such as ibuprofen or naproxen with appropriate dosage
- Exercise deep breathing and muscle relaxation (yoga or short meditation)
- Drinking warm liquids and anti-inflammatory herbal teas (ginger, mint)
- Consumption of foods rich in magnesium and vitamin B6 (such as nuts, bananas)
- Light physical activity (short walk)
- gentle massage of the lower abdomen area with vegetable oils
- Avoidance of strong caffeine consumption (strong tea, strong coffee)
- Using omega-3 supplements with the doctor's advice.
In addition, proper hydration and adequate sleep (at least 7-8 hours) play an important role. If the pain is severe and non-pharmacological methods are not enough, it is possible to use short-term hormonal treatment with regular administration of combined cycle. One thing I didn't pay much attention to was that adjusting sleep and ambient light can reduce the intensity of pain (for example, making the space dark and relaxing). Honestly, I didn't think heat therapy would work so quickly, but I saw that it has a tangible effect within two to three hours.
These methods are usually associated with minimal side effects and are suitable for women with good general health.
- Using a home TENS device with proper settings
- Hot bath or short shower to relax the muscles
- alternating hot and cold shower
- Prometric breathing (contracting and releasing muscles)
- Aromatherapy with lavender oil
- Avoid salty and fatty foods on the first day
Drink enough water. Some studies have shown that turmeric and ginger supplements before the onset of pain can reduce inflammation. I myself mixed a little turmeric powder with water several times before the start of menstruation and noticed a relative reduction in pain. For women who have endometriosis or fibroids, expert advice is necessary to adjust hormonal drugs or other treatment measures.
Note:
Quick reduction of period pain on the first day is not possible with only one method; Adjust the exact combination of methods depending on the individual's condition. I have often had patients who were able to improve their pain within a few hours with this simple protocol. Note that in case of warning signs such as excessive bleeding or very debilitating pain, you should go to the medical center immediately. My experience shows that regular follow-up of menstrual cycles and recording of daily pain and related symptoms allows us to have better prevention in the following periods.
Regular consumption of vitamin D, iron and diet modification also help to improve the quality of life during menstruation. These recommendations are based on clinical research in recent years and the guidelines of the World Association of Gynecologists, and their regular implementation under the supervision of a doctor can significantly increase the quality of life on the first day of menstruation.
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