Before, during and after menstruation, the right side of the abdomen hurts.


Is the deviation of the position of the uterus. The disease may be congenital or appear after pathological states of an infectious nature, such as cystitis. Patients complain of acute pain in the lower abdomen before menstruation.

Also may appear:

Severe pain in the side, which increases with palpation, Dyspareunia - painful sensations during sexual intercourse. At the same time, both one side and the entire abdominal region are painful. Tumors that begin to squeeze the organs, also causing pain

The disease is diagnosed on a gynecological examination. Full confirmation of the correctness of the diagnosis can be obtained after passing an ultrasound scan with a vaginal sensor.

If such a diagnosis was made, then first of all it is necessary to find out why the bend was formed. The main causes include atrophy of the muscular system, adhesive disease, poor development of the ligaments.

Treatment is to eliminate the root causes. If there are problems with muscles or ligaments, then they need to be strengthened through exercise. Removal of adhesions in the pelvis is achieved by dissection using surgical intervention. Laparoscopic surgery is most commonly used, but if the adhesions are active, then an additional celiac section may be required. Simultaneously with surgery, treatment with antibiotics is necessary. Also allowed physiotherapy procedures, including mud and UHF.

Treat uterus bend folk remedies is not recommended.

Uterine myoma

It is a hormonal, benign growth of the uterus in the form of a tumor. It is formed from the smooth muscle tissue. Myoma is single or multiple, including myomatous nodes. In the second case, the entire abdominal cavity hurts in women, since tumors can weigh more than one kilogram. When diagnosing it is necessary to identify why the growth of fibroids occurred. The main cause is a violation of the hormonal function of the ovaries. They begin to provoke too much estrogen. At the same time, the lower abdomen, side, and hypochondrium on the right side hurt. Pain may increase with palpation.

Also the main symptoms include:

Discomfort before and during menstruation, large discharge of blood clots, acyclic uterine bleeding, the development of anemia

To provoke the development of the disease can severe hypothermia.

Diagnosis is carried out on the basis of clinical manifestations and gynecological examination. The reliable size of fibroids will be recognized by ultrasound examination of the pelvic organs. Another informative diagnostic method is hysteroscopy. With this method, the cavity and walls of the uterus are examined. Diagnosis is carried out with the help of an optical device-hysteroscope. As an additional study, hysterosalpingoscopy is prescribed, which includes an ultrasound scan and examination of the uterus, fallopian tubes. Probing of the uterus cavity, revealing the presence of genital infections and oncopathology can be carried out.

Treatment of the disease is determined by the size of the tumor and can be both conservative and surgical. A conservative method of treatment helps to inhibit the development of fibroids, hormones are usually used. But to eliminate the disease completely with this method of treatment, unfortunately, is impossible, therefore surgical intervention is necessary.

It is prescribed in the case of:

Violations of the functions of adjacent organs, Twist the legs of myoma node, With large sizes of myoma nodes, Suspected malignant tumor

Treat uterine myoma folk remedies is not recommended.

Inflammatory processes (endometritis, adnexitis)

Endometritis - is a strong inflammation of the mucous layer of the uterus. When it occurs, the lower part of the abdomen hurts, which is manifested by sharp and stitching sensations.

It has an acute and chronic form.

Acute form occurs after mini-abortion, childbirth, diagnostic curettage of the uterus, hysteroscopy, intrauterine manipulation. Causes of exacerbation may be the remaining placenta, removal of residual ovum, a large accumulation of blood clots. At the same time, an infection may develop, an acute inflammatory process of the inner surface of the uterus. Chronic form occurs after acutely treated. It may be due to the presence of foreign bodies in the uterus. It occurs after abortion and uterine manipulations.

Both forms are caused by various pathogens, which include viruses, incl. herpes simplex, chlamydia, toxoplasma, cytomegalovirus, fungi and radiant fungi, parasites, bacteria.

Symptoms of the acute form include:

Temperature rise to 39 °, Sharp abdominal pain, Unpleasant discharge from the genitals, Painful urination, Rapid pulse, Chills

The symptoms of the chronic form include:

Violation of the menstrual cycle, Uterine hemorrhage, Pathological bleeding with pus from the genital tract, Dull pain in the lower abdomen, Painful intercourse

You can diagnose the disease using:

Gynecological examination, Clinical analysis of blood, Bacterioscopic examination of smears, Ultrasound method, Hysteroscopy, which allows to learn structural changes in endometrium

Treatment is therapeutic in nature, is carried out in the hospital.

In acute form, antibacterial therapy should be prescribed, taking into account the sensitivity of the pathogen. For removal of intoxication, intravenous administration of saline and protein solutions is prescribed. As a painkiller used cold on the abdomen. In the chronic form, an integrated approach is used, which includes antimicrobial, fortifying, immunomodulatory and physiotherapeutic treatment. Drugs are injected both intravenously and into the uterine lining. Bleeding is eliminated with the help of hormones and aminocaproic acid solution. As a result, infectious agents are eliminated, the endometrial layer is restored.

In both cases, patients need to comply with bed rest.

As a popular recipe, they use Althea root and Leuzei, dried herbs, wormwood, and clover. The ingredients are taken in equal quantities, mixed and poured boiling water. Insist for 45 minutes, filter. Take two tablespoons 2 times a day after meals.

Adnexitis called severe inflammation of the ovaries and fallopian tubes. At the same time, the entire lower part of the abdominal cavity hurts. Patients feel sharp and stabbing pain. The disease is caused by streptococci, enterococci, fungi, viruses, staphylococci, mycobacteria of tuberculosis, chlamydia, escherichia and other pathogenic microorganisms.

The trigger factors for the occurrence or exacerbation of the condition include:

Hypothermia, Non-compliance with hygienic norms, The presence of stressful situations, Messy sexual acts, Introduction of the intrauterine device, Abortions, Complications during childbirth.

There are acute and chronic forms. Both manifestations may have a protracted course and relapses. As a complication, severe pain may occur before menstruation, aggravated during palpation.

Symptoms of the acute form include:

Sharp pains in the lower abdomen, which give into the anus and the sacrum, Chills, The appearance of mucous and purulent discharge from the genital tract, Fatigue, Abdominal distention, Disorder disorders, Patients may have a fever up to 38 °.

In most cases, the chronic form is present:

Chills, Poor general condition, Disorder of urination, in which the lower abdomen hurts, Increased temperature up to 38 °, The appearance of mucous and purulent secretions from the genital tract, menstrual disorders, metrorrhagia, algomenorrhea, oligomenorrhea

Diagnosing a disease includes:

history taking and gynecological examination, taking samples for bacposa, examination of cervical, urethral and vaginal smears, ultrasound diagnostics, detecting inflammatory processes, diagnostic laparoscopy to determine the localization of purulent secretions, hysterosalpingography to determine the degree of obstruction of the fallopian tubes.

Treatment of the acute form often takes place in the hospital, except for bed rest and heavy drinking, includes antibacterial treatment with the help of broad-spectrum drugs. In addition, pain relievers, anti-inflammatory drugs, immunostimulating and desensitizing treatment are used. Infusion therapy may be prescribed to relieve symptoms, including intravenous administration of glucose solutions. With the development of purulent forms assigned to the operation

Treatment of the chronic form usually takes place at home and includes antibacterial, infusion, desensitizing therapy, the use of vitamins. After removing the inflammation, autohemotherapy, aloe venting, physiotherapy, UV radiation, electrophoresis, UHF-therapy, mud therapy, and vibratory massage are used.

As a folk remedy used viburnum color. Raw materials are dried and poured boiling water. Boil over low heat for 15 minutes. Take a quarter of a glass three times a day 30 minutes before meals. In the broth, you can add sugar or natural honey.


Manifested in the form of hormonal pathological proliferation of glandular tissue. Formed on the uterus, as well as on the ovaries, fallopian tubes, bladder, peritoneum. At the same time there are severe pains before menstruation. Their intensity increases with palpation. Pain is observed in the right or left side, depending on the location. The menstrual cycle becomes longer and more abundant. The disease mainly occurs in girls of the reproductive period.

Formed after various inflammatory processes, the reasons may also be:

Predisposition to the development of endometriosis, a peculiarity in the structure of the fallopian tubes, Immunodepression, Surgical intervention on the uterus, Gene mutations

The main symptoms include:

Pelvic pain, Dysmenorrhea, Formation of post-hemorrhagic anemia, Infertility

Hemorrhages, cicatricial changes and adhesive processes can be complications.

You can diagnose a disease with the help of:

Gynecological examination, including vaginal and rectovaginal examination, colposcopy and hysterosalpingoscopy, with the help of which there is a place to clarify tissue damage, Ultrasound of the pelvic organs, used to clarify the location of pain, spiral computed tomography and magnetic resonance, used to clarify the nature of pain, Laparoscopy Hysterosalpingography - X-ray pictures of uterine tubes and uterus, Hysteroscopy - endoscopic examination of the uterus, blood tests for the presence of tumor markers CA-125, CEA and CA 19-9 and RO-test,

As a treatment, surgery or taking anti-inflammatory drugs can be applied. The treatment is applied not only to eliminate the symptoms of the disease, but also to eliminate the consequences - adhesive and cystic formations, neuropsychiatric manifestations.

As folk recipes used infusions of healing herbs. One tablespoon of the crushed rhizome of Potentilla is poured with a glass of boiling water. Insist 2-3 hours, filter. Take one tablespoon three times a day 30 minutes before meals.

Is a disease in which the inner membrane grows into the muscle tissue of the uterus. May manifest long and abundant menstrual cycles. It provokes the appearance of PMS, pain during sexual intercourse. Occurs in girls of reproductive age. As a side effect, uterine fibroids can form. Patients feel a sharp pain in the lower abdomen, which may extend to the side or spine.

Development of the disease contribute to:

Immunity disorders, Damage to the thin layer of connective tissue, Abortions, Diagnostic curettage, Use of the intrauterine device, Inflammatory diseases, Operations, Dysfunctional uterine bleeding,

Symptoms include:

Pain before menstruation, fever up to 37 °, brown discharge, discharge of large blood clots, menstrual uterine bleeding,

Diagnosis is carried out using:

Instrumental examinations in the gynecologist's chair, ultrasound scan, Transvaginal ultrasound scan, Hysteroscopy, MRI, with the help of which thickening of the uterine wall is detected, Laboratory tests, including blood and urine tests, hormone tests,

Treatment consists of conservative, operative and combination therapy. Patients are prescribed hormones, anti-inflammatory drugs, vitamins, immunomodulators and agents to maintain liver function. They treat anemia. In the presence of neurosis, patients with adenomyosis are referred to psychotherapy, tranquilizers and antidepressants are used. Surgical interventions may be used. Indications for endocoagulation in adenomyosis are endometrial hyperplasia, suppuration, the presence of adhesions.

As a national method of treatment using medical leeches. Leech saliva, entering the body, gives bioactive nutrients that have anti-inflammatory effect, update the lymphatic system, stimulate the production of protective cells of the immune system.

Ovary apoplexy

Ovary rupture refers to acute gynecological diseases, as a result of violation of its integrity, vessels with hemorrhages of varying intensity into the abdominal cavity rupture. The cause of this condition is pathological changes in the tissues of the ovary, which are caused by the presence of cysts, diseases of the pelvic organs, various inflammatory processes.

The reasons also include:

Intra-abdominal pressure, incl. arising from the filling of the pelvic organs with blood appearing from damaged fragile vessels, Change in the permeability of the ovarian vessels into different phases of the ovarian menstrual cycle, Changes in the thickness of the vascular walls, Dystrophic and sclerotic changes in the ovarian tissue

At the same time, patients usually feel a nagging pain in the side, lower abdomen, but also the pain syndrome can be paroxysmal, cramping, constant or stabbing with return to the spine and the inner surface of the thighs, manifestations in the rectum, perineum. The pain can last from 30 minutes to 6 hours, and also occur with a certain frequency during the day.

The provoking factors of ovarian rupture include:

Physical exertion, Horse riding, Sporting activities, Stormy or interrupted sexual intercourse

Symptoms include:

Acute pain, Intraperitoneal bleeding, Peritoneal phenomena, Shock, Fainting, Weakness, Bloating, Collapse, Cold sweat, Tachycardia, Pronounced pathogenic symptoms, Reduced hemoglobin by more than 50%,

Also, patients may experience:

Headache, Nausea, Bleeding from genitals

Diagnosis is carried out by surgeons, gynecologists, urologists. This disease requires an immediate diagnosis. The increase in bleeding weights. It can be life threatening.

The diagnosis is made with:

General clinical tests, gynecological examination, measurement of hemoglobin, holding the puncture of the posterior vaginal fornix, pelvic ultrasound, laparoscopy,

Treatment may consist of physiotherapeutic procedures, but conservative tactics is appropriate only for weak internal bleeding and only for those women who are not going to have children in the future. Girls who wish to become pregnant in the future are treated by means of a surgical intervention - laparoscopy, less often the use of the chest cavity. During the operation, they try to preserve the tissues of the ovary, only in rare cases of very heavy bleeding it has to be removed.

After the operation, all efforts are directed at preventing the formation of adhesions, and experts also normalize hormonal processes and restore reproductive capabilities.

As a popular recipe, you can make a useful gauze bandage for the night. 20 grams of flax seeds are wrapped in gauze fabric. Place in boiling water for 2-3 minutes. Cool and squeeze the water. Gauze is applied to the nidus of inflammation.

Urolithiasis disease

Is a urological disease, which results in a violation of the acid-base balance, which leads to the formation of stones in the urinary system, kidneys or bladder. More often in patients with this disease, acute pain in the lumbar spine, burning during urination, high fever appear. Also, unpleasant and pain can be observed in the lower abdomen on the right, especially increasing both during menstruation and in front of them.

A feature of this disease is a variety of symptoms: in some patients, the course of the disease is asymptomatic, even large stones can be detected by chance, in others, a recurrent character develops, in others, it is exacerbated and becomes chronic.

The most effective method of treatment is surgery to remove stones, although, if they have been formed recently and / or are of small size, they try to solve the problem by conservative methods, such as drugs and physiotherapy.

Is an inflammatory lesion of the mucous layer of the bladder, often has an infectious nature. When this occurs, the penetration of pathogenic flora into the bladder. Mainly the causative agents of the disease are E. coli and staphylococcus, less often - fungal infections of the genus Candida, chlamydia, etc. The disease is characterized by a aching painful character with localization in the right side, in the lower abdomen.

The following factors provoke this disease:

Severe hypothermia, Circulatory disorders in the pelvis, Metabolic deterioration, Injuries received, Instrumental interventions, Anal sex

After identifying the disease using cytoscopy and a series of laboratory tests of urine, treatment begins, which is carried out by a urologist or gynecologist. It includes a course of antibiotics and antiviral drugs designed to defeat the infection, as well as vitamins and physiotherapy to strengthen the immune system.


Is an inflammation of the gallbladder, which can be caused by infections, parasites or occur against the background of gallstone disease. Manifested in the form of severe pain in the right hypochondrium, which mainly occurs after ingestion of fast food, fatty, spicy foods or alcohol. Sometimes the pain is accompanied by nausea, vomiting, dry mouth. In women with cholecystitis, a few days before the onset of menstruation, headaches appear, the face, hands and feet swell up, and mood worsens.

The main factor causing the disease is associated with the obstruction of the circulation of bile, its stagnation. This can occur due to congenital or acquired defects of the organ, sedentary lifestyle, incl. during pregnancy, which violates the motility of the bladder, poor diet and frequent use of harmful food.

The primary diagnosis of the disease occurs on the external examination - with palpation appear severe pain in the lower abdomen. The diagnosis is clarified with the help of laboratory blood tests, in which nonspecific inflammations are detected, and instrumental diagnostics (ultrasound, cholecystocholangiography, endoscopic retrograde cholangiopancreatography).

The basis of treatment is a diet, which during periods of exacerbation is supplemented with choleretic, anti-inflammatory, antispasmodic.

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Regular painless menstruation is one of the indicators of women's health. Therefore, any pain arising during this period, including if the right side hurts during menstruation, can be considered a reason for a visit to the gynecologist. The peculiarity and danger of such pain is that only a qualified doctor can determine the cause of their occurrence, distinguish pain associated with neurological pathology or related to surgical diseases. And also to distinguish from pain caused by impaired or inflammatory process in the genital system.

Why with monthly pains right side

All pains that occur during menstruation, are divided into:

organic, directly related to the violation of the structure of internal organs and related to their damage, functional, which are caused by the development of the pathological process in organs and their tissues, due to injury or inflammation.

Functional reasons for the pain in the right side during menstruation include circulatory disorders, which cause accumulation and stagnation of blood in the uterine cavity. This may be due to the uterine bend that occurs or the complete absence of defloration. Pain occurs with hormonal failure and primary dysmenorrhea developing on its background. Another reason for the appearance of pain in the side during menstruation is irregular menstruation and failure of the ovaries.

Organic pains can be caused by developing severe illnesses, including:

neoplasms such as fibroids or polyps, adenomyosis or endometriosis, inflammation of the right ovary, tubal (ectopic) pregnancy, oophoritis, adnexitis, cyst of the right ovary, polycystic.

In order to eliminate the need for surgical intervention to provide timely assistance to the patient, it is important to confirm the absence of such factors affecting the appearance of severe pain in the right side during menstruation, such as appendicitis or the inflammatory process affecting the liver. The gynecologist can determine and as the cause of severe pain during menstruation the presence in the uterus of the uterus contraceptive (spiral) or make a diagnosis - secondary algomenorrhea.


Any decision will be made after a full examination and examination using ultrasound. It will be necessary to pass some tests, among which there will be a smear on the microflora and blood for the content of leukocytes. A timely visit to the gynecologist, a detailed examination and the correct diagnosis will help to cope with the problem and find the right solution and prescribe an adequate treatment.

Manual examination is not always effective enough to diagnose with certainty. That is why the gynecologist gives direction to the ultrasound, during which such pathologies as the inflammatory process or neoplasms, located in the abdominal cavity on the right side, can be identified. The tumor squeezes the organs and the uterus enlarged during menstruation, causing pain.

To detect the presence of inflammation will help smear from the vagina. During examination of the contents, pathogenic microflora can be detected. The right side before the menstrual period also hurts if there is an ascending infection that caused the onset and rapid development of the inflammatory process in the fallopian tube and the right ovary. In this case, the right side and lower abdomen will be sick and at rest, and during the inspection, and when walking.

Ultrasound examination will help to identify violations of the functionality of the uterus or a developing ectopic pregnancy, and therefore it is mandatory. The treatment prescribed by a specialist will depend on the diagnosis and the characteristics of the detected disease.

Survey results

If, as a result of the survey, the gynecologist revealed the presence of an inflammatory disease, then the therapeutic measures will be aimed at getting rid of this process. Inflammation of the appendages often affects one side, so one side hurts. If there is a salpingitis or oophoritis on the right, the pain will bother the patient in the right beech. Manual examination, menstruation, sexual intercourse will be extremely painful. Severe pain is accompanied by adnexitis, which requires immediate and adequate treatment.

Therapeutic measures include the use of anti-inflammatory drugs, a complex of vitamins, if necessary, the doctor will prescribe antibiotics. Treatment course, the course is at least 10 days. After the seizure is relieved, restorative therapy will be required. It is important to consult a doctor in a timely manner, refusing from self-treatment and taking painkillers.

One of the most dangerous diseases is apoplexy. The menstrual cycle is divided into several periods, and during the first period, follicle maturation occurs under the influence of estrogen. At a certain time, it breaks and the egg is released. If such a rupture occurs before the deadline, then it is accompanied by severe cutting pain. Conservative treatment of apoplexy does not exist. The patient needs urgent surgical intervention.

No less common is the so-called ectopic or tubal pregnancy. The fertilized egg is not able to penetrate into the uterine cavity due to adhesions existing in the fallopian tubes, which narrow their lumen. This causes the fertilized egg to remain in the lumen of the tube, implanted, and the embryo begins to develop and, of course, grow, increasing in size.

Despite the presence of the ovum, menstruation may occur regularly for several months, in accordance with the menstrual cycle. Menstruation is accompanied by a pulling pain in the right side, if the gestational egg is in the right tube.

A woman feels only all the signs of pregnancy until the stretching of the tube becomes extreme and it bursts. Rupture of the fallopian tube is accompanied by severe cutting pain and internal bleeding. Without urgent surgery, the patient may die.

What other diseases cause side pain

However, more often, pain in the right side occurs when the uterus is bent to the right. This pathology is congenital, due to the structural features of organs transmitted at the genetic level. In order for a treatment to be successful, it must be aimed at eliminating the root cause. Ultrasound examination will help to understand whether this condition is directly related to the state of muscles and ligaments. They can be strengthened with a special set of exercises, which ultimately will restore the correct shape of the uterus and relieve the patient from pain.

Every month, about the same days, many gynecologist patients go to the antenatal clinic with complaints of pain in the right or left side. These are the so-called ovulatory pains that accompany minor bleeding from the vagina.

Uterine fibroids are familiar to most women. And pain in the right side during menstruation can cause myoma node, located in a certain appropriate area of ​​the uterus. Timely treatment to the gynecologist and adequate treatment with the use of traditional medications and traditional medicine will help to avoid surgery and to achieve full recovery of the patient.

Endometritis is an inflammatory process that takes place in the uterus and is accompanied by severe pain, fever, weakness and other symptoms of a strong inflammatory process. From the localization of the main focus depends on what the distinctive features will have pain. Especially in those cases when endometritis develops as a complication after medical abortion, difficult childbirth.

Features of treatment aimed at getting rid of pain in the right side, arising from menstruation, are inextricably linked with the characteristics of the disease that caused them. Since in most cases the main cause is inflammation, the treatment will be aimed at combating the inflammatory process.

To quickly achieve a positive effect, all therapeutic measures are carried out in the hospital. The patient is prescribed:

taking a broad-spectrum antibacterial drugs, vitamins of group "B", anti-inflammatory drugs.

After the acute stage has passed, the patient is discharged from the hospital, recommending follow-up care at home under the supervision of a local gynecologist.

Chronic forms of inflammation are treated at home. This therapy is antibacterial, infusion and desensitizing and with the appointment of a complex of vitamins. After the inflammatory process is stopped, the patient is prescribed autohemotherapy, absorbable drugs, restoring and strengthening. At the discretion of the gynecologist, physiotherapeutic procedures may be prescribed.

Menstruation is often accompanied by discomfort in the lower abdomen, which appears due to the release of an unfertilized egg, together with the mucous membrane of the uterus from the body. Pain can occur not only in the genital area, but also in the mammary glands, lower back, some girls notice pain in the right hypochondrium. Why does my right side hurt before the menstrual period, and which doctor should I contact?

Physiological pain before menstruation

Mild pain before menstruation is the physiological norm. During ovulation, the egg leaves the cavity of the fallopian tubes, awaiting fertilization. If this does not happen, then the sex cell must be removed from the body along with the uterine mucosa, which increased during the period of ovulation. Because of the separation of endometrial cells, the vessels and nerve endings are damaged, so painful sensations arise.

With primary dysmenorrhea - the pathology of the menstrual cycle, due to which a woman experiences very strong pain and weakness every month - the bleeding may not be very active. In this case, increased discomfort is already a deviation from the norm.

Typically, pain during menstruation begins at 2-3 days, the peak of pain falls on 3-4 days. If during ovulation the egg cell was fertilized, then the menstruation does not occur, the pain does not appear.

Why hurts before the monthly right side

Normal pain before and during menstruation should be only in the lower abdomen and lower back, in other cases it is necessary to think about the causes of discomfort. Some girls complain of moderate or severe pain in the right side, for which there are several reasons.

The reason that the right side is hurting below can be diseases of the genital organs, because the reproductive system is located not only in the lower abdomen, but also higher, approximately to the navel. During menstruation, there is a slight inflammation, so the pain caused by the existing pathologies increases.

Ectopic pregnancy

Pregnancy is the process of carrying a child developing from a fertilized egg. You can learn about its occurrence with the help of a cheap and simple test that reacts to a specific hormone. Often girls are limited to this without undergoing an ultrasound examination. But it is precisely the last analysis that will help to establish whether the correct position was taken by the fetus.

The ovum can consolidate not only in the uterus, but also the fallopian tubes or ovaries, then an ectopic pregnancy occurs.

With the pathological development of pregnancy, a woman after 2-3 months begins to experience pain in the right or left side, they have aching, pulling or cutting nature, discomfort is possible in the lower abdomen and back. It arises due to the fact that the fetus begins to stretch the thin fallopian tubes or ovaries.

It is impossible to carry the child during an ectopic pregnancy, because the uterine tube or ovary will be broken, the fetus will die, and the mother’s life will also be at risk. If a pregnant woman has pain in her side, it is necessary to consult a gynecologist and do an ultrasound to exclude the pathological location of the fetus.

Right Ovarian Inflammation

The ovaries are paired organs of the female reproductive system, which are essential for her health and the ability to have a baby. They secrete hormones, eggs, regulate the menstrual cycle, are responsible for the development of secondary sexual characteristics.

The body carefully “monitors” the health of the ovaries, sending blood enriched with oxygen and immune cells, but sometimes it is impossible to avoid diseases of these organs. Various right-sided inflammatory processes can cause the right side to hurt before menstruation.

Oophoritis and adnexitis

Oophoritis and adnexitis are inflammatory processes that affect the ovaries and appendages, and their cause is the addition of a bacterial (staphylococcus, streptococcus, Escherichia coli) or viral infection. Often, pathogens cause inflammation due to prolonged exposure to low temperatures, low immunity, or drastic weight loss.

When oophoritis or adnexitis, side pains are aching or cutting, they intensify before the beginning of menstruation. The inflammatory process in the ovaries is accompanied by increased bleeding during menstruation, fever up to 38-39 degrees, weakness and nausea.

Cyst and polycystic

About a week and a half before the onset of menstruation, when a woman begins to ovulate, there may be constant aching pain in her side, and the cause will be a cyst or polycystic ovary. The cyst is formed due to the fact that the follicle does not fully open inside the ovary, the egg cell does not come out of it, and there the inflammatory process begins with the accumulation of pus or the appearance of compaction. Polycystic - multiple formation of cysts in the ovary.

The cause of the appearance of cysts can be such states:

pathologies of the development of the reproductive system, low or elevated levels of FSH - a hormone that stimulates the formation and release of the egg from the follicles, low or high body weight.

The pains in the cytosis are aching in nature; they occur because hormones begin to influence the ovary so that it releases the egg during ovulation. The discomfort may not be strong, but permanent, therefore unpleasant.


An appendix is ​​a small process that is considered a rudiment in humans. It was needed in the early stages of evolution, when animals ate predominantly grass, and this small organ contained good bacteria that helped digest cellulose.

Sometimes the appendix can inflame due to the proliferation of bacteria in it or mechanical damage to the process, in which case an emergency condition develops - appendicitis. The appearance of the inflammatory process may coincide with the onset of menstruation, so the woman risks taking appendicitis for normal menstrual pain.

If a strong cutting pain appeared in the right side, due to which it is impossible to unbend the body, such a state is accompanied by nausea and high temperature, you should immediately go to the hospital, because the rupture of the appendix will be fatal to humans.

Diverticulitis and increased gas formation

Diverticulitis or inflammation of the intestines, as well as increased gas formation can cause side pain before menstruation. During the premenstrual period, the abdominal cavity, the breasts and legs swell, and fluid accumulates in their tissues. With abdominal swelling in a girl suffering from diverticulitis or flatulence, squeezing of the intestines with accumulated fluid causes worsening of the symptoms of these diseases, stitching or aching pains that can be given to the right side or down of the abdomen.

Intrauterine contraception

Sometimes the question of why pains appear in the right or left side of the body before menstruation is given by women who have an intrauterine device. This device contains hormones, which it gradually releases into the uterus, preventing pregnancy.

After physical injuries, during active sexual intercourse, or if the intrauterine contraceptive device is not properly installed, the helix can budge and travel through the uterus, fallopian tubes, and even the ovaries. This causes a woman to severe pain in the side where the spiral went. At the same time, in addition to discomfort, there is a fever and inflammation in the pelvic area, there is pain during sexual intercourse.

Abortion and diagnostic curettage

During an abortion or diagnostic curettage, the doctor may affect not only the uterine mucosa, but also the underlying smooth muscle tissue. If the wounds are deep, then scar tissue develops in their place, which will be inelastic and susceptible to inflammation; therefore, before menstruation, cutting or aching pains in the lower abdomen may spread to the lower back or side. In this case, the discharge during menstruation will be more abundant than normal.

Medical examination

The first thing that needs to be done for pain in the side is to contact a gynecologist, who will take anamnesis and professional examination. If this doctor can not find the causes of discomfort, then you need to visit a therapist and a surgeon who will palpate the abdominal cavity to find the causes of pain, if they are not associated with diseases of the reproductive system.


Since there are a lot of reasons for pain in the side before menstruation, it is difficult to describe all preventive measures, so the main ones will be:

regular visits to the gynecologist (once every 6 months), annual examination by a surgeon, a general practitioner, a neurologist, support for normal microflora in the intestines to avoid flatulence and diverticulitis, avoidance of abdominal injuries, install the IUD only in a good hospital.

Pain in the side before or during menstruation is not the physiological norm, so they can not be ignored or try to cope with them independently. You must visit a gynecologist, a surgeon and a general practitioner to find the cause of this abnormality and get the right treatment.

Causes of pain

To the existing question of many about why right side hurts during and before menstruation, doctors have a scientific answer. Often this happens because of the progression of dangerous inflammatory gynecological diseases in the body. It is in this area of ​​the abdomen that the reproductive organs are located. And the appearance of unpleasant sensations on critical days is explained by the fact that a change in the level of sex hormones reduces painful defects and provokes minor inflammatory processes in which the symptoms of an existing disease become more pronounced.

Navy and scraping

If it hurts on the right lower abdomen during adjustment, and shortly before this, the girl was subjected to a curettage procedure, this may indicate a trauma to the internal tissues and the formation of scars, which tend to become inflamed during menstruation.

Also, pain in the right side of the abdomen occurs if the intrauterine device is installed (an effective method of contraception and treatment of certain diseases). This phenomenon means that some kind of traumatic impact on a foreign body has occurred (intense sexual intercourse, injury, improper installation).

Cystitis is an inflammation of the mucous membrane of the bladder, which occurs as a result of ingestion of infectious agents. You can suspect the presence of the disease if the woman pulls the lower abdomen, hurts her side, makes it difficult to urinate and there is pain during it.

Urolithiasis is a pathology of the urinary system, during which the acid-base balance changes in the kidneys or bladder and stones begin to form. The onset of acute pain in the right side, burning during the urinary process, fever and discomfort in the lower abdomen are symptoms indicating the progression of ICD.

Intestinal inflammation

Abdominal pain during critical days can also be triggered by intestinal inflammatory processes. This condition arises as a result of injury, food poisoning, or the ingestion of dangerous infectious or bacterial trace elements. In addition to painful sensations, a woman may feel stomach discomfort, gas build-up increases, nausea, vomiting and indigestion appear.

Causes of unilateral abdominal pain

If on the eve of the monthly pain in one of the sides, the reason for this may be:

  1. Genetic disposition, transmitted from the mother or grandmother. Intensive contractions of the uterus muscles occur, and the nerve endings are too sensitive. Painkillers help in this situation.
  2. Gynecological diseases, which are often accompanied by serious consequences: bend of the uterus, fibroids, endometritis, endometriosis, adenomyosis in the uterus, ovarian rupture.
  3. If the pain syndrome is concentrated in the lower abdomen, this happens due to the introduction of the helix as a method of contraception, subsequently abortion or other interventions. When strong pains are concerned, it is better to remove the spiral.
  4. Soreness can provoke other ailments that are not related to the sexual sphere. For example, kidney stones, cystitis, appendicitis, neurology.

If only the left or right side is concerned, then in some cases this may be a manifestation of tubal pregnancy. In any case, it is dangerous to ignore such a serious sign as soreness. Therefore, it is necessary to immediately see a doctor.

If the prostaglandin synthesis is disturbed in the middle of the monthly cycle and shortly before the regulator, soreness may appear in the side. It happens that women suffer from the painful manifestations of ovulation at the time of release of a mature egg, when the follicle is torn. Discomfort lasts from several minutes to a couple of days. Causes of malaise that occurs a few weeks before menstruation are:

  1. Rupture of capillaries located at the base of the follicle. Because of the rupture, the follicular fluid falls on the abdominal wall, and the uterus, which is irritated by this, begins to contract and cause discomfort associated with the process of ovulation.
  2. Pain in the right side during menstruation and other days. Often are harbingers of appendicitis. They are usually joined by an increase in temperature. Such symptoms cannot be tolerated, much less justified by their ovulation. If the pain increases and worries the fever, you should immediately call the doctor, because this condition can be a threat to life.
  3. Pain in the side before menstruation. It is formed due to the presence of an abscess, adhesions or oncology of the pelvic organs.

Sometimes it happens that during the period of ovulation or on the eve of menstruation, women feel slight pain, which is considered to be outside the norm. But most often it is a sign of the pathology that needs to be treated, so when repeating the symptoms you should not postpone the visit to the gynecologist.

For more information about pain in the ovaries after ovulation, we recommend that you read in a separate article on our website.


This ailment interferes with conception and appears due to inflammatory gynecological diseases of the uterus. With this pathology, one or both fallopian tubes are filled with a serous fluid called the transudate.

Initially, the disease is asymptomatic. As the pathology develops, the woman is concerned about the following manifestations:

  • low back and side pain during menstruation,
  • intensive bleaching during the whole month,
  • inability to conceive,
  • pain of varying severity in the lower abdomen after menstruation.

With timely detection of deviations, it can be eliminated without further consequences.

Adhesions process after abdominal operations

Adhesions - is gluing, splicing the membranes of internal organs. They are often surgical pathology, that is, they appear after surgery. Manifest moderate or acute pain at the location. Usually it is the stomach and sides. Adhesions are formed in the intestines and organs of the genitourinary system. Common symptoms are:

  • constipation, flatulence,
  • irregular bowel movement.

To avoid the formation of adhesions, it is necessary to comply with preventive measures after the operation.

Problems with bowel movement

When the left side hurts before the menstruation period, quite often the source of the problem is the stagnation of the feces in the intestine. Constipation before menstruation is a condition in which not only the left side of the abdomen hurts, but also the state of health worsens, migraines, insomnia, and increased gas formation appear. Then it is worth:

  • take advantage of probiotics that promote intestinal reproduction of beneficial bacteria,
  • drink as much liquid as possible
  • move more, lead an active lifestyle,
  • eat vegetables, fruits, berries, dried fruits,
  • eliminate as much as possible from the diet alcohol, salted, smoked, fried.

What to do

In 90% of situations of pain in the ovaries before menstruation - a sign of illness. If there is pain once or for a long time, you should definitely consult with a gynecologist. It is especially important to do this if weakness, fever, nausea are added to this symptom. After the ultrasound, the specialist will be able to make the correct diagnosis and prescribe therapy.

You must go to the doctor in case of any suspicion of an ailment in order to detect it at the beginning of development. Then it will be possible to get rid of the disease without the appearance of complications. And to prevent the occurrence of pathology, it is necessary to visit the gynecologist at least once a year for the purpose of prevention.