It is useful to define it first; if these pains only occur during menstrual periods and have been present since you were a young girl, this is your normal. Some of you will get used to it, some of you may experience pain that limits your daily life, so let's see what we can do.
During a menstrual period, which can last between 21-35 days. Sir, what do you mean? If we consider the first day of bleeding as Day 1, we call the period until the first day of the next menstrual bleeding the menstrual cycle. This ranges from 21-35 days. Short or long, it requires research.
Uterine bleeding starts from the first day, while bleeding from one side, it renews itself from the other. What is renewed here is the layer that we call endometrium, which we call the uterine membrane among the public. This layer thickens layer by layer, like plastering a wall, for an average of 14 days. If a possible fertilization occurs during the ovulation period, this thickness simply becomes an accommodation, insemination or attachment bed for the embryo to be formed. Let me remind you partially why it is called the uterus.
Sir, fertilization did not occur.
Maybe, in that case, the uterine membrane will reduce this thickness. How does he do this, by falling off...
Remember the plaster on the wall incident, it collapses layer by layer. As it collapses, the uterus contracts, the muscles holding the uterus contract, and you experience cramps.
There are hormones that cause this. Hormones increase, muscles contract, shedding begins, and bleeding occurs. This is natural.
Can there sometimes be underlying pathological reasons, sir? It is possible.
For example, if there is a cyst, some hormones secreted may cause the thickness to increase. For example, if there is a myoma, the uterus may not contract as we wish. For example, if there is an infection, you may still have pain, but if not, cramps are natural.
So what do we do as physicians?
Were there hormones that contract this? There is. So, if we suppress these hormones, will there be pain? A reasonable suggestion, it would work.
Sir, are there any intermediaries that we call mediators that appear in this contraction? There is. So, if we reduce this, will the pain decrease? It decreases.
So, sir, how do these increase? Do I have to take medication?
These things increase like this, stress is the beginning of everything. If there is stress, we will first reduce it so that the rate of increase is low. Then, relaxed mind, positive person.
And then If there is a problem we can see, we will solve it.
And if there is none,
Some herbal based supplements work,
Birth control pills work.
Hot water bottle, stretching and some massage movements are useful.
Meditation, yoga, pilates are useful.
Scientific studies have proven that magnesium, vitamins B6, B1 and E, and Omega-3 fatty acids reduce menstrual cramps. It works.
Parsley-lemon juice, basil, cinnamon are useful.
Fennel tea is useful.
Does onion cure help? It works too.
In short, after seeing the reason, there are many solutions. Best wishes
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