Bloating before menstruation means it's about to start menstruation or is it pregnancy?

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially around my period days. I'm very worried it might affect my fertility, and I also feel extremely cold and afraid of the cold. Could you please tell me if bloating before menstruation means it's about to start or if it could be pregnancy?

Doctor's answer:

Abdominal pain in the early stages of pregnancy, especially lower abdominal pain, should first be considered whether it is a pregnancy complication. Common complications include threatened miscarriage and ectopic pregnancy. As the uterus enlarges and the round ligaments are stretched, many expectant mothers may experience some abdominal pain. The occurrence of menstrual disorders not only affects women's health but also leads to gynecological diseases. Therefore, it is best to have a vaginal examination in the gynecology department of the hospital to identify the cause and treat accordingly. Pay attention to personal hygiene and maintain the cleanliness of the perineal skin in daily life.

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