How does the lower abdomen always feel bloated during menstruation?

Patient's question:

During menstruation, my lower abdomen always feels bloated. I wonder what the doctor says about this?
PS: I also feel bloated in my lower abdomen, so I did a few sit-ups while sleeping at night. However, gas came out of my vagina. What could be the reason for this?

Doctor's answer:

Symptoms of bloating during the menstrual period may be caused by poor blood flow of menstrual blood. It is recommended that you avoid maintaining the same posture during your period to promote the discharge of menstrual blood.
However, you do not need to engage in overly intense exercise. During the menstrual period, the uterus and external genitalia are congested and more fragile. If you exercise too vigorously, it may exacerbate menstrual cramps or lead to heavier bleeding. However, if you feel as energetic as usual, you can still exercise. There is no need to pause your exercise routine due to menstruation—everything should be based on your personal comfort.
The menstrual period is actually a phenomenon where hormonal changes cause the endometrium to shed and bleed. Due to hormonal changes, a woman's body may also experience other physical changes. During the menstrual period, the vagina and external genitalia are congested, so some women may experience increased sexual arousal. During the period, a woman's blood clotting function, or the body's natural ability to stop bleeding, is weaker than usual. However, normal daily activities are generally not affected, and women are unlikely to notice any significant abnormalities. Due to the influence of endocrine changes, a woman's immunity may decline during the menstrual period, making her more susceptible to infections compared to usual. Some women may also experience emotional issues during the period. If combined with gynecological conditions or symptoms like severe cramps or excessive bleeding, these emotional issues may become more pronounced.
If you experience bloating during your period along with other discomforts, such as excessive bleeding or pain, it is important to seek medical attention promptly to determine whether there are any endocrine or reproductive system disorders.

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