Patient's question:
1. What is the reason for lower abdominal fullness and pain a few days before ovulation and menstruation?Doctor's answer:
Hello: Some women experience mild abdominal pain two weeks before menstruation, but no problems can be found. This condition is known as ovulatory pain. Pain caused by ovulation is called ovulatory pain. During the development of the follicle, the follicle volume continuously increases, the follicular fluid accumulates, and it gradually moves towards the surface of the ovary, protruding from the ovarian capsule. When the oocyte is fully mature, the follicular membrane and ovarian capsule dissolve and rupture, and the oocyte is slowly expelled, which is ovulation. During ovulation, the follicle and the fluid inside it overflow into the abdominal cavity, stimulating the peritoneum and causing abdominal pain, which is known as ovulatory pain. If the ovaries ovulate alternately on both sides, the abdominal pain may occur alternately on both lower abdomen each month. Before menstruation, a sense of pressure-like dull, aching, or severe pain in the lower abdomen, waist, or sacrum is generally considered to be dysmenorrhea, a common symptom of abnormal menstrual function. In adolescent girls, some girls experience dysmenorrhea after their first menstrual period, but most do not appear until half a year to a year later. Severe lower abdominal pain often begins when menstruation is about to occur, with varying intensity, lasting 2 to 3 days. Some girls, due to psychological tension, may experience increased pain.