Climax, or menopause, is the process of natural aging of the female body, which starts the gradual extinction of sexual functions. It usually starts around the age of fifty. At this time there is a cessation of ovarian activity, women can no longer have children, menstruation stops. Such drastic changes are extremely difficult for women to tolerate, often causing depression and nervous breakdowns.
Among the numerous manifestations and symptoms, there are pains in the lower abdomen with menopause. They can occur for various reasons, but do not panic, as this does not always indicate the presence of serious diseases.
In the article we will analyze why there are pains in the lower abdomen in women with menopause.
Reasons
Many people wonder if it can hurt in the lower abdomen with menopause.
Menopause is a major challenge for a woman. The body gets used to the high level of hormones, which in this period decreases sharply. The uterus with ovaries undergo structural changes. The uterine epithelium changes, and the ovaries, in turn, dry out. In this regard, women experience various symptoms in the form of hot flashes, excessive sweating, body odor, dizziness, nausea, pressure surges, edema, tachycardia, sleep disturbances, vaginal dryness, various pains and hair loss. Among other things, the head, joints, chest and lower back can hurt, and there is also a feeling that the lower abdomen is being pulled. The causes of such pains in the lower abdomen during menopause are usually physiological, but can also be psychosomatic.
Psychosomatic causes
Estrogen deficiency provokes mood swings and causes depression with neuroses. Patients may experience fear, feel unwanted, and be constantly in suspense. In particular, cancerophobia, that is, the fear of oncological diseases, is especially acute in women. The state of tension, and at the same time constant depression, causes various pains that negatively affect the general emotional state. Ladies during this period fall into a vicious circle, from which it is impossible to get out without professional help. It is impossible to leave a woman alone with problems at this time, since at this stage she especially needs understanding and care.
Physiological causes
Pain in the lower abdomen during menopause can be a sign of various gynecological problems. The most common diseases are the following ailments:
- The presence of endometriosis due to pathological growth of the uterine epithelium.
- The appearance of fibroma - a benign formation on the uterine wall. As a rule, this disease does not cause any problems, but during hormonal imbalance it is accompanied by pain.
- Presence of adhesive processes provoked by a decrease in the size of the uterus.
- The occurrence of various inflammations in the pelvic organs.
- Development of salpingitis, that is, inflammation of the fallopian tubes. This disease appears against the background of reduced immunity or weak hormonal levels.
- Due to cancer. As a rule, pain in this area appears at a late stage of cancer.
- Presence of urethritis, cystitis or ovarian cyst.
The occurrence of pain in the lower abdomen and lower back during menopause cannot be ignored. Lack of therapy for gynecological diseases can lead to serious complications and even death.
Symptoms
Symptoms of pain in the lower abdomen during menopause have a pulling, and at the same time, aching character. Localized pain in the abdomen, mainly in the lower part. True, very often not only the stomach hurts, but also the lower back. This may be due to changes in bone tissue. Bones become significantly thinner due to excessive calcium leaching, and low estrogen levels in theirturn provokes pain in the joints, they lose elasticity. The pain in the lower back becomes excruciating, pulling, it gives to the leg or shoulder. Often pain from the lower abdomen extends to the stomach. This condition indicates problems in the digestive system.
Sometimes there are pains in the lower abdomen and discharge during menopause.
What does urinary pain indicate
If women experience pain when urinating, this indicates the presence of inflammation in the bladder. With polycystic pain, pain is localized in the lower abdomen. During menopause, metabolism can significantly slow down, and therefore many patients often gain excess weight. The load on the lower limbs may also increase. In such cases, pain from the abdomen can spread to the legs, which may signal an incipient varicose vein.
In parallel with the stomach, women may have chest pain. Any touch to the chest brings discomfort. This is made possible by a strong hormonal fluctuation.
When should help be urgent?
Urgent medical attention for women is required in the following cases:
- When the pain does not stop even after analgesics.
- Pain sensations are sharp and, moreover, pulsating.
- If the temperature rises. This could be a sign of inflammation.
- Increase in pressure.
- The occurrence of signs of a general deterioration in well-being in the form of nausea, vomiting,indigestion and weakness.
- When severely emotionally disturbed.
Regardless of the nature of the pain, you can not drown it with painkillers. A full examination is required.
Mechanism of lower abdominal pain
Features of menopause explain why it is women who experience pain. Until that time, a fairly well-established cycle worked in the body, which lasted about forty years, subordinating the normal working capacity of the body due to the presence of the required amount of sex hormones.
With the onset of menopause, there is a failure in the hormonal background, in turn, the amount of hormones decreases to almost zero. This whole process causes such unpleasant sensations in women. Pain in various parts of the body is one of the signs of menopause.
With the decrease in estrogens and progestins, the numerical value of other hormones is also disturbed. As a result of these processes, changes are observed in the body in the form of a violation of the emotional state, improper metabolism and a decrease in immunity.
Diagnostics
The first step in the study of pulling pain in the lower abdomen during menopause should be a gynecological examination. The presence of masses will be palpated in the abdomen. As for the inflammation of the appendages, this can be suspected during examination in the mirrors, since a purulent discharge will be noticeable. In the region of the appendages, the doctor can determine the inflamededematous tissue. It is mandatory to take various smears for microflora. Such a study will certainly show the presence of inflammation. Additionally, cytology is also carried out for the presence of cancer cells.
Highly informative and safe is an ultrasound examination for pain in the lower abdomen on the left with menopause. This technique allows to detect anatomical change along with the presence of inflammation and the state of the endometrium. Further treatment tactics are determined on the basis of the information received as a result of the diagnosis. Additional techniques are usually as follows:
- Carrying out magnetic resonance imaging.
- Performing hysteroscopy.
- Performing diagnostic laparotomy.
Next, we will find out how treatment is carried out in case of pain in the lower abdomen in women during menopause.
Providing treatment
Treatment of pain in the lower abdomen during menopause begins with a complete examination of the woman, as well as with the determination of the root causes. First of all, it is necessary to completely exclude oncology along with fibroids and other neoplasms in the small pelvis. Next, it is worth examining the digestive organs, kidneys and bladder. They test for osteoporosis or arthritis, which often cause bone pain. In the event that none of these diseases was detected and the causes of a serious condition are only hormonal fluctuations, then the doctor prescribes homono-replacement therapy.
ImportantIt should be noted that self-administration of such drugs is prohibited in order to avoid various complications, including oncology. In the event that a woman cannot endure pain, the doctor may prescribe pain medication in the form of Ketanol, Ibuprofen, No-shpa or Analgin as a treatment.
Reduce the symptoms of menopause help hormonal drugs that normalize estrogen levels and eliminate hot flashes. Among the most frequently appointed, it is worth mentioning "Janine" and "Divin". True, such drugs have a number of side effects and often provoke edema along with thrombosis, weight gain, the appearance of neoplasms in the mammary glands, and the like.
Hormonal drugs should not be taken in the presence of heart disease, tumors and so on. There are a number of non-hormonal medications that are designed to reduce the negative symptoms of menopause, we are talking about Klimaton, Qi-Klim, Estrovel and Tribestan. To normalize the emotional state, antidepressants are prescribed, which reduce excitability and normalize sleep. Commonly prescribed antidepressants are Fluoxetine along with Efevelone and Adepress.
Application of folk methods
As for folk remedies, they do not have much effect and are best used in the complex treatment of aching pain in the lower abdomen with menopause.
- Yarrow can be taken as a decoction or tincture. This plant helps with hot flashes and in the presence ofexcessive sweating.
- Raspberry leaves, which contain phytoestrogens that help relieve spasms and reduce pain.
- Mugwort infusion relieves pain, cramps, etc.
Conclusion
In conclusion, it should be said that menopause is a serious test for a woman. Any changes are inevitable and at the same time, unfortunately, inevitable. Hormone therapy, along with the attentive and sensitive attitude of loved ones, helps to alleviate the condition of patients and help them survive such a difficult period in life.
