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Lower abdominal pain after your period

Medical expert of the article

Surgeon, oncosurgeon
, medical expert
Last reviewed: 06.07.2025

Pain in the lower abdomen after menstruation may indicate the presence of pathologies such as adnexitis, vulvitis, endometriosis.

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Endometriosis

With this disease, nodes are formed inside and around the uterus, resembling in structure the inner layer of the uterine mucosa, which is rejected during menstruation. Such growths are capable of penetrating into nearby tissues, causing the appearance of adhesions.

The rejection of menstrual discharge and the endometrium is considered a normal process during menstruation, however, when endometrioid cells enter the abdominal cavity, they settle on nearby organs, grow and form bloody discharge. In this case, the fluid produced by the endometrial cells is retained inside, resulting in pain in the lower abdomen after menstruation. Adhesions formed in the abdominal cavity cause obstruction of the fallopian tubes. If the ovaries are affected, this often leads to the formation of a cyst, which provokes the risk of infertility.

Causes of the disease:

  • hereditary predisposition
  • hormonal imbalance
  • termination of pregnancy
  • C-section
  • cauterization of cervical erosion
  • infections
  • stress and unbalanced diet
  • malfunction of the endocrine glands
  • special structure of the fallopian tubes.

The main symptoms of the disease are the discharge of dark bloody masses from the genitals before or after menstruation, pain during menstruation and sexual intercourse, as well as pain that is not related to the menstrual cycle and irradiation of pain to the lumbar region and coccyx. Pain syndrome is also expressed during bowel movements and urination. However, it should be taken into account that the disease can also be asymptomatic, so periodic preventive examinations by a gynecologist should be carried out.

Treatment of endometriosis is divided into conservative and surgical. Surgery is prescribed if the bleeding that occurs leads to the development of anemia, as well as in case of infertility caused by obstruction of the fallopian tubes and the ineffectiveness of conservative treatment methods. The goal of drug treatment is atrophy of the endometrium tissue and the elimination of clinical manifestations of the disease. If the disease is mild, oral contraceptives, anti-inflammatory, hormonal and homeopathic drugs may be prescribed.

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Vulvitis

Lower abdominal pain after menstruation is often associated with the development of vulvitis. With this disease, the mucous membrane of the external genitalia becomes inflamed. This disorder can be caused by yeast fungus, microorganisms, and sexually transmitted infections. Wearing tight underwear and not following the rules of intimate hygiene can contribute to the development of the disease. The main symptoms are: a burning sensation and itching in the external genitalia, their hyperemia and swelling, and the release of serous-purulent masses. Depending on the cause that provoked the disease, antifungal drugs, antibacterial creams and ointments can be used for treatment, anti-inflammatory procedures are also carried out in the form of herbal baths with chamomile, St. John's wort, etc.

Adnexitis

Inflammation of the uterine appendages provokes the formation of adhesions in the fallopian tubes, which causes pain in the lower abdomen after menstruation. In the acute form of the disease, the general condition worsens, the temperature increases. In severe cases of the disease, purulent formations appear in the fallopian tubes and ovaries. If the disease is not cured in time, it often becomes chronic. Antibiotics are used for treatment.

Lower abdominal pain after menstruation may also be associated with a disruption of the natural hormonal balance in the body and an increase in the production of prostaglandins, which stimulate uterine contractions. Accompanying symptoms of this disorder may include nausea, vomiting, headache, increased sweating, and rapid heartbeat.

If you experience any type of pain, do not self-diagnose or self-medicate, as this may harm your health. If you experience pain, you should definitely seek help from a gynecologist.

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