Pain in the lower part during menstruation

Perineal tingling during menstruation may be related to dysmenorrhea, vaginitis, endometriosis and other factors, and needs to be judged based on specific symptoms. Common causes include fluctuations in hormone levels, reproductive tract infections, pelvic organic lesions, etc. It is recommended to seek medical treatment in time for a clear diagnosis.

1. Hormone fluctuations

The increased secretion of prostaglandins during menstruation stimulates uterine contractions, which may radiate to the perineum and cause a tingling sensation. This condition is usually accompanied by typical dysmenorrhea symptoms such as lower abdominal distension and lumbosacral pain. It can be relieved by hot compress, and if necessary, use analgesics such as ibuprofen sustained-release capsules and acetaminophen tablets as directed by your doctor.

2. Vaginal inflammation

Bacterial vaginosis or vulvovaginal candidiasis may be worsened by menstrual blood that changes the vaginal environment, causing burning and stinging in the perineum. It is often accompanied by symptoms such as abnormal secretions and discomfort in urination. Routine examination of leucorrhea is required. After diagnosis, clotrimazole vaginal tablets, metronidazole suppositories and other drug treatments can be used.

3. Endometriosis

When ectopic endometrium invades the perineal nerve, it may cause periodic pain, and the degree of pain often changes with the menstrual cycle. It may be accompanied by symptoms such as painful sexual intercourse and painful defecation. Gynecological examination and ultrasound diagnosis are required, and drugs such as dienogest tablets and goserelin sustained-release implants can be used for treatment.

4. Urinary system infection

Decreased immunity during menstruation can easily induce urethritis or cystitis, and stinging pain during urination may be mistaken for perineal pain. Often accompanied by symptoms of frequent urination and urgency. Routine urine examination can confirm the diagnosis. Commonly used drugs include levofloxacin hydrochloride capsules, fosfomycin tromethamine powder, etc.

5. Local skin irritation

Allergies to the material of sanitary napkins or failure to replace them in time may cause redness, swelling and tingling on the perineal skin. It is recommended to choose cotton sanitary napkins without fluorescent agents, change them every 2-3 hours, and apply zinc oxide ointment to protect the skin when necessary.

During menstruation, you need to keep the perineum clean and dry, wash the vulva with warm water 1-2 times a day, and avoid using alkaline lotions. Wear loose-fitting cotton underwear to reduce stress from sitting for long periods of time. Add warm foods such as red dates and longan to your diet, and limit the stimulation of raw, cold, and spicy foods. If the pain lasts for more than 3 days or is accompanied by fever, abnormal secretions and other symptoms, you should immediately see a gynecologist for secretion testing, pelvic ultrasound and other examinations. Recording the relationship between the onset of pain and the menstrual cycle can help doctors determine the cause.