Uterine fibroid pain during menstruation

Uterine fibroid pain during menstruation may be related to factors such as fluctuations in hormone levels, compression of the fibroid location, and local inflammatory response. It can be improved through hot compress relief, drug analgesia, diet adjustment, moderate exercise, psychological counseling and other methods. It is recommended to seek medical treatment promptly to clarify the nature of the fibroids and follow the doctor's instructions to formulate an individualized treatment plan.

1. Hot compress relief

Hot compress on the lower abdomen can promote local blood circulation and relieve uterine smooth muscle spasm. Use a 40-45℃ hot water bottle or uterine heating patch for 15-20 minutes each time, avoiding direct contact with the skin to prevent burns. Hot compresses can be repeated, but those with sensitive skin need to wait more than 1 hour. Avoid bathing or high-temperature moxibustion during menstruation to prevent an increased risk of infection.

2. Drug analgesia

Nonsteroidal anti-inflammatory drugs such as ibuprofen sustained-release capsules and diclofenac sodium enteric-coated tablets can inhibit prostaglandin synthesis and reduce pain. Chinese patent medicines such as Guizhi Fuling Capsules and Dane Fukang Decoction can activate blood circulation and remove blood stasis and should be used under the guidance of a doctor. Anticoagulant drugs such as aspirin are prohibited as they may aggravate menstrual bleeding. If the pain lasts for more than 3 days or is accompanied by a large number of blood clots, seek medical attention immediately.

3. Adjust your diet

Increase foods rich in dietary fiber such as dark vegetables and whole grains, and reduce red meat and high-fat diets. Add appropriate amounts of warm drinks such as ginger tea and brown sugar water to avoid cold drinks irritating the gastrointestinal tract. Anemia patients can eat animal liver, spinach and other iron-rich foods, but they need to control animal offal to no more than 100 grams per week. Limit caffeine intake to prevent worsening of pelvic congestion.

4. Moderate exercise

Starting from the 2nd to 3rd day of your menstrual period, you can engage in low-intensity exercise such as walking and yoga, each session lasting no more than 30 minutes. Avoid crunches, squats and other movements that increase abdominal pressure. Kegel exercises help improve pelvic blood circulation, 2 sets of 10 times a day. If there is sudden severe pain or a sudden increase in bleeding after exercise, the activity must be stopped immediately.

5. Psychological counseling

Long-term pain can lead to anxiety, which can be relieved through mindfulness meditation, music therapy, etc. Joining a support group for people with uterine fibroids can help you get emotional support. People with sleep disorders can try lavender essential oil aromatherapy and keep the bedroom temperature at 18-22°C. If you remain depressed for more than 2 weeks, you need to seek professional psychological consultation.

It is recommended to record the duration, intensity and accompanying symptoms of each pain, and provide detailed data during follow-up visits to help doctors evaluate. Repeat ultrasound every 3-6 months to monitor changes in fibroids. Fibroids with a diameter of more than 5 cm or that grow rapidly need to be considered for interventional treatment. Avoid using estrogen-containing skin care products or health products on a daily basis, keep the perineum clean and dry, choose breathable cotton underwear and replace sanitary products in time.