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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Am I Having Pain Before Menstruation?

Hello , I'm 51 years old I have last year 4o days period after 2 month with out periods, didn't see my doctor if my uterus it clean , I will not call a pregnancy because I have normal periods , but it's like pregnancy , I fell pain but my doctor told me there a red small , but her don't know what is , now I am curious to know , I have pain specially when my periods start very hard , I should clean my uterus or have a medecine , thank you
Tue, 4 Feb 2014
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Anesthesiologist,  's  Response
Hello,
I have gone through your query and understand your concern.
Its look like you are in the peri menopausal period.
Menstrual pain and irregular bleeding are common in these period.

But these abnormal bleeding and pain may be due to fibroids, uterine or cervical cancer.
At this age, due to hormonal changes takes place and this is considered to be usual.
You have to rule out any fibroid or cancer by proper gynecological examination and further investigations like
1. Pap smear
2. Ultrasound abdomen
3. If pap smear is abnormal, then colposcope and cervical biopsy.
4. hysteroscope.

If every thing is normal, then better leave it and it may end when you reach the menopause.

Exercise regularly for 45 minutes a day for atleast 5 days a week.
Stop smoking if you are a smoker.
Get more sleep and try going to sleep and waking up at the same time each day.
Decrease the amount of alcohol you drink.
Get to a healthy weight and stay there.
Get enough calcium and vitamins in your diet.

Hope this helps.
Please write back for further queries.
Wishing you good health.
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Why Am I Having Pain Before Menstruation?

Hello, I have gone through your query and understand your concern. Its look like you are in the peri menopausal period. Menstrual pain and irregular bleeding are common in these period. But these abnormal bleeding and pain may be due to fibroids, uterine or cervical cancer. At this age, due to hormonal changes takes place and this is considered to be usual. You have to rule out any fibroid or cancer by proper gynecological examination and further investigations like 1. Pap smear 2. Ultrasound abdomen 3. If pap smear is abnormal, then colposcope and cervical biopsy. 4. hysteroscope. If every thing is normal, then better leave it and it may end when you reach the menopause. Exercise regularly for 45 minutes a day for atleast 5 days a week. Stop smoking if you are a smoker. Get more sleep and try going to sleep and waking up at the same time each day. Decrease the amount of alcohol you drink. Get to a healthy weight and stay there. Get enough calcium and vitamins in your diet. Hope this helps. Please write back for further queries. Wishing you good health.