All about menstruation Frequent urination before menstruation: normal or pathological

Menstruation is a component of the reproductive function of the female body. Frequent urination before menstruation is a common complaint of many representatives of the fairer sex. This and other harbingers of the onset of the menstrual cycle can appear a week before menstruation. The main ones are pain in the lower abdomen, back, and diarrhea. Before addressing the issue of preventing discomfort, you need to determine the cause of its occurrence.

During menstruation, women may experience an increase in enuresis.

Causes of frequent urination

The main reasons that cause frequent urination before menstruation are irritable bowel or bladder. When there is no pain, but you often want to go to the toilet, perhaps a lot of gases have accumulated in the intestines, they put pressure on the bladder. It can also be caused by swollen vaginal muscles due to relaxation. Some women experience hormonal disruption before menstruation - the level of estrogens, androgens increases, and other hormones are not enough. We are not talking about serious pathologies, but this does not mean that the problem should be ignored.

Frequent urination requires consultation with various specialists

A constant urge to go to the toilet provokes PMS; this syndrome is accompanied by headache, discomfort in the lower abdomen, painful sensations in the chest, mood swings, drowsiness, and fatigue. The whole complex of symptoms does not necessarily have to appear, but if they do, then frequent urination may well be the cause of premenstrual syndrome.

Other factors that provoke frequent trips to the toilet, but are not related to the pathology of internal organs:

• depression;
• pregnancy - when menstruation should begin, but it is not yet due to frequent urges, pregnancy can be suspected;
• increased volume of fluid intake;
• influence of medications;
• beginning menopause;
• hypothermia;
• unbalanced diet.

Pain and toilet

If it is painful for a woman to go to the toilet during her period, the accompanying symptoms should be taken into account to determine the exact cause of the pain. We list the main factors due to which urination during the regulative period can be painful:

• The main cause of pain during diuresis is hypersensitivity of the bladder mucosa, which is provoked by hormonal imbalance in the female body during menstruation. Women with a low pain threshold experience such pain when urinating. Usually this discomfort goes away after adjustment;
• diseases of a urological nature (nephritis, urethritis, cystitis). The disease does not always pass acutely; if it has acquired a chronic form, it may not show any symptoms. It is enough for a woman to have cystitis at least once in her life for the disease to “lurk” and periodically go into an acute stage;
• venereal diseases. These diseases actively develop against the background of weakening of the own flora of the genitourinary organs during menstruation. The main symptom of these diseases is burning and pain when urinating;
• inflammation and neoplasms in the rectum. During regulation, against the background of hormonal imbalance, contractions of smooth muscles begin, which provokes disturbances in the outflow of venous blood, hemorrhoids worsen, and polypous nodes swell. In this case, burning and bleeding from the anus often occur, accompanied by pain;
• thrush or a violation of the normal microflora of the vagina. These diseases most often occur latently or become chronic. Hormonal fluctuations during the menstrual period provoke a negative effect of pathogenic microorganisms on the urinary system.

Only a doctor can determine the cause of pain during bowel movements or bowel movements during the period of regulation. In such a situation, you need to contact a gynecologist, infectious disease specialist or urologist.

Little by little

Pain when urinating during menstruation can be caused by exacerbation of inflammatory processes and urological diseases. If a woman has cystitis, then in addition to pain, a false urge to empty the bladder may appear, often they can occur every 12-15 minutes, while the volume of urine decreases, bloody and purulent impurities may appear in it, and there remains a feeling of an unfinished process urination.

If cystitis has entered the chronic stage, then pain when removing urine from the body will be periodic, and, most likely, it will be caused by dysbiosis and the penetration of pathogenic microflora from the vagina (fungi, streptococci, staphylococci) into the urethra.

With urolithiasis, it is not only painful to go to the restroom, but you also feel heaviness in the lower back, and when a stone passes, you feel a sharp tearing pain that even painkillers do not relieve. With urethritis, pain is felt only during emptying the bladder; as soon as urine comes out, it subsides.

Of the sexually transmitted diseases, urination with pain most often causes trichomoniasis; rarely, gonorrhea and other diseases are the cause of this symptom. Urine does not change color, but there may be additional itching in the vagina, and menstrual flow may have a darker color and a foamy structure.

If the pain persists after menstruation, and is also accompanied by dizziness, high body temperature and aching joints, most likely its cause is a pathology that requires immediate consultation with a specialist.

By and large

Frequent bowel movements during menstruation are provoked by hormonal effects on the smooth muscles of almost all pelvic organs. If the intestines are healthy, they begin to contract their walls more intensively, facilitating frequent excretion of feces. If there are problems with the digestive organs, then it may be painful to walk long distances. Painful defecation can be caused by too dense feces, which, moving through the intestines, injure and irritate it. This is often preceded by constipation, then pain accompanies the process of bowel movement, which ends with burning and itching in the anal area.

A common cause of colic before defecation, flatulence and bloating during menstrual periods is intestinal dysbiosis. This is a violation of the internal microflora of the intestine, causing diarrhea and the release of liquid feces with a pungent, disgusting odor.

Due to the flow of blood during menstruation to the lower abdomen, inflammatory and degenerative processes in the colon can cause hemorrhoidal pain. In this case, for women suffering from hemorrhoids, every trip to the restroom can be comparable to torture. If the internal nodes are injured, a false urge to defecate, a feeling of a foreign object in the anus, itching, burning and spasmodic pain may occur. Anal bleeding may appear, which, against the background of regulation, a woman may not pay attention to, deciding that it is the remnants of menstruation.

Pathologies due to frequent urination

The cause of urination may be hidden in infection, reduced urinary volume, heart failure, inflammation of organs localized in the pelvic area. Also, problems before menstruation are sometimes associated with cystitis, urolithiasis, pyelonephritis, urethritis, and weakness of the muscle structures of the urinary tract. If discomfort occurs, it’s time to visit a gynecologist, since untimely treatment is fraught with complications.

Other pathologies that provoke frequent urge to go to the toilet are: diabetes, neurosis, uterine diseases, urinary tract tumors. During urine excretion, pain, burning, itching, unpleasant odor, inclusions of blood and mucus appear.

Occurrence of symptoms on the eve of menstruation

For many women, frequent urination before menstrual bleeding begins can be a consequence of PMS.

This is a complex set of disorders that affects the hormonal, psycho-emotional and cardiovascular systems of the body.

In addition to increased urination during PMS, a woman may also complain of the following symptoms:

• aggressiveness, decreased mood;
• breast engorgement;
• swelling of the arms and legs, as well as the face;
• migraine;
• urge to vomit;
• increase in blood pressure.

All these symptoms cause a woman a lot of inconvenience. They are exhausting and sometimes prevent you from doing everyday things. In this case, you need to consult a gynecologist.

Frequent urination associated with lifestyle

Before raising the alarm, you need to assess whether frequent urination is related to your lifestyle. If yes, it is enough to eliminate the provoking factor for the condition to stabilize. The following reasons may be responsible for discomfort:

• volume of liquid drunk. Some people have sweet cravings before their period, and sweets make them thirsty. Drinking a large amount of water, juice and tea will make the urinary system work more actively;
• nutrition. Some diets recommend eating watermelons, cucumbers, melons, drinking kefir and other liquids. The diuretic effect will not be long in coming;
• abuse of tea, soda, coffee, alcoholic drinks;
• increased levels of progesterone usually retain fluid, but before menstruation its level drops and urine is released copiously;
• taking diuretic medications, herbal decoctions with a diuretic effect;
• hypothermia;
• stress;
• commitment to spicy dishes. Seasonings irritate the urinary tract, causing frequent urge to urinate.

Treatment with tablets and folk remedies

In order to figure out how to treat frequent urination, you need to determine what provokes this phenomenon. Depending on the cause, a therapeutic course is prescribed, which may consist of medications, physiotherapy, traditional treatment methods, etc. In each individual case, individual remedies will be more or less relevant.

So, for cystitis, pyelonephritis and other inflammatory processes affecting the genitourinary system, you can resort to the following medications of the antibiotic group:

• Napicin;
• Palin;
• Nitroxoline;
• Furagin, etc.

Endocrine system disorders

When a woman wants to go to the toilet too often, she needs to be checked for diabetes. The condition is accompanied by constant thirst both before menstruation and on any day. Diabetes can be recognized by dry mouth, increased urine output, and changes in body weight (sudden weight loss or weight gain). If such signs are present, you need to check your thyroid gland and take tests as prescribed by your doctor.

Urinalysis is a mandatory diagnostic method for the disease

Your period only comes when you go to the toilet

Each representative of the fair sex has its own characteristics of menstruation. Many people have noticed that in recent days, the secretion flow is a little more abundant when you go to the toilet. This is normal at the end of monthly discharge, when almost the entire endometrium has been renewed, and its remnants are released during the efforts made by the woman to empty the urinary tract or intestines.

But it is considered an anomaly when menstruation occurs exclusively during defecation or urination, and in the normal state, bleeding from the vagina stops. The following factors can provoke this phenomenon:

• weak uterine tone. The organ contracts poorly, which is why menstrual flow is retained in its cavity. This can be caused by a lack of hormones and a sudden change in your usual lifestyle;
• incorrect placement of the uterus, its bend;
• cervical stenosis. Pathological narrowing of the cervical canal, which can be congenital and appears after surgical interventions;
• normal and ectopic pregnancy. Bloody spotting during bowel movements or bowel movements can be caused by a lack of hormones necessary to maintain pregnancy.

In a physically healthy woman, menstrual flow comes out without additional effort, and during urination and defecation, its intensity may increase slightly.

When should you see a doctor?

If the urge to urinate becomes more frequent, you need to listen carefully to the body so as not to miss the accompanying signs of pathological conditions. You definitely need to make an appointment with a doctor if urination is accompanied by cutting, burning, appetite disappears, the lower abdomen hurts or aches, or urinary retention or incontinence occurs. Another serious reason to visit a doctor is spotting that is not associated with menstruation. When your period begins, it is important to assess whether the duration, abundance and color of the discharge have changed, how your health has changed (perhaps weakness, dizziness and headaches, nausea, etc. have appeared).

If before there was no pain in the lower abdomen, but now it is severe, this is alarming. In addition, if there is increased nausea with vomiting, diarrhea, blood fragments are released, and painkillers are powerless. Less commonly, problems before menstruation occur in women taking oral contraceptives (hormonal pills). True, it is dangerous to use them on your own - a gynecologist can choose a drug that is suitable for the patient, assessing the general state of health, age, and other factors. Chocolate and bananas will help dull the pain before menstruation. You can reduce the frequency of urination with a decoction of viburnum and other folk remedies listed below. If it doesn't help, you need to see a doctor. It is best to first consult a doctor and get competent recommendations from him.

Which doctor treats you?

urologist gynecologist

These specialists will collect anamnesis and assess the general condition of the patient. To clarify the diagnosis and understand what studies may be needed, doctors usually ask the following questions at the appointment:

1. How often do you urinate?
2. Do you feel severe pain? Have you noticed a change in the color of the liquid?
3. Do you often experience stress in your life?
4. Are you taking strong medications?
5. Do you have pathologies of the genitourinary system?

Diarrhea and pregnancy

The menstrual cycle is primarily associated with the reproductive function of a woman; its task is to form an egg ready for fertilization and remove it from the body if this does not happen. Therefore, a delay in menstruation has always been the first sign of pregnancy. If, a couple of days before the expected bleeding, intestinal dysfunction in the form of loose stools is observed, it would be a good idea to buy a couple of pregnancy tests at the pharmacy and take them in the morning one day apart. The interval is necessary for a more accurate result, because in the early stages, the hormone hCG, which indicates an interesting position, is present in the urine very weakly, but grows noticeably over the course of a day. It is possible that the first test will be negative and the subsequent test will be positive.

In addition to delay and diarrhea, the following factors indicate pregnancy:

• Frequent urination before menstruation, which in rare cases can occur in pregnant women. The need to frequently go to the toilet for small periods will continue in this case even after menstruation;
• A slight increase in body temperature is observed during the period of attachment of the fertilized egg to the wall of the uterus;
• Vomiting appears at very early stages due to the onset of hormonal changes.

Two lines on the test will explain all the ailments at once. Regardless of whether pregnancy is desired or not, you should not take medications for diarrhea. Now only the doctor must authorize or prohibit the patient from taking medications.

Indications for contacting a medical institution

A woman should definitely discuss frequent urination with her gynecologist during a routine visit. However, sometimes it is better not to delay a visit to the doctor. You need to contact a medical facility as soon as possible if:

• urination is accompanied by discomfort and does not bring relief;
• menstruation has become longer or, on the contrary, its duration has decreased, clots are present in the discharge;
• before menstruation there is pain in the lower abdomen or lower back;
• nausea occurred;
• there is a violation of the stool;
• there is an admixture of blood in the urine;
• rashes appeared on the skin of the genital organs;
• the smell of urine has changed;
• body temperature began to increase.

If the use of painkillers does not help, you need to urgently call an ambulance.

How to help yourself

Diarrhea can appear for many reasons, but if it is caused not by disease, but by physiology, following simple recommendations will make life much easier:

1. On the eve of your period, you should not try exotic dishes and drinks. It is better to exclude fried, fermented milk, fresh vegetables and fruits from the diet for a while: such food causes increased gas formation and relaxes the intestines;
2. Add foods that have a strengthening effect to the menu. Rice and oatmeal, wholemeal bread, croutons, cottage cheese - all this will help to cope with diarrhea naturally. It is better to cook porridge in water, without milk. It would be good to replace regular tea with special decoctions of medicinal herbs;
3. Eat often, but little by little. Let the intestines rest a little, it’s not easy for it right now;
4. All food consumed must be fresh and of high quality. Products of animal origin must be processed thermally, vegetables and fruits must be washed;
5. If diarrhea has already begun, you need to drink plenty of fluids to restore the water-salt balance: water, teas, jelly. It is not recommended to consume juices and compotes;

If the above measures have no effect, you need to resort to mild medications. A couple of tablets of No-shpa or Imodium will help relieve unpleasant symptoms. You can also turn to an old proven remedy - activated carbon. They drink it at the rate of 1 tablet per 10 kg of person’s weight.

Often, diarrhea or constipation before menstruation is closely related to PMS and is caused by a nervous disorder. Then the salvation will be tinctures of motherwort or valerian, taken in the evening, and sound, healthy sleep. You don’t need to drink a lot, otherwise you risk oversleeping in the morning before work. If possible, you should avoid stress these days, because as you know, all diseases are caused by nerves.

Why would diarrhea appear before menstruation? Its presence complicates life, preventing you from working normally, doing household chores, or going out for a long time. It's even worse if the diarrhea is caused by an illness. On the eve of critical days, it is important to closely monitor any health changes that occur.

Treatment

A woman should visit a gynecologist at the first signs of menopause. The specialist will conduct an examination, prescribe a hormonal test, and conduct a preliminary consultation. In the future, it is necessary to visit the gynecologist’s office for any disturbing symptoms. As for the treatment of urinary pathologies during menopause, the doctor prescribes it based on general symptoms and the presence of chronic diseases.

Treatment with folk remedies

Medicinal plants, vegetable juices, and berries are used for therapy. You can buy a special herbal mixture at the pharmacy or prepare the medicine yourself. Folk remedies are prepared in the form of tinctures and decoctions. Take 3 times a day.

Decoctions for incontinence during menopause

The raw materials are poured with boiled water, covered with a lid or wrapped in a towel, and left for 2 hours. Take 1/3 cup at a time. The following raw materials are used:

• sage;
• Dill seeds;
• blackberries, lingonberries, blueberries;
• rosehip berries;
• yarrow.

A very effective medicinal collection of bearberry, birch leaves, licorice root, and corn silk. Take 1 tbsp of each of them. spoon, add 300 ml of water, simmer over low heat for 15 minutes. Leave for about 5 hours. Take ¼ cup. You need to drink the entire prepared portion per day.

What else to treat? Fresh carrot juice, which they drink in the morning and evening. To normalize hormonal levels, drink tea from raspberry leaves, tomato juice, grape juice, and eat greens.

Treatment with drugs

Since problems with urination occur against the background of hormonal changes during menopause, they are treated with special medications to restore the balance of hormones. Basically, 2 types of medicines are used: those containing hormones for replacement therapy, and homeopathic remedies. In the first case, treatment is selected by a specialist, taking into account existing chronic diseases, symptoms of menopause, and genetic predisposition. Such drugs include Klimonorm, Femoston, Angelique, Klimara, Divina.

In most cases, natural preparations containing phytoestrogens are prescribed, which have no side effects and are suitable for almost all women. Remens, Klimaksan, Klimadinon, Klimakt-Hel.

Infectious pathologies of the bladder are treated with antibiotics, antibacterial, and anti-inflammatory drugs.

Ways to eliminate the symptom

The ability to eliminate an unpleasant irritating symptom (reducing the number of trips to the toilet) directly depends on the reasons that caused it. Therefore, everything that accompanies the violation is important. There are no trifles in matters of health.

The doctor selects methods of elimination and treatment methods individually:

1. Changing habits: reducing the number of drinks you drink, giving up (if possible) diuretics, adjusting your diet, preventing hypothermia, eliminating stressful situations.
2. If any diseases are detected, appropriate treatment is prescribed.
3. Natural physiological causes go away on their own over time.

Every woman, if she is attentive to her body, is able to determine whether everything is normal or whether pathology is developing. Don't ignore warning signs. It is impossible to remain inactive, hoping that everything will pass over time. Lack of treatment in some cases can lead to dangerous consequences.

Diseases of the urinary system

An increased outflow of urine may indicate pyelonephritis, cystitis and urethritis. But this is far from the only symptom accompanying such diseases.

During the inflammatory process, the color and composition of urine will change (visible even without laboratory analysis), pain will appear in the lumbar and groin areas, and body temperature may increase. There is often a feeling that the bladder is not completely empty.

If such symptoms occur, especially in combination with fever, you should immediately consult a doctor and begin treatment. Advanced cases of inflammatory diseases threaten severe complications and the development of renal failure.

Internal genitalia of a woman

The internal genital organs consist of:

1. The vagina is very elastic and long, about 12 centimeters, connected to the cervix. Its walls consist of three layers of fabric.
2. The uterus, which is about the size of a fist and is shaped like a pear. It consists of three sections: the neck, body and isthmus. A special canal passes through the cervix, the cervical canal, which contains mucus that protects the organ from bacteria.
3. The uterine appendages are the fallopian tubes, through which the egg enters the uterine cavity.
4. The ovaries are a paired organ. This is where eggs grow and develop, and female sex hormones are produced here. Namely estrogen and progesterone.

Physiological provocateurs

Sometimes frequent urination before your period is due can be the result of natural physiological changes in a woman's body.

Climax

Women whose reproductive function begins to fade (menopause) may experience frequent urination. During this period, the level of estrogen in the blood drops sharply.

In this case, a woman may additionally experience the following symptoms:

• urinary incontinence;
• feeling of incomplete emptying of the bladder;
• disruptions in the menstrual cycle;
• pathological dryness and itching in the genital tract;
• sensation of heat (time appears);
• mood swings;
• migraine.

It is worth noting that in this case, after the end of menstruation, urination returns to normal.

Pregnancy

Sometimes a woman is expecting her next menstruation and does not know about her pregnancy. In this case, frequent urination may be one of the first symptoms of an “interesting situation.”

In such cases, a woman may also notice:

• delayed menstruation;
• increased sense of smell and changes in taste preferences;
• enlargement of the mammary glands;
• weakness, drowsiness, fatigue;
• urge to vomit;
• flatulence;
• slight bleeding from the genital tract.

To make sure you are pregnant, just perform a test at home.