Why Does Right Lower Abdominal Pain Occur During Menstruation?

Right lower abdominal pain during menstruation can be caused by a variety of factors, including pelvic congestion, inflammation, exposure to cold, and the flare-up of underlying medical conditions. Here's a detailed explanation:

Pelvic Congestion or Blood Stagnation

During menstruation, increased blood flow and congestion in the pelvic area may lead to localized swelling and discomfort. This physiological change can cause pain in the right lower abdomen due to pressure on surrounding tissues.

Inflammatory Conditions

Infections such as appendicitis, right-sided salpingitis, or general pelvic inflammatory disease can worsen during menstruation. The immune system may be slightly compromised during this time, making it easier for existing infections to trigger pain on the right side of the lower abdomen.

Exposure to Cold or Chills

Menstruation is a period when the body is more vulnerable due to blood loss and hormonal fluctuations. If a woman is exposed to cold temperatures or chills, it can cause muscle contractions and spasms in the abdominal region, particularly on the right side, leading to pain.

Flare-Up of Preexisting Medical Conditions

Conditions such as cystitis (bladder inflammation), urethritis (inflammation of the urethra), or kidney stones affecting the right ureter may become more symptomatic during menstruation. These issues can cause sharp or cramping pain in the right lower quadrant, especially when combined with the natural discomfort of menstrual cramps.

If the pain is severe, persistent, or accompanied by other unusual symptoms, it is advisable to consult a healthcare professional for further evaluation and treatment.