Is it normal to have dysmenorrhea on the 3rd day of menstruation?

Dysmenorrhea on the third day of menstruation may be a normal physiological phenomenon, or it may be related to disease factors.

The increased secretion of prostaglandins in the endometrium during menstruation can cause uterine contractions, leading to lower abdominal distension or colic. This primary pain is often seen on the 1st to 3rd day of menstruation and usually resolves on its own after 1 to 3 days. Some women still feel slight discomfort on the third day of menstruation, which is related to personal differences in physical constitution. If the pain level is tolerable and does not affect daily life, it is mostly within the normal range. Secondary dysmenorrhea may be caused by diseases such as endometriosis and adenomyosis. This type of pain often worsens progressively and may last throughout the menstrual period or even after menstruation. It is often accompanied by symptoms such as increased menstrual flow and painful sexual intercourse. The pain caused by endometriosis is mostly located in the lower abdomen, lumbosacral area, and perineum, while adenomyosis usually manifests as prolonged menstruation accompanied by severe cramping.

It is recommended to record the duration, degree and accompanying symptoms of pain, avoid cold exposure and strenuous exercise during menstruation, and apply heat to the lower abdomen appropriately. If the pain continues to worsen or non-menstrual pain, abnormal bleeding, etc. occur, you should seek gynecological examination in time to rule out organic diseases. Maintain a regular daily schedule, reduce the intake of raw, cold, and spicy foods one week before menstruation, and supplement with appropriate amounts of magnesium-containing foods such as nuts, dark green vegetables, etc. to help relieve smooth muscle spasm.