Why do I have pain one week before my period?

Hello,

Welcome to icliniq.com.

I understand your concern.

Painful cramps on one side of the lower abdomen occurring about a week before periods are often related to ovulation or hormonal changes in the menstrual cycle.

This condition, called Mittelschmerz, occurs when the ovary releases an egg and can cause mild to moderate pain lasting from a few hours to a couple of days.

If the pain is more intense, persistent, or spreads across the entire abdomen, other causes such as ovarian cysts, endometriosis, uterine fibroids, or pelvic inflammatory disease (PID) should also be considered.

Since your menstrual cycles are regular with normal bleeding and you are not on any medication, hormonal imbalance or structural causes are less likely, but still possible.

It would be advisable to undergo a pelvic ultrasound to rule out ovarian cysts or other pelvic abnormalities, and a gynecological evaluation for conditions like endometriosis if the pain has persisted for more than a year.

In the meantime, you may find relief with warm compresses and hydration. Also, anti-inflammatory medications such as Mefenamic acid or Ibuprofen (if there are no contraindications).

If the pain worsens suddenly or is associated with vomiting, fever, dizziness, or irregular bleeding, seek medical attention promptly.

I hope this helps.

Thank you.