embarrassing question I've been wanting to ask for 20 years...?

Question

Now, with the anonmity of the internet, I can!
Ladies, does your rectum hurt right around the time of menstration? When you have a bm, does it feel like it's swollen or something, hurts when pushing?
This is how I know my period is coming, when I get that pain, any body else?
Thanks!

I haven't had any children, I don't think it's hemoroids..doesn't burn, or anything, just "sore".
Been happening as long as I can remember.

and it's not just when I go, it's off and on all day for a couple days.

I'm not worried about it, like I said, it's always happened, I was just curious if other women had it too.

Hey Fizzygirl! I've been told I have a tilted uterus too!
I wonder if that's it, see, I'm glad I asked.

Wow, Me, yikes. I'll definatley mention it to my doctor.
Thank for taking the time to answer.

Answer 1

Dear Kazy,

Not only am I a doctor, but a woman as well, and I am/was in the same position you are in. Let me briefly explain.

As you know, the inner layer of our uterus (called endometrium) swells up every month in preparation of receiving a baby, wether it comes or not. This swelling is primarily made of a huge bunch of tiny blood vessels that permeate the area in the hope of nurturing the baby with the oxygen & nutrients it may need.

When a baby doesn't come, this lining is not needed anymore and is discarded as menstruation.

In some cases, this lining is not completely pushed out through the vagina. Where does it go then? As the uterus pushes or contracts to get it all out, some of it may flow back and out through the Fallopian tubes... that's out of the uterus and into the abdominal cavity, where our intestines lie.

The problem is that these tiny parts of endometrium are left floating around in our abdomen, and may end up planting themselves to the sides of intestines, ovaries and, as you've been suspecting, the rectum.

When menstruation approaches every month, these tiny endometrium plantations are induced by hormones into sweeling up in the same way as the normal endometrium cells inside the uterus do. This swelling may compress the rectum and cause a pain similar to the one you're feeling now.

Some patients complain of not being able to sit comfortably or of needing to sit crossing a leg and supporting themselves on a side; others nearly scream with pain during bowel movements in the bathroom (I hope this is not your case), and so forth.

The condition I am referring to is called Endometriosis (Endo for short). It is not clear why some women get this, nor is it clear why some who are clearly covered with endometrium implants suffer no pain, while some who have very few ones can't stand to get out of bed.

A definitive diagnosis is reached through direct visualization of the implants, and treatment involves several factors: wether you stand the pain or not, and wether you wish to remain fertile or not. Both getting pregnant and reaching menopause stops your menses, so that diminishes the swelling and stops the pain. This is why some doctors treat the condition with hormones that resemble either of these states. Another more definitive option is surgery to get rid of the little implantations.

I truly recommend you talk to your doctor about this, since, in the long run, Endo may be a cause of infertility (if ovaries or Fallopian tubes are involved) and/or unbearable pain.

Answer 2

YES!!! Actually, I've been wondering about that too! I've had my period for 2 or 3 years (about 2 years and 4 months) and every time my rectum was like swollen and hurt my period was about 2 days later... That is strange. I also get the swollen breasts like 1 or 2 weeks b4 my period and cramps the first day of my period, or b4...

Interesting question, but very familiar to what I've asked b4 (but not on Yahoo! Answers)... I'll give you a star :)

Answer 3

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Answer 4

Hormones can really mess up the inner workings of our body. I know some of the problems associated with having one's period are bowel related, like constipation. Perhaps that is what is causing the hurt when you push, and might cause the swelling, too. Also, having your period makes everything down there tender. I've never had those exact symptoms when I've had my period, but it doesn't surprise me that other people might. I don't think it's anything to worry about. Maybe try some Miralax to help with the straining.

Answer 5

Yes, it does!!! The gynecologist says it's because I have a tilted uterus that tips backwards, so my back and bum get really sensitive around "that time." Also, since we are all anonymous and whatnot, I would like to say that it seems like I have to poo a whole lot more around my period, like I get diarrhea every single time. I say great, because at least it makes me look less bloated, but still...

Answer 6

It's part of the whole pre-menstrual and menstrual cycle. It's your lower back and your lower back hurting at the time of your period is normal.

Answer 7

sometimes mine hurts before and during my period. like a sharp stabing pain

Answer 8

No. How many children have you had vaginally? How old are you? You might want to check your bum in a mirror and look....when you bear down does something protrude?

Answer 9

yes