What does pain in the heart during menstruation?


Pain in the heart during menstruation and in front of them are considered one of the signs of premenstrual syndrome. It manifests itself much less frequently than pain in the abdomen, chest, nausea, intestinal upset. Moreover, an alarming symptom may not appear every time, but periodically. In most cases, the discomfort in the sternum has nothing to do with heart disease, it goes away after menstruation. What is the cause of heart pain before menstruation?

Manifestations of premenstrual syndrome

Almost all women know the feeling of premenstrual syndrome. But it manifests itself in all different ways. In general, experts identify more than 100 symptoms. Hormonal changes in the body of a woman before menstruation entail a lot of consequences. In a stressful situation, literally every internal organ, all vital systems. In particular stress is the nervous system, vascular. The heart is an organ that is in the very center of internal change. In addition, pain in the left hypochondrium may indicate neuralgia, which has nothing in common with heart disease.

Causes of heart pain before menstruation

When asked at the forum why the heart hurts before menstruation and during menstruation, most women left the answer: “I hear about it for the first time!”. Although, in general, nothing strange in this.

  • All diseases from the nerves! When the heart hurts, it is recommended to be less nervous, to avoid stress. Before menstruation, the nervous system is particularly vulnerable. Unreasonable tears, mood swings, excessive impressionability, insomnia, fears. All this affects the work of the heart. Particularly impressionable individuals of the female appear aching or sticking character. The first reason why the body can hurt.
  • Before menstruation, the uterus prepares for rejection of the endometrial layer. Cramps are present in the lower abdomen, transmitted to neighboring organs. Vessels tend to expand, then sharply narrow. The lack of a full supply of oxygen to the heart leads to unpleasant sensations. A change in the state of the vascular system is the second cause of pain in the heart before menstruation.

  • During menstruation, the heart hurts due to iron deficiency, a decrease in hemoglobin. Especially the situation is peculiar with severe bleeding. But it may occur after 3 days of menstruation, when menstruation is more abundant than other days. Low hemoglobin is dangerous with oxygen starvation. Internal organs are not able to fully supply oxygen to the heart. As a result, it starts to hurt. When menstruation ends, the forces are restored - the pain passes. To reduce hemoglobin can already on the eve of menstruation. Therefore, this is the third cause of pain in the heart before menstruation and during menstruation.
  • Low pressure on the eve of menstruation occurs in every 3 women. Dizziness, weakness, heart palpitations, fatigue, headache, nausea, pain in the heart area. All these are signs of hypertension. The fourth reason why the heart hurts.

Contribute to the appearance of pain external factors that make a woman worry, worry, nervous. If during the previous month there were unpleasant events. On the eve of your monthly heart will begin to hurt. If pain occurs every time, does not go away after the completion of menstruation, or makes itself felt in the period between menstruation, it is recommended that a cardiologist, a gynecologist, appear.

How to remove a symptom

In the absence of diseases of the body, you can cope with painful sensations yourself. This will help exercise, proper breathing, sedative. To remove the pain, it is necessary to eliminate the cause. In this case, it is possible only to reduce the negative manifestation of PMS.

  1. When the heart hurts, there is dizziness, weakness. In some cases, it all ends in loss of consciousness. In the period of occurrence of unpleasant sensations in the left side of the hypochondrium, it is recommended to drink valocordin, validol. Drugs act soothingly, contribute to the relaxation of blood vessels. Better blood circulation.
  2. As soon as the body begins to have bouts of pain, you need to sit down or lie down, relax, breathe to the fullest. Deep, but calm breathing normalizes the work of the body, the heart will stop hurting.
  3. Shortly before the onset of menstruation, iron-rich foods must be introduced into the diet. Then decrease the risk of reducing hemoglobin. The most affordable foods are apples, liver, meat, buckwheat porridge.
  4. Increase the pressure of green tea, chocolate, red wine. You can take a tablet of citramon, citropack, any drug containing caffeine. As well as a complex of vitamins with iron content.
  5. If the heart hurts, you should take sedatives in the form of tincture of motherwort, valerian, gloda. You can make a "cocktail" of these drugs. Mix 10 drops of each, washed down with water, tea, juice. Favorably affects the nervous system of tea from chamomile, lemon balm, mint.

Be sure to adhere to sleep, rest. Take walks, light runs. Spend more time outdoors. Then the heart will stop hurting, other manifestations of premenstrual syndrome will decrease.

Why does the heart ache during menstruation?

A sharp change in the ratio of the amount of estrogen and progesterone provokes irritability, mood swings and tearfulness. The increase in the number of emotional stress in the presence of cardiac pathologies can turn into an attack of angina. But even in the absence of heart disease, impaired regulation of the functions of the peripheral nerves and over-stimulation of the central nervous system leads to aching pain.

Excess estrogen, which is necessary for the rejection of the endometrium, also explains the water retention in the tissues. According to statistics, swelling is observed in 50% of women. Water retention is most characteristic of those who have a high level of androgens, estrogen and the “happiness hormone” - serotonin, a few days before menstrual bleeding.

Heart pain is manifested not only as a result of swelling of the internal organs, but also because of the engorgement of the mammary glands. Their expanding lobes squeeze the nodes and nerves in the sternum, which provokes pain.

Fluid retention is enhanced by active production of the hormone prolactin. In addition to edema, an excess of this substance explains the increase in blood pressure and tachycardia. Prolactin prolongs the excitation phase in myocardial cells during contraction of the heart, which leads to the emergence of acute pain that appears cyclically.

Pain can also occur in the absence of excessive hormone production. They are caused by prostaglandins - biologically active substances of lipid origin. They are allocated dying cells and create a "beacon" for immunity. The prostaglandins isolated from the rejection of the endometrium cause pain in various human organs and systems: the spleen, the gastrointestinal tract, the heart, the musculoskeletal system.

Soreness in the sternum is most characteristic of the ICP form of crises. When it is marked "panic attack syndrome", manifested by pressure drops, fear of death, abdominal cramps, chills, frequent pulse and heartbeat. The end of the attack is accompanied by the urge to urinate.

With the onset of menstruation, most of the unpleasant effects disappear, but with intense manifestations of 5-12 symptoms at once, heart pain continues during menstruation.

How to relieve pain in the heart with PMS?

The method of treatment depends on the form of premenstrual syndrome. To eliminate the cardiac manifestations of PMS, various groups of drugs are used:

  • diuretics (diuretics),
  • tranquilizers,
  • antidepressants
  • homeopathic and herbal sedatives

  • antiprostaglandin drugs,
  • medications to improve the blood circulation of the brain,
  • hormonal drugs (in particular, gestagens),
  • antihistamines,
  • dopamine agonists,
  • drugs for the normalization of neurotransmitter metabolism,
  • nonsteroidal anti-inflammatory drugs
  • vitamins A, E, B.

The gynecologist may prescribe medication on an ongoing basis (hormonal medications, vitamins), for 2-3 weeks before menstruation, or only during the onset of PMS.

Great importance and proper nutrition. To reduce the intensity of pain, it is necessary to increase the proportion of foods containing fiber (vegetables, cereals, seeds) and potassium (raisins, prunes, dried apricots, apricots, watermelons) in the diet, to reduce the consumption of sources of purine alkaloids (coffee, cocoa, tea) and animal fats .

Active consumption of K sources will help avoid heart pain after menstruation, which may occur due to the pressure of internal edema on the intrathoracic nerve endings.

Traditional medicine proposes the use of complex soothing broths, teas with melissa, mint and pharmaceutical chamomile.

If you experience cardiac discomfort during the ICP period, it is recommended that you consistently consult with a cardiologist, a neurologist and a gynecologist. It is not necessary to visit a doctor: it is often not hormonal imbalance that causes it, but valve pathology or myocardial ischemia.

But not only serious pathologies can be hidden behind the symptoms of premenstrual syndrome, the opposite effect happens. For example, PMS can manifest pain that is not inhibited by nitroglycerin, shortness of breath and weakness in the absence of characteristic ECG changes, which leads to the formulation of an erroneous diagnosis of "atypical myocardial infarction."

Before and during menstruation, the heart can hurt even in the absence of pathologies, its components. The patient's task is to diagnose the cause of discomfort in a timely manner and accurately follow the recommendations of the cardiologist and gynecologist. Properly chosen method of treatment and a minimum of stress in the premenstrual period will help reduce the intensity of painful sensations or eliminate them altogether.

Premenstrual syndrome

Premenstrual syndrome is a cyclic complex of symptoms that manifests itself in some girls before menstruation. It is characterized by psychosomatic, vascular and metabolic and endocrine disorders, which are restored at the beginning of a new cycle.

PMS occurs for several reasons: nervous overexcitement, changes in the metabolic processes of the body, disruption of the cardiovascular system, but they are based on one major factor - hormonal alteration.

Psychosomatic manifestations

Psychosomatic disorders during PMS are caused by a decrease in the blood levels of two hormones: estrogen and progesterone. They have a mild sedative, sedative effect. But the number of oxytocin - anesthetic, stimulating active substance - increases, so the nervous system is in constant irritation.

Psychosomatic symptoms are the most "unpleasant", because it manifests itself in the behavior of a woman relative to other people. Aggressiveness and depressiveness increase, irritability, tearfulness, and depression occur.

Many smells, tastes and sounds are perceived by the excited nervous system differently and can cause discomfort. Because of the excitation of the central nervous system, peripheral neurons suffer: a decrease in tactile perception, slight numbness of the limbs, and engorgement of the chest.

Vegetovascular manifestations

Reducing the amount of male sex hormone - testosterone - before menstruation, as well as an increase in prolactin, cause severe edema, change the usual heart rhythm: heartbeat can increase or slow down especially after exercise, alcohol and caffeine. Severe edema increases the amount of circulating blood, so it increases the pressure inside the vessels, and the accumulation of fluid in the tissues of the internal organs leads to squeezing of the nerve endings.

Vegetative symptoms of PMS are such manifestations:

  • headache,
  • dull, aching pain in the heart,
  • puffiness
  • a heartbeat that can increase or slow down
  • dizziness due to dysfunction of the cerebral vessels,
  • high blood pressure,
  • nausea.

Estrogen and progesterone

Estrogen and progesterone regulate not only the sexual system of the woman, but also normalize the functioning of the nervous system, providing a mild sedative effect in the case of over-stimulation. It is because of the decrease in their level at the end of ovulation negative psychosomatic changes appear, the work of the peripheral nervous system is disturbed.

Before menstruation, the pain in the heart, caused by a change in the amount of estrogen and progesterone, has a dull, dull character. They appear due to the growing excitation of the central nervous system (brain) and the deterioration of the regulation of the peripheral nerve endings in the organs.


Prostaglandins are substances that cause inflammation and pain. They stand out mostly
infected or dying cells. The role of these substances for the immune system is difficult

underestimate, because they are a beacon for defensive cells, calling them to the place of death or infection of body tissues.

When the endometrium begins to reject at the beginning of the menstrual period, the cells of the uterine mucosa die and prostaglandins are secreted. This causes pain not only in the genital system, but also in the corpus organs: heart, liver, spleen, intestines.

The heart begins to hurt suddenly, the discomfort has a dull, aching character and lasts for 2-3 minutes, especially if the girl is given complete peace at this time.

PMS development factors

PMS is not manifested in all girls, so it can be assumed that not only hormonal changes, but also other additional factors are involved in the occurrence of premenstrual syndrome:

  • constant nervous tension
  • lack of minerals, especially potassium and calcium,
  • increased physical activity on the background of ovulation and menstruation,
  • poor diet low in fat
  • bad sleep
  • abuse of caffeine and cigarettes.

These factors greatly enhance the effect of hormonal changes, as well as contribute to the development of pain in the area of ​​the heart muscle.

PMS diagnostics

To the question of many girls, why the heart hurts before menstruation or during them, the diagnosis will help to answer. First of all, it is necessary to apply to three doctors: a cardiologist, a neurologist and a gynecologist. The first specialist should check the woman's heartbeat and, if a valve or other parts of the heart are suspected, give an MRI scan.

If the cardiologist does not find any violations “on his part”, then the gynecologist will be able to collect a history of PMS - symptoms that occur in a woman. After

it is necessary to take a blood test, urine, check the content of different hormones, glucose, prostaglandins, salt ions (which is especially important for strong edema).

Much less often, the problem of heart pain before menstruation is associated with nervous disorders, the increase in manifestations of which is caused by hormonal disturbances. Therefore, it is worth visiting a neurologist, to conduct an external examination, as well as an EEG analysis, which will show the electrical activity of brain neurons.

Treatment of pain in the heart due to different reasons is different. For example, if a patient has a severe swelling, then before the onset of menstruation, she may be prescribed diuretic drugs or herbs that will help normalize the fluid content inside the body. If there is a disturbance in the work of the nervous system, psychotherapy is necessary in the form of sedative medications or homeopathic remedies. The latter are composed of herbal ingredients, and their high efficiency for the most part arises due to the placebo effect.

If the cause of pain in the heart was a strong hormonal imbalance, it will help therapy with the use of hormones: progesterone and estrogen. They calm the nervous system, and also reduce arousal.

Help yourself

Each woman can facilitate PMS, observing proper nutrition, in which the content of mineral substances, proteins, fats and carbohydrates will be balanced. Reducing stress, improving the quality of sleep and moderate exercise - all this will strengthen the body and help to resist disorders in the nervous system.

Many during PMS help herbal teas from lemon balm, chamomile, mint or special soothing fees, as well as the rejection of severe dietary restrictions. For example, drinking 20-30 grams of chocolate a day will not spoil the shape, but will cause the release of serotonin, which relieves pain and soothes the nervous system.

Pain in the heart with PMS bother many girls. This is due to the violation of the hormonal background and other factors. To tolerate discomfort should not be longer than 2 months, it is better to contact the experts and find out the cause of the discomfort.

The effect of hormones on the heart

Sickness before critical days is considered quite normal. However, heartache should alert. This is a signal to the body that there is a problem that needs attention.

Each active substance acts differently on the muscle and heartbeat rhythm.

Synthesis of steroid hormones, which are responsible for metabolic processes, significantly slows down after ovulation.Increased production of prolactin, which causes swelling and increased blood pressure. The body retains trace elements that contribute to changes in heart rhythm. Excess sodium doubles cell excitability, leading to chest pain.

Factors affecting chest pain

PMS takes place in different ways. Some women suffer the syndrome almost painlessly, others consider the days until the end of menstruation. It all depends on the individual characteristics of the organism.

The following factors affect the occurrence of heart pain:

  • the stress experienced the day before
  • jar of Hearts,
  • lack of fat, vitamins and trace elements in the body,
  • depressed state
  • bad habits,
  • lack of sleep
  • not enough time to rest,
  • caffeine,
  • strong tea,
  • low hemoglobin
  • exhaustion of the body by physical exertion
  • lack of oxygen.

Chest Discomfort Products

Therapeutic measures should be aimed at eliminating cardiac pain. Since they manifest themselves in the PMS period, complex medicines of various groups are usually prescribed. To eliminate the symptom use:

  • blood circulation medications
  • diuretic drugs,
  • antidepressants
  • artificial hormones
  • vitamin complex
  • means for the normalization of neurotransmitter metabolism,
  • natural herbal sedatives
  • anti-inflammatory drugs,
  • tranquilizers.

The doctor selects a method of treatment based on the etiology of colic of the heart muscle. Hormonal drugs are prescribed on an ongoing basis for a certain period. In addition, it is recommended to supplement the treatment with a complex of vitamins.

It is advisable to revise your diet if pain occurs due to internal edema. It is necessary to reduce the consumption of coffee, tea and animal fats, to enrich the diet with foods containing fiber and potassium.

First aid for heart colic can be provided with sedatives. For example, it is recommended to take tincture of motherwort or valerian.


If a chest malaise disturbs you exclusively during PMS, then you can cope with this symptom by following simple rules:

  1. Need regularly use special pharmaceutical teaswhich have a sedative effect. Their composition usually includes mint, thyme, lemon balm, chamomile.
  2. Any physical activity causes the heart muscle to work more actively, so before menstruation it is desirable do not load the body, especially cardio.
  3. Correct sleep remains the main component of health. At night, you need to rest for at least eight hours.
  4. Heart pains often provoke jumps. systolic and diastolic AD. For well-being it must be regulated. To reduce the pressure it is recommended to use diuretic drugs. To increase its use of drugs containing caffeine. The same effect has drinks with this component and dark chocolate.
  5. You should protect yourself from stress and stress.. It is recommended to spend time at your pleasure, communicate with pleasant people, walk in the fresh air.
  6. It is necessary to improve nutrition, add vitamins and fiber. Partially remove flour from the diet, spicy, sweet and fatty.

All preventive measures must be performed at least two weeks before the upcoming critical days. The body must adapt to a new way of life.

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Cardiopathy treatment

In the treatment of menopausal cardialgia and cardiopathy, psychotherapy plays the main role: explaining to patients full security as pain syndrome (its disconnection with angina) and detectable ECG changes. Bed rest is not shown. As a rule, patients retain their ability to work.

Drug therapy is reduced to the appointment of valerian drugs in the case of persistent cardialgia. The most important indicator of the effectiveness of therapy is the disappearance or significant weakening
pain regardless of ECG. The prognosis is favorable.

Dyshormonal cardiopathy with a clinical picture similar to that described above is observed in the treatment of sex hormone adenoma or prostate cancer. Therapy proper cardiopathy is the same.

Cardialgia, ventricular premature beats occur during puberty (pubertal heart). In this syndrome, both vegetative and behavioral features of the dishormonal state are observed, although they are significantly less pronounced than in menopause. Special treatment is not carried out. The prognosis is favorable.

All the features of climacteric cardiopathy (including the appearance of a negative T wave on the ECG) can be observed before and during the first days of menstruation - premenstrual syndrome. Special therapy is not carried out.

Heart pain as a sign of PMS

Heart pain - a sign of PMS

Most women experience unpleasant symptoms not in critical days, but in front of them. The list of premenstrual signs is known, the main of them is pain in the area of ​​internal genital organs. Feelings can give in the lower back, which is also not surprising.

But for some, this can be found behind the sternum. Feeling embossing in the area, tingling sensations or stronger sensations, a woman wonders if her heart can hurt before her menstruation, or if it is time to run to a cardiologist. Sometimes such a specialist can help.

Heart pain may well be caused not by problems in the field of cardiology, but due to the malfunction of the endocrine, reproductive systems, hormonal and neurological disorders.

We recommend to read the article about getting rid of pain during menstruation. You will learn about the causes and main symptoms of dysmenorrhea, the features of diagnosis and treatment, methods of pain relief without medication.

Causes of premenstrual pain

The period before the critical days is characterized by a change in the balance of hormones. Without this, the body would not be ready to replace the upper endometrium.

Estrogens begin to prevail over progesterone, which causes certain body reactions. Pain in the heart before menstruation are the result of one or more of them:

Causes of Premenstrual Heart Pain

During menstruation

The beginning of critical days is marked by the fact that most of the unpleasant symptoms go away. But some they continue to torment throughout the menstruation. Experts consider this to be a severe manifestation of PMS, when not 1-3 of its signs are noticed, but all 5-12, and to a great extent.

But even in the presence of a mild form of premenstrual syndrome, the heart often suffers during menstruation. Especially when he has a crisis orientation. In addition to the sensations behind the sternum, a woman is pursued by the fear of death, the threshing pulse. More severe manifestations occur at night and end with rapid urination.

We advise you to read an article about visiting a gynecologist during menstruation. You will learn about the features of the examination, the need to visit a doctor and prepare for this.


Dysmenorrhea - the cause of heart pain

Some suffer menstruation, accompanied by a whole complex of severe manifestations. The main one is severe pain in the abdomen, caused by hormonal imbalance, the wrong structure of the organs. As a rule, the gynecological diagnosis becomes the hidden reason for this:

Characteristic of dysmenorrhea is a vascular manifestation, manifested by severe weakness, nausea. It is not surprising that during menstruation a heart ache. After all, with a similar state, the vessels are then compressed, then expanded. Pain felt in the back of the head, the area of ​​the sockets, can lead to loss of consciousness.

Monthly and disturbing at the same time the heart must bring the woman to the gynecologist's office. The cause of pain in it in this period are problems in the reproductive sphere or hormonal.

Successful therapy of the underlying disease also stops the vascular manifestations. And excessive patience will lead to irreversible changes in the heart.

We recommend to read an article about heart pain during menstruation. From it you will learn about heart pain as a sign of PMS.

Malfunctions in the functioning of the adrenal glands due to a drop in the level of female hormones provoke an increase in pressure, pain in the heart

Pain in the heart due to disruption of oxygen to any of its site. They may be accompanied by nausea and vomiting.

Is there a relationship between menstruation and heart pain? Pay attention: if you have a question to the obstetrician-gynecologist.

Pain in the heart, dizziness, migraines, hypertension provoked by the inability to sleep

Pain in the heart is more often disturbed than the usual manifestations in the head for menopause.