Feeling of a full bladder: features of symptoms in women and treatment. Possible Causes and Treatments for Constant Feelings of a Full Bladder

In the absence of diseases, the urge to urinate in a person occurs when the bladder is filled by 200-250 mm. A false sensation of a full bladder appears if the organ is occupied by at least 50 ml of urine or residual urine. Such a condition in almost all cases indicates the presence of a pathological process. In women, this symptom most often indicates the development of ailments of the genitourinary system.

Causes of the problem

Among the main factors that can cause a feeling of incomplete emptying of the bladder in women include:

• chronic (acute) cystitis;
• inflammatory processes in the urethra or urethra;
• benign tumor, cancer of the bladder and nearby organs and structures;
• inflammatory diseases of the pelvic organs;
• small bladder size
• failures in the nervous regulation of the process of urination;
• overactive bladder;
• urolithiasis disease;
• kidney infections;
• malfunctions in the intestines (frequent constipation, provoking squeezing of the bladder).

It is absolutely normal for a woman to experience a feeling of incomplete emptying during pregnancy (even in the early stages) and in the period after childbirth. This is due to the activation of the organ during gestation and squeezing of the bladder by nearby structures.

Women often complain of a similar symptom with an upset gastrointestinal tract, hypothermia, and taking alcohol-containing drinks. However, most often it appears with the development of pathologies of the genitourinary system.

Forms of the disease

The disease can manifest itself in two forms: complete and partial. In the first case, the patient is not able to empty the bladder on her own. There is a urge, there is little urine in the organ, but it does not come out. In this case, the woman periodically experiences a sharp pain in the lower abdomen.

A partial form of pathology involves a slight discharge of urine. The person successfully defecates, but very soon feels the urge again.

Associated symptoms

The feeling of a full bladder with the development of pathologies rarely appears in isolation. The symptomatology is supplemented by a number of secondary signs, the fact of the presence of which helps in making a diagnosis in the future. The most common clinical pictures are as follows:

Disease	Symptoms
cystitis, urethritis	Burning, pain, pain during and after urination, headache, fever
Stones in the bladder	Renal colic, pronounced pain in the lumbar region, pain in the lower abdomen, blood impurities in the urine, frequent urination (including at night)
Adnexitis	High body temperature, groin pain, abnormal discharge from the genitals, chills, fatigue, gastrointestinal problems
Urethral stricture	The presence of blood impurities in the urine, a feeling of fullness in the pelvic region, pain when urinating
Kidney inflammation	Pain in the lower abdomen, lumbar region

Some of the symptoms may seem minor to the patient. This is especially true in cases where a woman urinates frequently, but without pain and suspicious discharge. Such inattention can lead to stagnation of urine, in which pathogenic bacteria develop over time. As a result, the bladder and urethra are affected.

If the inflammatory process is not stopped, infection of the kidneys will occur, leading to pyelonephritis. Therefore, it is important to immediately consult with a physician if there is a persistent sensation of a full bladder.

Specificity of treatment

The type of therapy depends on the cause of the phenomenon. The following options apply:

Disease	Direction of treatment
bacterial infection	Antibacterial drugs

One of the common symptoms of diseases of the genitourinary system is the feeling of incomplete emptying of the bladder. Modern medicine knows how to get rid of such a problem. The main thing is to identify the cause of this condition and start competent therapy in time.

Why is this happening?

Pathologies of the organs of the genitourinary system are manifested as follows:

First.

After going to the toilet, there is a feeling of a full bladder.

Second.

The patient again and again experiences the urge to urinate. This brings inconvenience, especially if it is not possible to empty so often.

Third.

When urinating, other symptoms of the disease may also be felt, for example, burning and pain.

In most cases, this condition is caused by the presence of urine that remains in the cavity of the organ. Obstructing factors do not allow its outflow to move normally.

Sometimes the reason that the bladder does not empty completely is atony, in which it cannot contract normally. The tone of its walls is weakened, and the muscles can no longer support it in the desired position.

In some patients, there are no obstacles to the outflow of urine, however, it is still not completely excreted from the body, and the person wants to go to the toilet all the time. This may indicate the presence of erroneous signals received by the brain.

This condition is typical in the case of the development of certain pathologies: adnexitis, appendicitis, salpingo-oophoritis etc. Prolonged stress, shocks and nervous tension can also act as a psychological cause.

You can't let the problem run its course. After all, the constant fullness of the bladder worsens the quality of life and can have serious consequences. The urine that remains in the body is a good breeding ground for bacteria, which can provoke an inflammatory process.

Associated symptoms and types of diseases

To accurately diagnose, it is necessary to evaluate the accompanying symptoms of diseases.

Diseases of the prostate

The patient complains of pain in the lower abdomen, he has problems with erection. The stream of urine is weak and intermittent, and blood may be excreted. With a malignant tumor of the prostate, the patient loses weight, his temperature rises.

Urethritis, cystitis, pyelonephritis

Often, incomplete emptying of the bladder in women can indicate the development of and. These diseases are accompanied by burning, cutting and pain during urination. This may cause a headache and a fever. Urine becomes cloudy. With inflammation of the kidneys, pain is felt in the lower back and abdomen.

Stones in the bladder

It is expressed in renal colic and severe pain in the lumbar region, lower abdomen. Its signs are also traces of blood in the urine, frequent trips to the toilet, the number of which increases with movement.

Adnexitis

This is a female disease in which body temperature rises, pain in the groin is felt, and discharge can be observed. A woman feels insufficient emptying, she is tormented by chills, weakness, gastrointestinal disorders.

Hypotension

Together with urination disorders, the patient has problems with the gastrointestinal tract, tension in the pelvic muscles, and pain. A person constantly feels the presence of fluid in the bladder, the very act of urination passes sluggishly and weakly. Chronic illness provokes incontinence of feces and urine.

Urethral stricture

The narrowing of the urethra does not allow the patient to carry out adequate urination. The flow of urine is weak, accompanied by a constant sensation of a full bladder. There are pains in the pelvic area and during a trip to the toilet, there is blood in the urine.

Bladder overactivity

This diagnosis is often made by excluding other diseases. Incomplete emptying overactive bladder is rare. This disease is characterized by frequent urination, urgent and strong urge. In some cases, urinary incontinence occurs.

Other pathologies can also cause discomfort: diabetes mellitus, sciatica, spinal cord injuries, multiple sclerosis. The feeling of a full bladder can be the result of serious illness, so if this symptom occurs, you should immediately consult a specialist.

Which doctor should I contact?

The urologist deals with the diagnosis and treatment of diseases of the genitourinary system. A woman may need an examination of the ovaries and uterus. Then the urologist will refer the patient to the gynecologist, who will take a smear from the vagina to exclude the presence of infection. A urologist is also involved in the treatment of diseases of the genital organs in men.

Don't be afraid to tell your doctor about your problem. A detailed description of the symptoms will help him diagnose the disease more quickly. It is better to choose a high-class specialist, because health and even life are at stake.

Diagnosis and treatment

After collecting an anamnesis, the doctor determines the change in the size of the bladder using palpation. He usually orders the following tests:

• General blood analysis;
• General urine analysis;
• Urine culture;
• Ultrasound of the genitourinary organs;
• Cystoscopy;
• Contrast urography.

In some cases, a CT or MRI may be required. Only after the results of the examination, the doctor can accurately diagnose and prescribe treatment, which will be aimed at eliminating the root cause of the pathology.

To eliminate infectious diseases, a course of antibiotics and antibacterial agents is prescribed, in the presence of urolithiasis, drugs for removing stones. If the disease is psychological in nature, the doctor usually prescribes sedative drugs that calm the nervous system.

Some gynecological diseases, due to which the bladder is not completely emptied, require the use of hormonal drugs. In cases, the patient may be prescribed surgical intervention.

Unfortunately, even the complete elimination of unpleasant symptoms cannot guarantee that a person will not be disturbed by relapses in the future.

If you have difficulty urinating and emptying your bladder while going to the toilet, then you have urinary retention. This condition can be caused by muscle weakness, nerve damage, kidney stones, bladder infection, prostate enlargement, and other causes. Urinary retention leads to complete or partial inability to empty the bladder; It can be either acute (short-term) or chronic (long-term). In most cases, this condition can be treated in various ways at home, but sometimes urgent medical intervention is required.

Steps

Part 1

Making Urination Easier With Home Remedies

Strengthen your pelvic muscles. One of the most well-known and effective ways to strengthen the pelvic floor muscles is Kegel exercises. These simple exercises you can do at home strengthen the muscles that control the bladder, as well as the uterus, small intestine, and rectum. To locate the pelvic floor muscles, stop urinating in the middle. In doing so, you will contract precisely those muscles that are strengthened by Kegel exercises. These exercises can be performed in any position, although they are easiest to do while lying down.

Train your bladder. Such training is an important behavioral therapy to help get rid of urinary retention or incontinence. The goal of this therapy is to increase the time intervals between urination, increase the amount of fluid retained by the bladder, and reduce the frequency and intensity of the urge to urinate. To train your bladder, you need to create a schedule of visits to the bathroom, which should be followed regardless of whether you feel like peeing at any given moment. If you want to pee before the scheduled time, try to suppress your desire by squeezing your pelvic muscles.

Make sure you are comfortable in the restroom. Comfortable conditions in the toilet contribute to the normal emptying of the bladder. If the air in the bathroom is too cool and the floor is cold, you will not be able to relax properly. The toilet seat should be comfortable for both sexes, as some men find it uncomfortable to urinate standing up (they experience back, neck, or prostate pain). Privacy is also important for comfort, so try not to use public restrooms and close the door when in the bathroom.

Press down on your lower abdomen. By applying pressure to the lower abdomen, where the bladder is located, you stimulate urination. Consider this technique to help empty your bladder completely as a form of massage and physical therapy. Find information on the Internet about exactly where the bladder is located, and lightly press on the stomach in this place towards the back and down, as if “milking” your bladder during urination. It is easier to do this while standing, rather than sitting on the toilet, leaning forward.

• You can also lightly pat your stomach with your palm to induce muscle contraction and make it easier to urinate.
• Women can insert a disinfected finger into the vagina and lightly press it against the anterior wall of the vagina - this also stimulates the bladder and facilitates its emptying.
• In men, too much stimulation of the lower abdomen can cause an erection that makes urination very difficult. Trying to completely empty the bladder, avoid erection.
• By running warm water over the lower abdomen and genitals, you stimulate urination. Try peeing while taking a warm shower.

1. Learn how to insert a catheter. If you are having great difficulty urinating and are experiencing significant pain in your bladder and kidneys, and previous methods have not worked, self-catheterization may help. This method involves inserting a catheter (a long, thin tube) into your urethra and leading it up to the entrance to your bladder, draining urine out of it through the tube. This procedure can be taught to you by your family doctor or urologist, but it is not recommended for those suffering from heart disease or overly squeamish people.

   • It is best to have a catheterization performed under local anesthesia by a doctor, but if you are not embarrassed by this procedure, you can try to do it yourself using a lubricant.
   • The lubricant will partially replace local anesthesia, however, some substances (for example, petroleum jelly) can cause irritation of the delicate mucous membrane of the urethra, accompanied by pain.
   • Before the introduction of the catheter, it should be carefully sterilized so as not to bring the infection into the urethra.

   Part 2

   Health care

   1. Consult your doctor. If you experience difficulty urinating for several days in a row, see your doctor. The doctor will examine you and try to determine the cause. In addition to pelvic muscle weakness, urinary retention can be caused by a blocked urethra, bladder or kidney stones, urinary tract infection, severe constipation, cystocele development (in women), prostate enlargement (in men), spinal cord injury, overuse of antihistamines , residual effect of anesthesia after surgery.

      Talk to your doctor about medications. Ask your doctor if you can get rid of bladder problems and difficulty urinating with medication. Some drugs cause dilatation (relaxation and expansion) of the smooth muscles of the urethra and the opening of the bladder, although their long-term use can lead to the opposite problem - loss of bladder control and urinary incontinence. If problems with the bladder and urination in men are associated with an enlarged prostate, drugs such as dutasteride (Avodart) and finasteride (Proscar) will help stop the growth of BPH and even shrink it.

   2. Consider dilating and stenting the urethra. Urethral dilatation helps to unblock the urethra by gradually widening it by inserting larger and larger tubes into it. A narrowed urethra can also be expanded with a stent. The stent inserted into the canal expands like a spring and exerts pressure on the surrounding tissues, gradually expanding them. Stents can be either temporary or permanent. Both dilatation and stenting are outpatient procedures performed under local anesthesia and sometimes sedation.

      • The urethra is also expanded by inserting an air-filled ball attached to the end of the catheter.
      • These procedures are performed by a urologist.
      • Unlike conventional catheterization, which after appropriate training can be performed independently at home, dilatation and stenting should never be performed at home.

   3. Consider sacral neuromodulation. In sacral neuromodulation, the nerves that control the bladder and pelvic floor muscles are exposed to weak electrical impulses. This procedure improves communication between the brain, nerves and smooth muscles, normalizing the functioning of the bladder and contributing to its complete and regular emptying. In this case, a special device is surgically implanted into the body, which, when turned on, begins to send electrical impulses. At any time, this device can be turned off and, if necessary, removed from the body.

      • This method is also called sacral nerve stimulation, although the nerves located in and around the sacrum can also be stimulated manually by massaging the area with a vibrating device. Try massage at home - it may improve your bladder function.
      • Sacral nerve stimulation does not help with urinary retention and bladder problems if they are caused by an obstruction (blockage).
      • Keep in mind that sacral nerve stimulation does not help with all types of non-obstructive urinary retention. Before using this method, consult a urologist.

   4. As a last resort, consider surgery. If all of the above methods fail, your doctor may recommend surgery if he thinks it can improve your condition. There are many different surgeries, and the specific choice depends on what exactly is causing your problems. Here are just a few examples of surgeries to help overcome urinary retention: internal urethrotomy, cystocele and rectocele treatment for women, and prostate surgery for men.

      • Internal urethrotomy consists in eliminating the stricture (narrowing) of the urethra by inserting a special catheter with a laser at the end into it.
      • Surgery to treat a cystocele or rectocele consists of removing the cyst, closing the holes, and strengthening the vagina and surrounding tissues in order to return the bladder to its normal position.
      • To eliminate urinary retention caused by benign prostatic hyperplasia, or prostate adenoma, part of the prostate gland or the entire gland is surgically removed; the transurethral method is usually used, in which a catheter is inserted into the urethra.
      • Other surgeries are performed to remove tumors and/or cancerous tissue in the bladder and urethra.

They don’t think about the health of the urinary system until the body declares “malfunctions” in it with the help of unpleasant symptoms. Among them is the constant sensation of a full bladder. What does this sign say? Is it worth it to see a doctor?

The feeling of a full bladder - why is it considered a pathology

In a normal state, the bladder accumulates 300-500 ml of urine and only then gives a signal about the need to visit the restroom. A healthy person, after urinating, may not even remember going to the toilet for the next few hours.

But due to the developed disease, the organs of the urinary system do not cope with their functions. As a result, urine does not completely leave the body and remains in the bladder in a certain amount, provoking constant urges and causing a feeling of heaviness.

Such a violation of the outflow of urine always indicates a pathology, more or less serious. Urine must be excreted in full, otherwise there is a high probability that there are obstacles in its path: stones or enlarged organs. Sometimes the problem lies in the "untrainedness" of the bladder: if its muscle tone is weakened, then it shifts a little and cannot fully perform its functions.

Incomplete emptying of the bladder in women: the main causes

Almost all patients complaining of incomplete emptying of the bladder are women. Their urinary system is more vulnerable to all kinds of infections due to the structural features of the body.

The most commonly diagnosed diseases include:

1. Cystitis. The inflammatory process mainly develops due to the penetration of Escherichia coli, but also among the potential pathogens are streptococci, gonococci, chlamydia and some other microorganisms. Once in the bladder, they act on its mucosa, contributing to the rapid development of the disease. Other symptoms include frequent urination, pain when urinating, pain in the lower abdomen. In many patients, the disease develops into a chronic form, the treatment of which is very difficult.
2. Urethritis. Inflammation of the urinary canal in women occurs due to the same pathogens as cystitis. Often both diseases develop simultaneously. Symptoms of urethritis are frequent urination, pain in the urethra and discharge from it. Often exacerbations are observed immediately after sexual contact.
3. Pathologies of the organs of the reproductive system. First of all, we are talking about such diseases as uterine fibroids, adnexitis, endometritis. In these cases, there is an increase in the size of the organs, due to which the walls of the bladder experience excessive pressure and begin to get irritated, and the woman constantly feels the desire to urinate. Problems with the organs of the reproductive system are indicated by: discomfort in the lower abdomen, menstrual disorders, urination disorders.

Inflammatory diseases often develop against the background of weakened immunity, hypothermia, and non-compliance with basic hygiene standards. Hormone surges that occur during pregnancy, during menstruation and menopause also play a role.

Incomplete emptying of the bladder in men: why it occurs

Male patients can also suffer from cystitis and urethritis, but these diagnoses are not common. In most cases, the feeling of a full bladder is provoked by such pathologies:

1. Prostatitis. Inflammation of the prostate sooner or later develops in almost everyone. And the older the man, the more likely the disease. The causative agents of the disease are sexual infections provoked by chlamydia, gonococci or Trichomonas. The chances of encountering prostatitis increase significantly with impaired blood circulation in the organ. Enlargement of the prostate contributes to a failure in the process of urination, due to which the urge becomes more frequent, and the bladder constantly seems to be full. There are also sexual dysfunctions.
2. BPH. Pathology is considered an age-related disease and is a benign tumor that compresses the urethra. Adenoma provokes malfunctions in the urinary system: urine cannot normally leave the body and stagnates. As a result, complications in the form of urolithiasis and pyelonephritis are possible. In addition to feeling a full bladder, patients complain of increased urges, incontinence and leakage of urine, painful ejaculation.
3. Urethral stricture. Theoretically, pathology can be diagnosed in women, but in men it occurs about twice as often. A stricture refers to the narrowing of the urethra due to the replacement of its normal tissues with scar tissue. Pathology occurs due to damage to the urethra, and the lesion can be both infectious and inflammatory, and chemical, radiation, thermal or traumatic. The stricture of the urethra significantly complicates the outflow of urine, due to which complications such as prostatitis, cystitis, pyelonephritis, urolithiasis, and renal failure are possible.

Any of the diseases can be treated, but it needs to be started as early as possible. The main problem in the treatment of men is that they seek help when the disease is already in an advanced stage.

Other Causes of Feeling a Full Bladder

In some cases, the reasons for incomplete emptying may be as follows:

1. Urolithiasis disease. Approximately with the same frequency occurs in women and men. Calculi are formed in the bladder, urethra, ureters, kidneys. They provoke irritation of the walls of the body, not allowing it to fully function. In addition, there is a risk that the stones will begin the "journey" and partially or completely clog the sphincter, preventing urine from being excreted in full.
2. Weakness of the bladder muscles. Insufficient tone of the walls of the organ does not allow it to completely contract and remove all the accumulated urine. Some volume of urine remains inside, causing discomfort to the patient. Among other signs of pathology - incontinence, interruption of the jet, sudden urge.
3. Constipation. The fecal masses accumulated in the intestines lead to squeezing of the bladder, which makes it seem full. In this case, you should concentrate on normalizing the diet and, if necessary, take a laxative.

Any problems with urination should be discussed with a specialist. Do not be shy about such a delicate topic: doctors unanimously urge patients to carefully check the condition of the urinary system at the slightest suspicion of a pathology. Timely therapy significantly increases the chances of success of therapeutic measures.

The feeling of fullness in the bladder in women has different causes. An alarming symptom delivers not only psychological discomfort and reduces the quality of life, but can also be a sign of a rather serious disease - pyelonephritis or enterocolitis.

The feeling of incomplete emptying of the bladder can be true or false. The former is usually caused by obstruction of the outflow of urine. This happens under the influence of various factors. In the bladder, in fact, there is some amount of urine, usually a small amount, which irritates the nerve endings. In the second case, receptor irritation is caused not by urine, but by functional disorders of the peripheral or central nervous system.

Reasons for feeling overwhelmed

In the female bladder, about 300 ml of urine is retained for several hours, although it presses on its walls. Then the organ is emptied and the pressure disappears.

But sometimes, under the influence of certain factors, the urinary function is disturbed, and complete emptying does not occur, women have a feeling of a full bladder. But not all factors are associated with pathologies of the genitourinary system. The causes of the syndrome are more diverse:

• inflammatory diseases of the urinary system, both in acute and chronic form (cystitis, urethritis);
• inflammation of neighboring organs, which reflexively spreads to the bladder, and urine may not linger in it, and the sensation is subjective (we are talking about pathologies such as pyelonephritis, enterocolitis, appendicitis, etc.);
• gynecological diseases - uterine fibroids, adnexitis (inflammation of the appendages), endometritis;
• urolithiasis (the appearance in the bladder of hard stones, especially oxalates with their uneven surface, injures the walls or at least causes irritation, such stones can physically prevent complete emptying);
• the presence of tumors of different etiologies in the cavity of the bladder;
• violation of the innervation of the pelvic organs;
• spinal cord injury;
• a decrease in the muscle tone of the bladder, as a result of which its contractility worsens;
• indigestion, frequent constipation, due to which the intestines strongly press on the bladder.

This feeling sometimes occurs during pregnancy, due to hormonal changes. To reduce the tone of the uterus and prevent miscarriage, the body produces specific hormones. But they also act on other muscles, reducing the tone of the bladder. This phenomenon is noted in the early stages of gestation and is considered completely normal, because over time, the uterus grows and squeezes other internal organs.

For many women, PMS is the cause of the feeling of bladder fullness, also due to hormonal changes.

Symptoms

Signs of overcrowding depend on which diseases of the genitourinary system or neurogenic pathologies caused such sensations:

Pathology	Description
cystitis and urethritis	Accompanied by burning and cutting during urination. Body temperature rises, headache occurs
Adnexitis	Accompanied by high fever, the appearance of pain in the groove and discharge from the vagina. In severe cases, fever and chills may occur. Problems with the work of the digestive tract may begin. In these cases, increased fatigue is possible.
Premenstrual syndrome	It has a varied clinical picture. Sometimes it is a complex of vegetative-vascular disorders: a woman experiences a headache, nausea and vomiting, pain in the heart may appear. In some cases, only signs of metabolic and endocrine disorders are observed. The mammary glands harden, swelling appears, sometimes the body temperature rises
Urethral stricture	It is accompanied by a violation of urination, painful sensations, the appearance of a feeling of fullness in the pelvic region. There is a darkening of the urine, blood impurities may be noticeable in it
Pyelonephritis	Accompanied by pain in the lumbar region and lower abdomen, impaired urination, fever. An ultrasound examination is performed to diagnose the disease.
Urolithiasis disease	It develops in different ways, depending on what metabolic disorders caused it. Sometimes it's just pain in the lower back or lower abdomen. But if the stones block the openings of the urinary tract, there is an acute urinary retention. There is also renal colic, which is accompanied by almost unbearable pain. With small calculi, the disease is almost asymptomatic for a long time. But as the stone increases, changes become noticeable: the urine becomes cloudy, it darkens, and blood impurities appear in it. Not all types of stones are visible on x-rays. Ultrasound and CT are used for diagnosis.

Sometimes a woman is practically not bothered by anything, except for frequent urination, and she does not attach much importance to this. However, even in this case, you should consult a doctor to exclude the presence of these diseases.

The fact is that the feeling of a full bladder, in addition to discomfort, causes complications. Stagnation of urine occurs, which creates favorable conditions for the reproduction of pathogenic bacteria that provoke a secondary infection. Cystitis and urethritis can develop, and with further reproduction of bacteria - pyelonephritis.

Diagnostics

To prescribe treatment, you need to undergo a complete examination. It is recommended to pass a general urine test and its bacterial culture. This will help to find out about the presence of an inflammatory process in the organs of the genitourinary system (with an increased level of leukocytes), about the presence of pathogenic microflora, damage to the walls of the bladder.

A general blood test is required. The doctor may prescribe cystoscopy - a study of the walls of the bladder, showing the condition of its mucous membrane. An ultrasound of the kidneys, bladder, ovaries, etc. is performed. This helps to assess the condition of the organs, to establish the presence of stones or neoplasms.

Treatment

The treatment for an overfilled bladder depends on what causes it.

In case of urolithiasis, dissolution of stones is prescribed using citrate mixtures or Blemaren, taking herbal medicines to improve kidney function (Canephron, Fitolizin), and if drug therapy does not help, surgical removal of stones.

For cystitis, bed rest, heavy drinking, and a diet that restricts salt and eliminates spicy foods and alcoholic beverages are indicated. Antibiotics are prescribed - amoxicillin, ceftriaxone and others (depending on the results of the analysis, which shows the sensitivity of the microflora to certain drugs). In the presence of pain during urination, antispasmodics are prescribed - papaverine and drotaverine.

Premenstrual syndrome requires complex treatment, which consists in taking medications, dosed physical activity, the correct alternation of work and rest.

The doctor may prescribe calcium and B vitamins, which do not affect the state of the endocrine system. Antipsychotics (thioridazine) and tranquilizers (diazepam) are prescribed. A common option is taking multivitamin preparations like Decamevit and diuretics (Veroshpiron, furosemide). In severe cases, hormonal therapy is prescribed, which involves taking progesterone drugs against the background of the use of diuretics. This occurs during the luteal phase of the cycle. Also, sedatives are prescribed before menstruation.

1. 1. Take 3 tbsp. l. milkweed herbs per 500 ml of boiling water.
2. 2. Brew and infuse for an hour.
3. 3. Drink instead of tea throughout the day in unlimited quantities, adding honey to improve the taste.

In the same way, a decoction of corn stigmas, mixed in equal proportions with the "tails" of sweet cherries and cherries, is brewed for inflammation. The remedy is insisted for an hour and drunk instead of tea.