Do you experience rectal discomfort during your menstrual cycle?

For many women, monthly menstruation is accompanied by intense cramping pain that radiates through the lower abdomen as the uterus sheds its excess lining. One such menstrual cramp is proctalgia fugax – a sudden, intense pain in the rectum.

“Proctalgia fugax is a mysterious and often misunderstood ailment that involves a brief, severe spasm of the muscles surrounding the anus, causing a sharp, stabbing discomfort,” explains Dr. Asheley Baker, an obstetrician and gynecologist at Aurora Health Care. “The pain can strike without warning and last anywhere from a few seconds to several minutes before subsiding.”

Despite its intimidating name, proctalgia fugax is a relatively common issue that affects both men and women, although slightly more prevalent in females. “Proctalgia fugax is an uncomfortable but manageable condition that can affect people of all genders but is more likely to occur in women during their menstrual cycles,” Dr. Baker says.

While the exact cause of proctalgia fugax is unknown, it is believed to be related to the hormonal fluctuations and increased pelvic pressure that occur during a woman’s period. The pelvic floor muscles and anal sphincter may become overly sensitive and prone to spasms during this time.

“Some women experience proctalgia fugax only occasionally, while others deal with it as a regular occurrence around their menstrual cycle,” Dr. Baker says. “Though the condition is not dangerous, the sudden and severe nature of the pain can be quite alarming and disruptive.”

To help manage these episodes, she recommends trying pelvic floor exercises, stretching regularly, drinking plenty of water and using self-care measures, such as heating packs, to relax the muscles and soothe any cramps.

To further alleviate symptoms of proctalgia fugax, Dr. Baker suggests the following:

• Rule out other potential causes. Severe pain or pain radiating to other pelvic areas may indicate an underlying condition, like endometriosis, hemorrhoids, fissures, abscesses or fistulas. Consult with your health care provider to determine the source of your rectal pain so you can receive appropriate treatment.
• Maintain good digestive health. Avoid constipation by eating a high-fiber diet, responding promptly to the urge to have a bowel movement and staying hydrated. Stool softeners or fiber supplements may also help keep those muscles relaxed and comfortable.
• Go for a quick walk. Going for a brief 5-minute walk can help alleviate period-related cramping by increasing blood flow to the pelvic area.
• Rest in a warm bath. Soaking in a warm bath or applying warm compresses can help relax the muscles in the anus and rectum.
• Take medication when needed. Taking over-the-counter NSAID medications, like ibuprofen, can help alleviate period cramps. NSAIDs work by blocking the production of prostaglandins, the compounds responsible for causing uterine contractions and the associated pain. Before starting any new medication, check in with your health care provider to make sure it’s safe for you.

Are you trying to find a doctor? Find one in Illinois or Wisconsin.