i went to the e.r. last month in relation to pain – i'd never felt before then – from starting my cycle. the cramps i felt were so intense that i went into a panic attack that led to some strange body behavior. since then i've been reading up on my reproductive system, and this is so far the most relatable explanation of what's going on with me. ahora.
Each month, the inner lining of the uterus (the endometrium) builds up in preparation for a possible pregnancy. After ovulation, if the egg is not fertilized by a sperm, no pregnancy will result and the current lining of the uterus is no longer needed. The woman's estrogen and progesterone hormone levels decline, and the lining of the uterus becomes swollen and dies. It is then shed and will be replaced by a new lining in the next monthly cycle.
When the old uterine lining begins to break down, molecular compounds called prostaglandins are released. These compounds cause the muscles of the uterus to contract. When the uterine muscles contract, they constrict the blood supply (vasoconstriction) to the endometrium. This contraction blocks the delivery of oxygen to the tissue of the endometrium which, in turn, breaks down and dies. After the death of this tissue, the uterine contractions literally squeeze the old endometrial tissue through the cervix and out of the body by way of the vagina. Other substances known as leukotrienes, which are chemicals that play a role in the inflammatory response, are also elevated at this time and may be related to the development of menstrual cramps.
Webster's New World™ Medical Dictionary First, Second and Third Editions (May, 2008)
in other words, the prostaglandins in my body are giving my endometrium a slow and painful death. sadistic mother. fuckers.
are you there God? it's me margaret, and i get it. touché.
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