Encyclopedia Symptoms / / August 12, 2017
Alternative names: dysmenorrhea;menstrual pain
Sometimes menstruation in women accompanied by spastic, sharp or aching in the lower abdomen.Typically, these pains are periodic in nature.Sometimes the pain can be given in the back or lumbar region.Although some pain during menstruation - normal, excessive, debilitating pain is not the norm.The medical term for painful menstruation - "dysmenorrhea".
Many women have painful periods.Sometimes the pain makes it difficult to perform normal household affairs for a few days during each menstrual cycle.Painful menstruation is the leading cause of study permits and work among women in their teens and up to 20 years.
Causes of menstrual pain
Painful menstruation is divided into two groups, depending on the cause:
- primary dysmenorrhea;
- secondary dysmenorrhea.
Primary dysmenorrhea - menstrual pain is during the onset of menstruation in healthy young women.These pains are usually not related to the specific problems in the uterus or other pelvic
Secondary dysmenorrhea - menstrual pain is that women develop in adulthood and is often associated with problems in the uterus or other pelvic organs - such as for example:
- intrauterine device (IUD) Copper;
- pelvic inflammatory disease;
- premenstrual syndrome (PMS);
- sexually transmitted infections;
- stress and anxiety.
Diagnosis and treatment of menstrual pain
following tips will allow you to obyuoytis priemv without painkillers:
- to apply a heating pad on your lower abdomen, below the navel.However, you should never go to sleep with a heater;
- do a circular massage with your fingertips around your lower abdomen;
- drink warm drinks;
- eat light meals at frequent intervals.Give up meat, kopchenosstey, pickles and carbonated of drinks at this time;
- to follow a diet rich in complex carbohydrates - such as whole grains, fruits and vegetables, low in salt, sugar, alcohol and caffeine;
- keep your feet slightly raised, or lie on your side with knees bent;
- practicing relaxation techniques;
- try taking vitamin B6 supplements with calcium and magnesium, especially for pain of PMS;
- to take a warm shower;
- longer walk or exercise regularly, including exercises on the pelvic rocking between periods;
- lose weight if you are overweight.Regularly do aerobic exercise.
If, however, you are unable to endure the pain, you can take anti-inflammatory drugs - such as ibuprofen.Start taking it to be the day before the expected menstruation, and take it regularly for 1-2 day of the month;
If these self-care measures do not work, your doctor may prescribe medications such as:
- the contraceptive pill or hormone;
- anti-inflammatory drugs;
encourage woman to call a doctor immediately if it has:
- an increase in discharge or a foul-smelling vaginal discharge;
- high fever and severe pain in the pelvis;
- sudden or severe pain, especially during the month - more than one week, and if the patient was sexually active.
also recommend that a woman see a doctor if:
- treatment does not relieve pain for 3 months;
- a woman has pain, and it has an intrauterine device (IUD) has been established for more than 3 months ago;
- woman clots or other symptoms associated with pain;
- pain occurs and at other times, in addition to menstruation, begins about 5 days before the menstrual period, or continues after its completion.
doctor will have to examine a sick woman, and she can ask such questions about medical history and symptoms:
- how many years a woman was when she started menstruating;
- it always menstruating she had painful;if not, then when the pain started;
- in the menstrual cycle when a woman experiences pain;
- whether acute pain, dull there, with interruptions whether the constant, nagging or spasmodic;
- whether sexual activity of the patient;
- whether the patient is using birth control pills;if so, what kind;
- when she had a last menstrual period;
- whether it is the amount of blood flow is considered normal in the last menstrual period;
- whether menstrual periods are heavy or long-term (more than 5 days);
- whether there is blood clots in women;
- occur there is usually menstrual periods regularly and predictably;
- whether the patient is using tampons for menstruation;
- that the patient has done to try to relieve the discomfort;how effective it was;
- if the pain increases;
- whether the patient other symptoms.
Research and diagnostic procedures that can be made:
- complete blood count;
- test for blood culture to rule out infection, sexually transmitted infections;
Treatment depends on the causes of pain in women.
Your doctor can prescribe the pill a woman to reduce her menstrual cramps.If a woman does not need these drugs for birth control, it may refuse to use them.Many women continue to feel the relief in symptoms even after treatment discontinuation.
doctor may prescribe pain medication.If the pain caused by intrauterine device, your doctor may recommend:
- wait 1 year after initiation of treatment.Painful periods in many women during this time will be held;
- remove the IUD and the use of other contraceptive methods;
- to switch to another type of IUD that contains progesterone, which normally facilitates menstruation and makes it less painful.
required surgery can be if other treatments do not relieve the pain, the woman.Surgery may be done to remove endometriosis, cysts, fibroids, scar tissue or the uterus (hysterectomy done).