Many women suffer from occasional menstrual pain (dysmenorrhea). Is one of the most common reasons for women to seek medical advice. Pain associated with the menstrual cycle can range from moderate to severe due to dysmenorrhea.
Menstrual pain may appear in the lower abdomen, in the back or in the thighs. It may be accompanied by headaches, nausea, dizziness or fainting, diarrhea or constipation during menstruation.
During the menstrual period, the endometrium produces a hormone called prostaglandin. This hormone causes contractility of the uterus, which is often accompanied by pain. During menstruation, some women may suffer from very severe cramps and pains, in particular, that their bodies produce more than normal amounts of this hormone or that their bodies are more sensitive than usual to the hormone.
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Symptoms of menstrual pain
Pregnancy
Menstrual pain is aggravated and worsened despite the use of home remedies
Pain persists even after the end of the menstrual cycle
Additional signs, such as fever, nausea, vomiting, or vaginal discharge
Causes and risk factors of menstrual pain
Causes of menstrual pain, the appearance of dysmenorrhea is particularly common in teenage girls, who have started their menstrual cycle.
"Primary dysmenorrhea" (dysmenorrheal primary) is a term commonly used to describe the pain associated with menstruation, without any known or visible physical problems that can cause pain.
This phenomenon appears to be more common in women between the ages of 20 and 24 and usually disappears after one to two years when the body reaches a state of hormonal balance.
"Dysmenorrheal secondary" is a term used to describe menstrual pain caused by a particular physical disorder, other than the menstrual cycle.
Other disorders and physical problems that can cause dysmenorrhea may include:
The presence of cells that look and act like endometrial cells, inside other parts of the abdominal cavity (endometriosis), or they (these cells) develop into muscle tissue and mucous membranes of the uterus that penetrate the uterine muscle fibers (adenomyosis). Pain usually occurs one or two days before menstruation, and lasts for days throughout the bleeding.
Non-cancerous tumors in the pelvic area, such as cysts in the ovaries, polyps in the cervix or within the uterus itself, or the formation of a fibromyal / myoma.
Inflammation in the pelvic area. The incidence of these infections increases after the start of the menstrual cycle, because the opening of the uterus (the birth canal) expands during menstruation. Staphylococcal infections (STD), sexually transmissible diseases, can occur at any time.
Intrauterine device (IUD). The use of the uterine coil may increase the severity of pain during menstruation, especially during the first month of use. If severe menstrual pain persists for more than the initial period, or if the pain intensifies, the possibility of uterine removal and other alternative contraceptive methods should be considered.
Problems during pregnancy.
Congenital malformations in the uterus, such as: narrowness of the lower part of the uterus, which is related to the vagina (cervix).
Meningitis may also occur after undergoing medical procedures, such as burning, Cryotherapy, cone, cone biopsy, radiotherapy, endometrial biopsy, IUD.
Other problems associated with menstrual cycle, such as weight gain, headache and stress, may occur before menstruation, which may be caused by premenstrual syndrome (PMS).
Treatment of menstrual pain
Treatment of menstrual pain, we can divide the treatment of this phenomenon for more than one way:
Self-care:
Use heat, using hot water bottles, heating pads or hot tubs to relax. Caution should be taken so that the skin does not get burned.
Playing sports. Regular physical activity may help relieve pain.
Treatment by interventions for behavioral changes in the patient to relieve pain thinking such as hypnosis and hypothermia sessions.
Changes in diet, such as low-fat, low-fat foods and vitamin E, B1, B3, D3
Treatment by medication:
Treatment with nonsteroidal anti-inflammatory drugs (NSAIDS), especially COX-2 inhibitors
Contraceptive drugs containing estrogen and progesterone given by mouth, injections or devices installed inside the reproductive system
Phosphodiesterase inhibitors such as cidenafil (sildenafil)
Other treatments:
Alternative treatment or complementary Chinese acupuncture and others
Electrical nerve treatment of pelvic nerves across the skin
Surgical treatment for cutting the nerves in the pelvis and causing pain in the period of the menstrual cycle.
Prevention of menstrual pain
Women with dysmenorrhea may be able to prevent their appearance by:
Minimize the consumption of caffeine, alcohol, salt and sugars.
Maintain a steady system of moderate exercise. Do physical activity for 30 minutes, four or five times a week.
Stress relieving stress and daily stress in life. Although stress and stress are not common
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