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Is your menstruation painful?

Dr. Ankur
May 5, 2010

Often pain is experienced on the initial phase of menses attributed to the associated uterine cramps. Though the pain is normal, bearable and doesn’t require any medical help but sometimes this awful experience may be associated with a medical condition requiring professional assistance with a thorough analysis and treatment. Here the pain is not physiological and will not subside until treated, if unchecked would rather complicate further.

What causes dysmenorrhoea (painful menstruation)?

The painful scenario is categorised into primary and secondary dysmenorrhoea based on the presence of no apparent cause and existing pathology respectively.

The primary group of pain majorly is because of the hormonal stimulation leading to frequent and high degree uterine cramps. This is a very common variety much more evident in teenagers, where pain shows with no signs of any disease on examination what so ever. It lasts for about a day or two and subsides on its own. Sometimes the pain may present in conjunction with nausea, vomiting and irregular defecation either in form of diarrhoea or constipation. The condition gets better with age and mostly fades off after child birth with widened birth canal and well built uterine musculature.

The secondary group includes on the diseased aspect. The list includes endometriosis (abnormal placement of uterine lining), PID (pelvic inflammatory disease) and fibroid (non cancerous growth within the uterus). Here a female also presents with other symptoms of the disease sphere along with the lower abdominal pain. Here the duration and severity will entirely depend on the extent and involvement of the disease.

What to do?

This painful menstruation need to be brainstormed thoroughly to detect abnormalities. The examination begins with a detailed history taking to take note of onset or any change that may have appeared suddenly pulling the patient to come over for medical assistance. Physical examinations along with a gynaecologist’s reproductive system examination will complete the human effort. Next are the diagnostic tests that include ultrasound, Pap smear, blood tests and cultures.

Once the pathology is detected then appropriate treatment is to be initiated. If the patient reports of no relief despite of treatment then a step ahead is to be established with a surgical procedure named laparoscopy to detect further for any missed disorder.

The treatment for secondary dysmenorrhoea would be entirely based on the disease and as the condition improves pain will shed off sooner or later.

As far as the primary dysmenorrhoea is concerned, doctors suggest of some life style changes and alternative methods to ease the trouble. Regular exercising in between periods makes the process swift. Also warm application on the lower abdomen during menses helps muscle relaxation and relieves pain to an extent. Drinking plenty of water with intake of nutritious and balanced diet is advised too. Also a sufferer is advised to avoid excess of caffeine during this phase, though mild pain killers can help with temporary action.

What raises the risk?

Here the risk causing factor is unprotected sex; this enhances the chances of sexually transmitted disease and inflammatory diseases. The mere preventive measure would help with secondary dysmenorrhoea.

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