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Welcome, medical contents search April 25, 2013
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Painful Menstruation

more about Painful Menstruation


  • This is the most common pain experienced by women: Approximately 50% of woman experience this pain, and 10% experience severe or disabling dysmenorrhea.  Uterine contractions occur during all periods, but, in some women, these cramps can be frequent and very intense; in such cases, the condition is known as dysmenorrhea.  Primary dysmenorrhea is caused by normal uterine muscle contractions and affects more than half of menstruating women.  Secondary dysmenorrhea is menstrual-related pain that is caused by abnormal medical conditions, such as endometriosis.

  • Lower abdominal crampy pain that occurs before the beginning of the menstrual period and lasts 1 or 2 days into the period.
  • Pain radiating to the back region or inner thigh region
  • Nausea, vomiting, Diarrhea, Constipation
  • Headache, fatigue may accompany the pain
  • About 10% have severe symptoms, causing them to take more days off work and experience a performance loss at school, compared to unaffected woman.

  • Primary dysmenorrhea

- It is caused by the production of prostaglandins during menstruation.  Prostaglandins are chemicals that occur naturally in the body.  Certain prostaglandins enhance uterine contractions, causing pelvic pain.

  • Secondary dysmenorrhea:
    1. Endometriosis
    2. Pelvic inflammation
    3. Adenomyosis
    4. Uterine myoma
    5. Ovarian Cyst
    6. Pelvic congestion
    7. Intrauterine contraceptive device (IUD)
    8. Uterine polyp
    9. Uterine malformation
    10. Cervical stenosis

  • Based on history of symptoms and physical exam to rule out secondary causes.  The physical will include a general exam and an internal pelvic exam.  Younger adolescents who have not become sexually active usually will not require a pelvic examination.
  • Blood samples may be taken (from veins in the arm) to rule out hormonal abnormalities and pregnancy.

  • Common pain relievers: aspirin, ibuprofen, naproxen, acetaminophen
  • Birth control pills
  • The treatment of underlying disease
  • Self-care
  • Rest
  • Drink a hot cup of regular tea, chamomile or mint tea.
  • Heating pad or warm-water bottle on your abdomen
  • Take a warm bath.
  • Gently massage your abdomen.
  • Mild exercises

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