What is Dysmenorrhoa?
Dysmenorrhea is the medical term for menstrual cramps, which are caused by uterine contractions. Primary dismonoria refers to normal menstrual cramps, whereas secondary dismonoria is caused by disorder in reproductive organs. Both types of treatment can be done.
There are two types of Dysmenorrhoa:
1. Primary dismonoria is menstrual pain which is not a symptom of underlying gynecological disorders but is related to the general procedure of menstruation. Primary dysmorrhea is the most common type of dysmorrhoea, affecting more than 50% of women, and about 10% is very serious. In late teens and early 20’s, primary dismonia is the most common. Fortunately for many women, especially after pregnancy, the problem rises. Although it can be painful and sometimes weak for a short time, it is not harmful.
2. Secondary dysmenorrhea is menstrual pain which is usually related to some type of gynecological disorder. Most of these disorders can be easily treated with medicines or surgery. Secondary dismोनaria is more likely to affect women during adulthood.
Dysmenorrhea is less in those who exercise regularly and whose early children are in their life. Treatment may include the use of heating pads.
Among the medicines that may be helpful include IiPids such as ibuprofen, hormonal birth control, and IUD with progesterone. Taking vitamin B or magnesium can help. Evidence for yoga, acupuncture, and massage is insufficient. Surgery may be useful if some underlying problems exist.
How Dysmenorrhoa is?
A focused history and physical examination is usually sufficient for the diagnosis of primary dismonuria. Information about starting, location, duration, and pain, as well as information about any stimulants or relief factors, should be sought from the patient.
The primary starting point of primary dismoniori is usually six to 12 months after men, in which the ovary cycle begins. Lower stomach or pelvic pain often occurs for eight to 72 hours and is usually associated with the onset of menstrual flow. Back and thigh pain, headache, diarrhea, nausea, and vomiting can also occur.
How Dysmenorrhea Expands?
When is the pain related to primary dismonia during the menstrual period?
The menstrual cycle hurts just before the start, because prostaglandin levels rise in the uterus layer. On the first day of menstrual period, the levels are high. Since the menstrual cycle continues and the uterine lining flows, levels decrease. Due to the low level of prostaglandin, the pain usually reduces.
At what age does primary dismonoria begin?
Often, after the start of the pregnancy period the primary dismonoria begins. In many women with primary dismonia, less menstrual period becomes less painful. This type of Dysmenorrhoa can also improve after giving birth.
What is secondary dismonia?
Secondary dismonoria is caused by a disorder in the reproductive system. It can later be started in life with primary dismonia. Pain gets worse with time rather than better.
Pain associated with secondary dismonia occurs during menstrual period?
The pain of secondary dismonia is often more than normal menstrual cramps. For example, it may start a few days before the start of the period of menstruation. After the period of menstruation period continues to worsen, the pain can get worse and can not go away after it is over.
What is the reason for dysmenorrhea?
It is believed that primary dismonoria is due to excessive levels of prostaglandin, hormones that make your uterus contract during menstruation and childbirth. During the period of your menstrual cycle, the release of these hormones when lining (endometry) is the result of pain. This leads to uterine contraction and decreases blood flow to the uterus.
Factors that can make the pain of primary dismonia worse, include a uterus that tilts backward (retrograde uterus) in the next place; Long, heavy, or irregular menstrual period; lack of exercise; Psychological or social stress; Smoking; I am drinking; Overweight; A family history of dismोनoria; And starting menstruation before 12 years.
Secondary dismonia may occur due to several conditions, including the following:
• Fibroids – benign tumors that grow or are connected within the uterine wall
• Adenomyosis – The tissues of the uterus (called endometrium) begin to grow within the walls of their muscles
• A sexually transmitted infection (STI)
Endometritis – fragments of endometrial lining found on other pelvic organs
• Pelvic inflammatory disease (PID), which is primarily infections of fallopian tubes, but can affect ovaries, uterus and uterus.
• An ovarian cyst or tumor
• Use of an intrauterine device (IUD), birth control method
What is the symptoms of dysmenorrhea?
• Pain in the stomach (pain can be severe sometimes)
• feeling pressure in the stomach
• Pain in the hips, pain in the lower part and internal thighs
What is Dysmenorrhoa Drug?
Pharmacotherapy is still the most reliable and effective treatment for relieving symptoms.
Medical options include:
• Simple analgesic (such as aspirin or paracetamol);
• Prostaglandin inhibitors (such as Memphis) or Anti-Inflammatory Drugs (e.g. Celebrex, Brufen,) on the first suggestion of pain (if simple analgesic ineffective);
• Combined oral contraceptive pills (COCP);
• Vitamin B1 (Thiamine) 100 mg per day.
Anti-Inflammatory Drugs and CoCP are the most therapeutic methods for the management of primary dismonorrhoea. These agents have different mechanisms of action and can be used in a helpful manner in refractive cases.
Anti-inflammatory medicines produce different degrees of symptoms and 60-100% of cases have been reported for successful treatment. They should be started immediately after starting menstruation or before predicting the start of the patient. New categories of anti-inflammatory drugs such as salebreaks which target specific receptors have fewer side effects but the efficacy is still the same. Common side effects with anti-inflammatory drugs include: Gastro-Anxiety in distress, dizziness and headache.
Combined oral contraceptives are useful for pain and for additional benefits of contraception. They work by suppressing the spread of endometrium and indirectly by prostaglandin synthesis.
Other proposed therapies include: progestogens, spasmolytics, tens, acupuncture, transdermal nitroglycerin, minerals and vitamins supplements, herbal remedies. These treatments have not been studied well.
A Cochin Review found that the most beneficial drug was NSAIDs, and vitamin B1 and magnesium proved to be effective too. There was no evidence till now that Vitamin B6, Vitamin E or herbal remedies were effective. Spinal cord manipulation was unlikely to be beneficial.
Due to the lack of response to NSAIDs and COCP (or combination), the possibility of a secondary cause for dismonia may be suggested for which further investigation may be required.
What is the treatment of dysmenorrhea?
Women with dismannioroa require a thorough medical examination to ensure that their period pain is not due to some reproductive disorders such as endometrosis or fibroids.
Treatment options for dysmenorrhoea may include:
• Pain relief medication, such as paracetamol
• Medicine that prevents prostaglandin, such as ibuprofen or other anti-inflammatory medication
• Pay attention to regular exercise and overall physical fitness
• Applying heat, such as hot water bottle, in the stomach
• Technical exemption
• Oral joint contraceptive pill, which reduces prostaglandin and therefore reduces pain
• Relax during the first day of bed or during this period.