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Painful Menstruation

Menstrual period may give a hard time to some women. Abdominalcramps are the most common problem that might appear just before or during theperiod. In most cases, these are not serious but unpleasant problems.

Other symptoms that follow menstruation might be: back pain,headache, nausea, vomiting, diarrhea, dizziness or pulling sensation in thethighs. Some women could also suffer from tachycardia, shaking of the body(also known as tremor) or excess sweating.

Another problem might be dysmenorrhea. This is a type of severepain during the menstruation, which causes many women to consult agynecologist. The pain is located in the lower part of abdomen and it hurtsduring the menstruation. Often, this condition affects the everydayroutine and productivity at work or in school. In most cases, dysmenorrhea is so intense that it mustbe treated with some medications.

Dysmenorrhea could be primary or secondary condition.

Primary dysmenorrhea starts shortly after the firstmenstruation. The causes of this dysmenorrhea are prostaglandins, synthesized inuterus. These substances are responsible for uterus contraction, which mightlead to those hurtful cramps in the lower abdomen. The pain in dysmenorrhea is worstduring the first days of menstruation, which is consistent with prostaglandinsrelease. The scientific studies have proven that women who experiencemenstruation pain synthesize more prostaglandins than the other women.

Secondary dysmenorrhea is frequent in women over 20, and canworsen at any time of the period: before, during and even after themenstruation. There are many different cause of secondary dysmenorrhea,including: endometriosis, fibroid, intrauterine devices, cervical stenosis, and pelvic inflammatory disease.

When consulting a doctor because of the menstrual pain,he/she will perform an exam, take a Pap smear and sometimes take blood andcultures. It might be necessary to perform ultrasound of the pelvis, inorder to properly diagnose the condition.


There are some OTC (over the counter) medications that mighthelp to ease the pain. Usually, women take some of the non steroidalanti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen. These medicationsblock the prostaglandins and efficiently relieve the pain.

Take the drugs when the pain starts and drink tabletswith some food, to prevent the nausea or heartburn. Do not take NSAIDs if youare allergic to Aspirin, have gastrointestinal problems, bleeding or liver problems. Sometimes, pain could be resistant to NSAIDs. Consult yourdoctor about the possible prescribed medications to get some relief.

If the medications don’t help, the next step is surgery. Laparoscopicprocedure will take care of the existing medical problem which is causingpainful periods. These may be endometriosis, cyst or some adhesions.

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