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Painful Menstruation

Painful period is called Dysmenorrhea. It is manifested in pain in the lower abdomen that occurs during menstrual bleeding and is spreading to the back, thighs and the hips. Also, nausea, vomiting, diarrhea, or pain in the whole body may occur, but only during menstrual bleeding. A woman who has a painful period is irritable and very pale and feels bad.

It is normal that woman has a pain in the form of spasms of small intensity in the lower part of abdomen in the first two days of menstruation. Almost half of women have these symptoms. However, in 10% of women the pain is so strong that the everyday activities cannot be done without taking drugs.

Primary Dysmenorrhea is painful menstruation that is not a symptom of some gynecological disease, but it is caused by insufficiently developed or improperly placed uterus, or very high levels of prostaglandins - substances that lead to convulsions (contractions) of the uterus.

Primary Dysmenorrhea is painful but not dangerous. It is common during adolescence, and disappears in mid-thirties or after birth.

Secondary Dysmenorrhea is painful menstruation caused by a gynecological disease.

It is characterized by: pain that lasts longer than three days, bleeding between periods or even no menstrual blood, pain occurs several days before the start of menstruation, pain is accompanied by profuse blood flow or bleeding is very scarce in the form of stains. Causes of secondary Dysmenorrhea can be: benign tumors of uterine muscle (myoma), adenomyosis - mucous membrane of the uterus is located within uterine muscle, diseases that are transmitted during sexual intercourse, endometriosis - uterine mucosa is localized outside the womb (in the fallopian tubes, ovaries, small pelvis, the intestines, the vagina, etc.), pelvic organs inflammation, ovarian cyst or tumor. Secondary Dysmenorrhea is a very serious problem, but all the diseases that lead to it can be treated.


Firstly, the doctor must exclude the existence of secondary causes of Dysmenorrhea. So, it is necessary to do gynecological examination and blood and urine testing. Sometimes the diagnosis requires ultrasound and laparoscopy.


Primary Dysmenorrhea is treated by analgesics. Non-steroidal anti-inflammatory drugs are usually used, but they are effective in only 80% of women. Oral contraceptives and Aspirin are also effective.

Secondary Dysmenorrhea is cured by removing the causes of its origin.

General measures such as proper nutrition without a lot of spices, resting, walking on the fresh air and recreational activities are recommended in the treatment of painful menstruation.

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