Regarding the root causes - doctors identify two main factors, these are physiological causes and hormonal imbalance. If we talk about hormonal imbalance - it is precisely prostaglandin oversupply that provokes pain.
Why menstruation is painful:
- Infectious-inflammatory processes in the reproductive system and organs of the small pelvis of a woman, as well as malignant / benign neoplasms and varicose veins.
- The use of contraceptives, in particular the intrauterine device.
- Frequent medical abortions and other intrauterine surgeries - in this case, scarring of the tissue occurs, as a result of which painful menstruation also takes place.
- The cause of very painful menstruation in women can be complications after surgery on the uterus and complications after childbirth, as well as complications after cesarean.
- Excessive mental as well as physical fatigue, non-observance of the normal mode of work and rest.
How to relieve pain
According to medical statistics, painful menstruation occurs in adolescent girls at the stage of formation of the menstrual cycle, and until it is established, they will be disturbed for 2−3 years. In addition to everything else - everyone who leads an unhealthy lifestyle, also complain of sick periods.
The very same complex of health measures aimed at eliminating painful menstruation, includes:
- treatment of advanced and current diseases, both the reproductive system and the whole body,
- competent organization of the regime of work and rest, as well as the appointment of a special diet - in this the doctor will give a gynecologist and a nutritionist,
- rejection of harmful addictions - smoking and alcohol, drugs, as well as taking a course of physical procedures,
- The acupuncture course and reflexotherapy, the intake of vitamins also give positive results in the struggle with painful menstruation.
At home, you can make a light massage on the lower abdomen, following in a clockwise direction, after, wrap yourself in heat, or take a warm shower.
Methods of treatment without medication
In the arsenal of traditional medicine, there are many tools through which you can remove pain in algomenorrhea. First of all, you can make tea from horsetail, knotweed and yarrow, cuff and motherwort - prepare the collection of dry raw materials, taken in equal parts. Next, 2 liters of boiling water brew 4−5 tbsp. l collection and insist a few hours. Accept before meals, but the main thing to remember is that the collection has a pronounced diuretic effect.
Helps relieve pain during menstruation and infusion of oregano - in a liter of boiling water steam a tablespoon of dry raw materials and insist for several hours in a thermos. Accept throughout the day, dividing the entire volume into 4−5 receptions. It also helps to relieve pain and decoction from the shepherd's bag - it is enough to steam a tablespoon of dry raw material in a glass of boiling water and boil it for 3-4 minutes over low heat. Next, let cool and take throughout the day.
Decoction of elecampane - effective and effective popular recipe. In this case, in a liter of boiling water, steam a tablespoon of the whole dried plant along with the root and let it brew for about an hour. Divide the entire volume into 2 doses - it not only relieves pain, but also produces a sedative effect.
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Pharmaceutical means of reducing pain
In today's pharmaceutical market, a lot of tools are presented that help localize and suppress pain during menstruation. But you should not practice self-treatment - to eliminate the menstrual pain, the drug should be selected only by a doctor. All drugs doctors conditionally divided into several groups:
Group of non-steroid drugs
They are taken before the onset of menstruation or in the first days of the start of discharge - effective and affordable. Among such pills that are acceptable for painful menstruation are the following:
- Aspirin - gradually relieves pain. His take 1-2 tablets 3-4 times a day.
- Paracetamol - take no more than 4 tablets per day.
- Ibuprofen - the maximum dosage of administration per day should not exceed 5-6 tablets.
- Piroxicam - doctors prescribe it on a pill no more than 3 times a day.
- Citramon - drink as pain increases.
Helps relieve spasm and so eliminate pain. By the speed of their influence and relief of pain, they are somewhat inferior to the non-steroid group of drug formulations.
- Papaverine - take 1 tab. no more than 3 times a day. Helps relieve muscle spasm and relax internal organs, thereby eliminating pain.
- Buscopan - it is recommended to drink no more than 1-2 tablets up to 5 times a day, relaxing the muscles and removing the spasm, thereby coping with the pain syndrome.
- Drotaverine take 1-2 tablets. no more than 5 times a day. Its composition dilates the blood vessels and has due to this a pronounced, long-lasting analgesic effect.
- No-shpa is the most common drug for menstrual pain, characterized by a quick positive effect and the absence of side effects. Take no more than 6 tablets per day.
Drugs classified as analgesics
They act effectively, but their effectiveness is short-lived.
In this group, doctors include drugs - Spazmalgon, Baralgin, Analgin and others. No more than 1 tablet per day is shown - their compositions and active compounds do not in the best way affect the liver and the work of the heart, the state of the internal organs.
How to treat a painful period will tell the doctor on the video:
Why pain during menstruation is considered a pathology
About 75% of mature girls and women of reproductive age 2 days before the beginning of the cycle and the entire period of critical days is going through PMS. Symptoms of premenstrual syndrome in each individual case will be expressed with varying degrees - someone feels only mild discomfort or slight irritability, and someone from the pain will not be able to get out of bed.
It depends on the anatomical features of the structure of the reproductive organs or due to the existing pathologies that are not always related to gynecology, but, for example, to the endocrine, vascular, hematopoietic systems, and so on.
If during a period of menstruation a woman experiences a deterioration in her state of health to such an extent that she cannot fully relax and work, then it is necessary to look for the reasons that “started” a similar reaction of the body to the change of cycle phases. Painful menstruation may be a secondary symptom of the underlying pathology, which is why examination and further treatment is required.
With a monthly deterioration of health, especially in adolescents who have started puberty (growth of the mammary glands and pubic hair, menarche, etc.), it is strongly recommended to visit the gynecologist's office and undergo an extensive examination.
Other pathology symptoms
When a mature girl or a woman who has not yet given birth experiences minor deviations from her usual state, in which she does not need to drink analgesics, antispasmodics and other medications, her critical days (CD) are characterized as painless periods. If she is experiencing severe PMS, she is forced to do exercises of respiratory or physical exercises, take medications - you should look for pathology.
- loss of consciousness or dizziness,
- nausea, vomiting,
- arrhythmia, tachycardia,
- unstable blood pressure (jumps, decrease, increase),
- aching joints, muscles,
- psycho-emotional instability,
- scanty or excessive blood flow.
Each woman may have one or several symptoms characteristic of a particular pathology, but there is always pain in the lower abdomen, which can begin 1-2 days before the cycle and continues until the end of the menstrual phase. She often radiates (gives) to the perineum, lumbosacral back, organs located in the pelvis. Pain is characterized by cramping attacks, but it can also be steadily aching. It is also often jerking, piercing or accompanied by cuttings all over the stomach.
Causes of painful menstruation
Until today, there is a perception that this situation with menstruation will disappear on its own after a young woman brings out her first child and gives birth. This is only possible when the cause of the painful periods is an improperly positioned body of the uterus. This is his easy bend, which arose in the process of organ growth during puberty or when weight lifting was unsuccessful.
With the congenital malformation, genetic predisposition to abnormally the current menstrual cycle, any pathology - the appearance of the firstborn does not save from monthly pain. That is why a mandatory gynecological examination with subsequent treatment is required.
Painful menstruation is associated with pathologies:
- dysfunction of the reproductive system glands or ovaries,
- inflammation of the tissues of the reproductive organs (vaginitis, andexitis, endometriosis),
- infectious or sexually transmitted diseases that are sexually transmitted,
- polyps in the cavity or on the cervix,
- polycystic ovaries,
- adhesions in the appendages,
- ectopic pregnancy,
The causes of painful menstruation should also be sought among the functional disorders of the hypothalamus, pituitary, nervous-mental and vegetative-vascular systems. But the deviation in the work of the endocrine and sex glands by doctors is considered first. After all, hormonal imbalance is one of the main factors that cause painful menstruation.
If you go into details, then the predominance of prostaglandin in the blood, which is responsible for the reduction of uterine muscles, occurs due to dysfunction of the glands, and this leads to a high level of the hormone. The uterus begins to contract intensively, because of which the rhythm of contractions is disturbed, and pain appears.
What they are doing to find out the reasons
First of all - you need to undergo a medical examination. Girls up to 16 years old should contact a pediatric gynecologist. During the diagnosis of painful menstruation, it will be necessary to donate 1–5 times blood for general biochemical analysis and hormonal status. This will help track the synthesis of prostaglandin and other genital substances.
In the process of gynecological examination take smears, scrapes for cytology. When painful menstruation often do video-colposcopy or hysteroscopy, ultrasound, laparoscopy. It helps to see the intrauterine space and the ovaries, analyze the condition of the organs.
If dysmenorrhea is diagnosed
Upon completion of the examination, the doctors indicate in the results the name of the pathology or another factor that provoked painful periods. The reasons are eliminated with medication, with the help of surgery or physiotherapy, and other optimal treatment methods are also selected. When a dysmenorrhea is diagnosed in a medical report - what does it mean?
Pathology refers to violations of the cycle in females from the period after the menarche (first menstruation) to the onset of menopause (premenopause), characterized by regular, but always painful, menstruation.
Dysmenorrhea is accompanied by psycho-emotional and autonomic disorders. These are depression, fatigue, unwillingness to get out of bed, headache, arthralgia, lack of appetite, temperature above 37 C, nausea, vomiting, diarrhea, flatulence, sore throat, insomnia, like.
During the menstrual phase, the leading symptom of pathology can be not pain, but another symptom that causes discomfort, overworking the nervous system. This is reflected in memory, performance, contributes to mental or physical fatigue.
Most often, the functional disorder of the cycle is subject to adolescent girls, sexually mature girls and nulliparous women. For the first time, very painful periods may occur during 3 years after menarche, or the intensity and duration of attacks will increase in the following years.
Primary dysmenorrhea is not associated with pathological processes that entail a change in the tissues of the reproductive organs. The cause of the appearance of painful menstruation is considered to be prostaglandin, estradiol E2, psychological factors associated with maturation, and physical changes in the uterus, in which during the growth process, the body can bend.
During the period of formation of the cycle, the lack or excess of hormones causes dysfunction of uterine contractility. High muscle tone does not allow the cervical canal to expand in a timely manner, to keep a sufficient period of muscle in a relaxed state so that the body can relax. As a result, the endometrium is separated by large clots, the tissues of the uterus are in constant tension, pieces of the mucous cannot pass through the canal of the cervix - this is why most often there is severe pain in the primary form.
Functional impairment of subtype 2 is inherent in women with congenital or acquired pathologies that directly or indirectly affect the menstrual cycle. They cause painful periods, as they cause compaction, adhesions, growth in the tissues of the reproductive organs. This leads to impaired blood circulation, muscular spasms, increased seizures.
The most common causes of secondary dysmenorrhea are inflammation of the mucous and muscular membranes of the uterus itself (endometriosis and the like), ovarian dysfunction (cytosis, salpingoophoritis, etc.), the presence of polyps, a tumor or an IUD.
How to eliminate painful menstruation
Treatment includes the use of physical therapy, physiotherapy - electrophoresis, UHF, laser therapy, medication, aimed at removing the underlying cause of dysmenorrhea. With painful periods, nonsteroidal drugs are prescribed to relieve inflammation. Prescribed antispasmodic drugs.
In case of painful menstruation, hormonal preparations are used (Marvelon, Silesta, Mersilon, oral contraceptives). Apply and means with antiprostaglandinovom action (Indometacin, Naprosin, Brufen, Butation and other species that have the ability to suppress the synthesis of this hormone).
What to do when painful menstruation is prohibited:
- change the dosage or regimen of medication,
- interrupt therapeutic course
- perform heavy physical work.
In case of painful periods after medical consultation, it is allowed to resort to methods of informal medicine. This acupuncture (acupuncture), herbal medicine, apitherapy.
If painful periods occur in each cycle, what to do? The first step to solving the problem should be a deep medical examination, which begins with an examination in the gynecological chair. Then you just need to follow all medical recommendations aimed at eliminating the causes of their occurrence - therapy, regular gymnastics and a healthy lifestyle for preventive purposes.
Hello! I usually have monthly periods quite painlessly, for the first two days it pulls the lower abdomen, one, maximum two tablets of ketorol are enough. But the last time the first day was very bad, I felt dizzy and nauseous for an hour, my eyes were dark and my stomach ached just unbearably. If in the next period everything will be fine, is it worth worrying? And what could it be from?
I have severe pains in the lower abdomen. There are so much pain as if contractions were naxing
I can tell by my own age 20. don’t be keen on Ketorol I drank it all the time, it doesn’t help me now I drank it once when there were no other pills at home .. I tried tablets I took them to prevent pain but not for long ... now the doctor prescribed candles I hope will help ..
I do not know why this is considered a pathology. I think that pain during menstruation, probably, was experienced by every woman. As well as worsening of health, irritation, nervousness or rash on the body. Of course, if the pain, aches so strong that a woman has to take, for example. sick, then this is a situation which should be considered. In other cases, a special yoga, the use of sweet, optimistic attitude will help. It is important for any woman to realize that the monthly benefit for our body. that along with the blood and negative emotions come out, the body is cleared at all levels.
My PMS was a very hard time. The uneven state aggravated, and the pain was very strong. I couldn’t get to the doctor for a long time, as I was afraid to hear about health problems, but everything turned out to be easier. I was prescribed Magnerot. And they said that such cramps are due to a lack of magnesium. Sawed a full course and it became much easier to transfer the period of menstruation. Very pleased with his action.
I had very painful periods. At work, I just couldn’t sit at work these days, even if I take a hospital. Pain pills gave a very weak effect and then I decided to go to the doctor. На приеме мне прописали пропить Магнерот, сказали что он снимает спазм, пропила и состояние стало намного лучше.
I managed to significantly reduce breast tenderness and pain in the lower abdomen during menstruation due to the reception of Vitex sacred, angelica roots and ginger. All this took in the composition of the capsules of the time factor. The result is quite happy, no wonder these substances are known for their antispasmodic properties, and the body is gently affected.
Why is it a pain in the stomach during the menstruation - the main causes of pain during menstruation
Any woman (with rare exceptions) is experiencing before or during menstruation at least discomfort. The main complaint is abdominal pain.
Why is this happening?
Firstly, should not panic: if there are no accompanying "signals", and the menstruation is not out of the framework outlined by doctors, then there is nothing to worry about. The natural physiological process (monthly rejection and separation of the inner layer of the uterus, which, by contracting, causes pain) does not require an urgent visit to the doctors.
Painful periods have their name - algomenorrhea:
- Primary Algomenorrhea. Increased contractile activity of myometrium with tissue hormones and, as a result, cramping pains and vascular spasms. Peculiar to women of 16-25 years. Symptoms include nausea, headaches, upset stool and tenderness in the lower abdomen a day or two before menstruation and the first two days of menstruation. Pathological changes in the pelvic organs are not observed. Usually the level of pain decreases after childbirth and with age.
- Secondary algomenorrhea. In this case, there are any pathologies of the pelvic organs, and pain becomes a symptom of anatomical changes in the uterus.
TO causes of painful menstruation (dysmenorrhea), not associated with diseases of the female reproductive system, include:
If the pain during menstruation is of short duration, the level of pain is tolerable, and everyday things are not postponed - then everything is fine, and there is no reason to panic.
10 best recipes - how to get rid of pain during menstruation
To reduce the level of pain during menstruation (provided there are no serious problems with women's health) traditional folk methods can help:
- Dry heat, massage and rest
It will warmly help to relax the uterus and reduce the strength of its contractions, a gentle massage of the abdomen (strictly clockwise) will relax the muscles.
- Pain reliever
1-2 tablets no-shpy help relieve cramps. Ibuprofen, spasmalgon or ketonal will help to cope with strong pain. For pains caused by over-stimulation of the nervous system (stress, etc.), a simple sedative can help - even a normal valerian.
- Oral contraceptives
Contraceptive pills contain hormones that contribute to the normalization of hormonal levels. Such tablets are very effective for relieving abdominal pain and other "effects" of menstruation. Of course, without the advice of a gynecologist, you should not start the reception.
- Physical exercise
Of course, we are not talking about shock loads and, especially, not about abdominal exercises, but here the tilts, body rotations, light stretching are fine. Pilates and yoga, suggesting work on muscle tone, is also an excellent remedy for pain.
- Compresses and baths
For example, a bath with sea salt (taken before and after menstruation for 15-20 minutes, daily). Sessile baths (contrasting) before menstruation and compresses during menstruation are also suitable. After a bath or a contrast shower, dress warmly and lie down for at least an hour.
- Herbal teas, infusions, decoctions
These include chamomile and mint tea (honey can be added), parsley or sorrel, mineral water, tansy, acorns, strawberries, angelica, etc.
Removal of spasms will contribute to lumbar massage. It is desirable, with someone's help, although you can do it yourself. Put two tennis socks on a tennis ball, lay your back on them so that the balls are at the level of the lower ribs on either side of the spine. Gently press them back and gently roll the balls with your muscles.
- Essential oils
Before menstruation and the first days, you can rub a mixture of essential oils into the sacral area, as well as into the lower abdomen. Ingredients: Hypericum oil (50 ml), marjoram (5 drops), nutmeg sage (4 drops), yarrow (5 drops). Rub a couple of times a day. Before the procedure, test for allergies, a little smearing the mixture, for example, elbow bends. Itching or redness is a sign of allergy.
The most useful and least traumatic way to relieve pain. The main advantages are the release of endorphins (natural painkillers), muscle relaxation.
- Cold on the stomach
“Freeze” pain is one of the effective methods. On the stomach should put an ice pack (only in a towel and on top of clothes!) For 15 minutes, no more.
As for the prevention of pain before and during menstruation, remember eating high calcium foods (low-fat dairy), save activity (this also applies to sex - orgasm reduces the level of discomfort), keep spicy, spicy and coffee in your diet to a minimum, stop smoking and alcohol, do not overcool and avoid stress.
When should I consult a doctor if I have pain during my period?
You should be wary and pay a visit to your gynecologist if ...
- The pain changes your usual way of life (you have to take a day off and lie in bed).
- Severe pain lasts more than 2 days.
- Pain accompanied by nausea, diarrhea, headache.
- Excessive bleeding is accompanied by the release of blood clots and lasts more than 1-2 days.
- Severe pain is present, even with the intake of oral contraceptives.
- Severe pain (for middle-aged women) appeared quite recently.
- Ibuprofen, no-spa, analgesics do not help.
- Discharge is more abundant than before (laying lasts for 1-2 hours).
- The cycle was broken, and body weight decreased.
Such symptoms may indicate the presence of serious reasons for treatment. These usually include:
- Endometriosis (aching or cramping pains with return to the rectum during the whole cycle).
- Myoma, fibroma, polyps or cancer of the uterus.
- Anomalies in the structure of the uterus.
- Willebrand disease.
- Platelet deficiency in the blood.
- Inflammatory process in the urogenital system.
To relieve pain during menstruation, natural non-hormonal drugs are often used, such as Menalgin, for example. It reduces pain, intensity, duration of menstruation and relieves psycho-emotional overstrain. Admission Menalgina in "critical days" reduces the need for the use of NSAIDs, adversely affecting the digestive tract. With a tendency to painful menstruation to start taking the drug is recommended on the eve of the 1st day of menstruation. Menalgin has a complex effect: analgesic, antispasmodic, sedative and anti-edema.
In no case should not suffer and endure severe pain! If you are disturbed by your condition - immediately consult a doctor. A standard examination will reassure you, or help you start treatment on time, which will benefit in any case.