Health

Painful periods: causes, treatment

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There are women who consider the most terrible days in their lives - critical. Dysmenorrhea, or very severe pain during menstruation, the causes of which can only be identified by a gynecologist, simply knocks women out of a rut. Such symptoms are not the norm, but they signal serious health problems. Here you can not hesitate, you should seek medical attention as soon as possible.

What is the menstrual period

Menstruation, or monthly - is the process of rejection of a certain part of the endometrium, during which bleeding occurs. The first day of menstruation is considered the beginning of the menstrual cycle. During this period, a woman cannot become pregnant.

During monthly bleeding, there is an intense contraction of the uterine muscles. Vascular spasm occurs, which prevents proper nutrition of tissues, and therefore there is severe pain during menstruation. The reasons are rooted in elevated levels of prostaglandins in the blood. That is, during the whole month, the uterus prepares for fertilization of the egg, and its internal cavity is covered with small blood vessels, which should feed the embryo in the case of conception. If pregnancy does not occur, then these tissues become the body is not needed. He seeks to get rid of them through blood circulation.

The situation is reminiscent of “mini-childbirth”, where the uterus contracts and tries to push out unwanted tissues, revealing the neck. Mild pain is quite acceptable here, but strong talk about health problems. Tolerate them is not necessary and everything must be done to get rid of the monthly pain.

Severe pain during menstruation: causes

As a rule, behind a similar uncomfortable state lies a number of very different factors, these are:

  • hormonal hormone disorders in women,
  • inflammation of the uterus or appendages,
  • endometriosis, including adenomyosis,
  • fibroids (fibroids) or any other formation in the uterus,
  • polyps in the uterine environment,
  • violation of progesterone production,
  • ovarian cyst
  • ectopic pregnancy.

May cause stress and prolonged nervous tension, severe pain during menstruation. Reasons to help install a specialist. So, the gynecologist should be consulted for prolonged menstruation, which lasts more than seven days and is accompanied by very severe pain. You should go to the doctor for heavy periods with a rise in body temperature of up to 38 ° C. Symptoms occurring for the first time in a woman are of particular concern.

A type of dysmenorrhea

There is primary and secondary dysmenorrhea (painful menstruation). The first comes as a result of failure of progesterone production. This is a kind of response to the unfertilization of the egg. The woman is in pain when the egg leaves the ovary. In the absence of ovulation, the body begins to rebel and experiences a number of ailments. These include abdominal pain, migraine, dizziness and nausea, vomiting, diarrhea, constipation, neuropsychiatric disorders, etc.

Secondary dysmenorrhea occurs if there is inflammation of the uterus or appendages. In addition, pain in the lower abdomen may indicate an inflammatory process in the abdominal cavity, pregnancy. These may be the consequences of surgery, trauma or a viral illness. Such ailments provoke some ways of protection from unwanted pregnancy. For example, a spiral.

Types of ailments

Severe pain during menstruation, the causes of which are often talked about health problems, can be different, it is:

  • headache (migraine),
  • discomfort, increased pressure in the eye area,
  • sudden jumps in blood pressure
  • heart discomfort,
  • nausea, dizziness and vomiting,
  • excessive sweating
  • depression, irritability,
  • mood swings
  • sleep disturbance,
  • fast fatiguability,
  • puffiness
  • excessive breast sensitivity,
  • lower back pain
  • violation of the gastrointestinal tract (flatulence, constipation, diarrhea, etc.).

It is proved that the majority of women will experience some discomfort during menstruation (especially on the first day) between the ages of 13 and 45 years.

About pain syndrome of varying severity

The most severe pain is observed on the first day of the cycle and is mild, moderate or severe.

In a mild form, a brief, tolerable pain manifests itself, which does not violate the established way of life, working capacity. Does not require taking painkillers. Usually, after childbirth, such pains disappear completely or diminish.

The pain syndrome of moderate severity is reflected by pulling pains in the lower abdomen. Symptoms are complemented by nausea, weakness, frequent urination, chills. Against this background, the emotional state of a woman is disturbed. There is depression, excessive irritability. Sickening smells and sounds are disgusting. The performance of the ladies at this time decreases. At this stage, you should consult a doctor to determine the causes of pain.

Severe stage is characterized by acute and intense pain in the abdomen and lower back. There are severe headaches, migraines, heart pain, tachycardia. Observed diarrhea, vomiting, fainting. Here the woman completely loses her performance. This picture is often formed as a result of infectious and inflammatory processes occurring in the body. Also, the pathology of the genital organs can cause severe pain.

Migraine before and after menstruation

Sometimes there are severe headaches before menstruation. The causes of this symptom lie in the sharp rise in testosterone in the blood. All headaches before and after menstruation are called cephalgic syndrome.

Changes in the chemical composition of blood during menstruation affects the function of the brain, which causes migraine. A similar condition can be caused by a violation of the water-salt balance. In order for the body to be able to fully produce the procedure of rejection of cells during the menstrual period, it accumulates fluid, which then participates in this process. Causes swelling of the limbs, articular part and brain tissue. All this and provokes a strong headache during and before menstruation.

Lower abdominal pain

Severe abdominal pain during menstruation, the causes of which are different for each woman, arise for many. Moderate pain is considered normal, while severe pain indicates certain disorders in the gynecological field.

Pain in the abdomen are weak, medium and strong. Manifested in the depths of the pelvis as dull, pulling or pressing pain. They may be constant or pulsating. Normal is considered to be pain, which begins to manifest itself before the appearance of critical days and passes immediately after the end of menstruation.

Severe abdominal pain during menstruation, the causes of which are often not established, can go along with migraine, accompanied by a disorder of the gastrointestinal tract. This condition cannot be considered normal. In this case, you should undergo a full medical examination.

Consequences of painful menstruation

Very severe pain during menstruation, the causes and consequences of which should be revealed by a gynecologist, lead to complete loss of working ability. They affect the well-being, psychological state of a woman.

Mild and moderate form does not cause complications. The average pain syndrome, provoked by diseases of the genital organs and pathologies, may progress in connection with the development of gynecological disease. At the same time, the pain itself does not have any effect on the complication of the symptom.

Menstruation should not be accompanied by very severe pain, depriving a woman of full capacity. Treatment of these symptoms is not limited to painkillers, you should look for the true cause and eliminate it. Strong pains exhaust. They are hard to endure not only physically, but also emotionally, because it harms the nervous system. In addition, the constant use of anti-inflammatory drugs and painkillers is addictive and has a number of side effects.

Very painful critical days signal a serious problem in the body. To treat such periods is a must.

Diagnosis of painful menstruation

Severe pain during menstruation, the causes and treatment of which will help to establish the correct diagnosis, are a real problem for a woman. For a start, the lady should visit her gynecologist, who may prescribe the following:

  • hormone analysis
  • pelvic ultrasound,
  • laparoscopy
  • curettage for the study of intrauterine materials,
  • clinical examination,
  • vascular Doppler.

In addition, a woman should constantly keep a diary of the monthly cycle and a calendar of critical days. All the symptoms that were present during this period are recorded there. The duration of menstruation, profusion. All this helps to establish the severity of the disease. The specialist may also advise you to be examined by a neurologist, psychotherapist and osteopath. Often, at the end of the examination, an algomenorrhea is diagnosed. Depending on the severity of treatment is prescribed.

Menstrual pain treatment

Severe pain on the first day of menstruation, the causes of which are rooted in a change in the hormonal background of a woman, require special attention. Here, therapy is aimed not only at anesthesia, but also at getting rid of the pain itself.

When treating with medications, a combination of antispasmodics with analgesics is often used. For example, "Nurofen" and "No-shpa." A good result gives treatment with hormonal contraceptives ("Yarin", "Diane-35", etc.). Conduct a course of treatment with vitamin E. All these drugs not only do not eliminate pain, but also treat, prevent its occurrence in the future. In turn, a very strong pain during menstruation requires an individual approach. It is not the menstruation itself that is treated here, but a disease that provokes pain.

Folk remedies that can reduce pain

Very severe pain during menstruation, the causes of which lie in the diseases of several organs, can eliminate traditional medicine.

Pain symptom will help remove the horsetail. To prepare the infusion should be a tablespoon of herbs pour a cup (300 ml) of boiling water. Let it brew for an hour. Drink 50 mg every hour and reduce the dose as the pain subsides.

Severe pain before menstruation, the causes of which are individual for each woman, can remove water pepper. Two tablespoons of the plant are poured half a liter of boiling water, after which the mixture is boiled on the fire for another 10 minutes. Before use, the herbal extract should be cooled and filtered. Drink three times a day for 100 grams.

The collection of the following herbs will help to relieve pain: knotweed, centaury, horsetail, gooseweed in proportion 1: 3: 1: 5. Here a tablespoon of the mixture is steamed with a glass of boiled water. Insist hour. Drink one sip during the first day of menstruation.

Helps to cope with the pain root devyasila. A teaspoon is poured a glass of boiled water, wait an hour, filter. Consume a tablespoon in the morning, afternoon, and evening.

These and other popular recipes can overcome menstrual pain, so they can not be discounted.

Preventive measures

Many problems cause severe pain during menstruation. How to treat it without medication and what to do so that this symptom does not bother you in the future? Thus, the following measures help to eliminate the cause and have a preventive effect on the body:

  • The correct daily routine.
  • Full sleep.
  • Exercise, including swimming.
  • Diet menu with a predominance of raw vegetables and fruits.
  • Drinking the right amount of water, at least 1.5 liters per day.
  • Refusal of bad habits (alcohol and cigarettes).
  • Relaxation and relief from stress, depression.
  • Yoga, acupuncture, massage, electrophoresis with novocaine.
  • Soothing herbal tea.
  • Bath with essential oils.

Such events will best affect the health of the woman, her well-being and reduce the pain of menstruation. Can relieve from such discomfort forever.

Algomenorrhea and its types

Algomenorrhea (painful menstruation) is a disorder that is associated with the occurrence of unusually severe abdominal pain during menstruation. Painful periods may be from the very beginning of their appearance in the girl. This condition sometimes bothers a woman until menopause.

Pain in the lower abdomen and lower back during menstruation occurs in every woman. The pain is associated with contractions of the uterus, which rejects the dead mucosa. However, the strength of sensations depends on the individual characteristics of the organism, such as the location and shape of the uterus, health, sensitivity to pain.

It is considered normal if painful sensations do not make a woman suffer, menstruation causes only a slight indisposition, which disappears in 2-3 days. Pathologies requiring treatment are considered unbearable pain during menstruation, which make a woman disabled, while she can not do without painkillers. In addition to painful menstruation, she has signs of other violations of the cycle and symptoms of related illnesses.

Symptoms arising from painful menstruation

In addition to abdominal pain with pathological menses also occur:

  • nausea, vomiting, diarrhea,
  • Strong headache,
  • autonomic disorders (increased sweating, fever, dizziness, fainting),
  • blood pressure jumps, rapid pulse or cardiac arrhythmia,
  • weakness, pain in muscles and joints.

Possible violations of the regularity of the onset of menstruation, an increase in their duration. Blood discharge may become too intense or, on the contrary, scanty. Perhaps the appearance of spotting bloody whiter between menstruation.

Painful sensations often arise even before the beginning of menstruation (for 1-2 days) and disappear only with their termination. The pains are permanent or similar contractions, pulling, cutting, aching.

Degrees of pain

There are 3 degrees of severity of painful periods.

Mild degree characterized by short and tolerable painful sensations.

Average degree It is manifested not only by painful sensations in the stomach and back, but also by increased urination, chills, and neuropsychiatric disorders (increased irritability, depressive state, intolerance to bright light, strong odors and loud sounds).

Heavy degree associated with very severe pain, impaired heart function, fever, vomiting, diarrhea, general weakness, loss of consciousness.

Depending on the cause of painful menstruation, there are two types of algomenorrhea: primary and secondary.

Primary algomenorrhea

So called painful periods, not associated with diseases or damage to the genitals. Most often it occurs in adolescents within 3 years after the onset of puberty. At this time in the body there are dramatic changes in the composition of hormones.

Depending on the type of hormone, the increase in the level of which leads to the occurrence of pain, there are two types of primary algomenorrhea:

  1. Adrenergic (in the blood increased adrenaline). For this type, symptoms such as fever, palpitations, severe headache, pallor, hiccups, abdominal distension, and indigestion in the form of constipation are characteristic.
  2. Parasympathetic (elevated serotonin in the spinal cord). At the same time, there are painful symptoms such as a decrease in pulse rate, a decrease in body temperature, diarrhea, swelling of the face and limbs, and weight gain.

Types of pathology

Given the cause of the occurrence of painful menstruation, several types of primary pathology are distinguished: spasmogenic, psychogenic, and essential.

Spasmogenic algomenorrhea. The main cause of pain is spasmodic contraction of the muscles of the uterus.

Psychogenic. Pain arises from the fear of the symptoms experienced once and left an indelible mark on the memory.

Essential. This is a disease caused by a decrease in the sensitivity to pain due to disruption of the centers of the brain. At the same time, even a minor effect on the nerve endings causes severe pain.

Causes of painful menstruation

The causes of the primary disease are:

  1. Congenital violation of the development of connective tissue in the body due to a lack of magnesium. This disease is dangerous because it leads to a violation of the composition of cartilage tissue. There is an abnormal formation of the joints, limbs lengthen, flatfoot, scoliosis occurs. Also characterized by myopia, indigestion, varicose veins.
  2. Genital tuberculosis.
  3. Neuropsychiatric disorders.
  4. Congenital malformations of the uterus (two-horned uterus, improper location of the uterus, its underdevelopment).

Note: If the cause of pain during menstruation is the bend of the uterus, which has already arisen in the process of puberty (due to abnormal development or weight lifting), then after the woman gives birth to a child, the painful periods can turn into her usual ones. Но если имеется врожденная патология, то после родов она не исчезает. Требуется обязательно провести гинекологический осмотр и лечение.

Secondary algomenorrhea

Secondary pathology occurs as a result of acquired health disorders: the formation of scars and adhesions in the uterus after surgeries and abortions, as well as hormonal disorders, infectious and inflammatory diseases. Such problems can occur at any age, but more often they occur in women 25-30 years old.

One of the causes of pain in secondary algomenorrhea is the presence of varicose veins in the pelvic organs and abdominal cavity. Inflammation of the nerves located in the pelvic region can also cause severe pain.

Secondary algomenorrhea often occurs in women seeking to lose weight through fasting, which leads to anorexia or boulemia. One of the main causes of painful menstruation is a violation of the structure of the tissues of the uterus, their scarring, soldering after illness.

Genital infections. They can be transmitted sexually, causing the appearance of purulent inflammatory processes, leading to a violation of the cycle, aggravation of the symptoms of algomenorrhea. It is possible to get rid of such diseases (trichomoniasis, syphilis, genital herpes, gonorrhea) only with simultaneous treatment of both sexual partners.

There are infectious diseases that can be infected both sexually and householdly (for example, thrush).

Inflammatory diseases. They can occur when microorganisms enter from the outside due to violation of hygiene rules, as well as as a result of activation of conditionally pathogenic microflora. In small quantities, streptococci, staphylococci, E. coli are present in a healthy body, without a disease-causing effect. Their activation and pathological reproduction occurs when hypothermia, lack of vitamins, violation of the composition of the microflora of organs, their damage.

Diseases that can lead to painful periods include inflammation of the cervix (cervicitis), the mucous membrane of its cavity (endometritis), and the fallopian tubes (salpingitis).

A warning: The peculiarity is that inflammatory processes quickly spread from the external genital organs to the uterus and ovaries. The consequence of chronic diseases is the bending of the neck, coarsening of tissues, violation of the state of blood vessels, the appearance of cysts, polyps, and malignant neoplasms. In this case, a woman has various menstrual irregularities and abdominal pain, aggravated by menstruation.

Uterine tumors (myoma, cancer). Morbidity and unusual nature of menstruation is often the only sign of their formation. A growing tumor squeezes blood vessels, as well as nerve endings located in the uterus and adjacent organs. The shape of the uterus may be disturbed, and the menstrual blood stagnates. There is swelling, muscle elasticity is lost. Contractions of the uterus become painful. As the tumor grows, manifestations intensify.

Endometriosis. This disease is associated with endometrial hyperplasia and its germination in other organs. At the same time, the processes of the cycle are shifted in time of onset, the periods become painful, prolonged, hormonal disorders occur due to the appearance of dangerous ovarian diseases (such as, for example, an endometrioid cyst).

Dysplasia, leukoplakia, cervical erosion. These diseases are associated with damage to epithelial cells in the cervix, impaired ability to stretch the cervix, a possible change in its shape, a decrease in the contractility of the uterus.

Disruption of hormone production. It can be caused by hormonal drugs, the use of hormonal contraceptives, malfunctions of the ovaries, thyroid, pituitary. Metabolic disorders and its consequences (diabetes, obesity, drastic weight loss) can also cause painful periods.

The cause of painful menstruation after childbirth

During childbirth, the ligaments holding the uterus are damaged, while it deviates from the usual position, which leads to pain during menstruation due to contractions of the uterus. It is also possible to change its shape, the formation of folds, in which menstrual blood stagnates. This causes a painful inflammatory process.

Algomenorrhea treatment

A gynecological examination, a smear test for infections, and blood for hormones and atypical cells make it possible to draw conclusions about the presence of diseases. After examining the organs with ultrasound, tomography methods, it becomes obvious whether there are developmental pathologies or neoplasms in the uterus. If necessary, their character is specified using a biopsy. The choice of treatment depends on the type of disease, the age of the woman, the severity of the pathology.

Treatment of primary algomenorrhea

In the presence of primary pathology, doctors advise you to try to avoid anxiety and stress, to devote more time to physical education, stop smoking and drink alcohol. In the second half of the cycle it is recommended to limit sex, do not lift weights.

A warning: It is very important to keep the first pregnancy, as in most cases after childbirth the pain of menstruation disappears.

Well helps physiotherapy treatment (electrophoresis for the introduction of novocaine in the region of the solar plexus), as well as acupuncture. Medication therapy is prescribed: taking sedatives (valerian, Relanium), painkillers (spazmalgon, no-spa), nonsteroidal anti-inflammatory (indomethacin, butadione), vitamin E.

Plant-based preparations are used to normalize hormonal levels (remens, klimadinon). For the same purpose, hormonal contraceptives (anteovin, ovidone) are prescribed.

With painful menstrual periods, you must maintain a menstrual calendar in which the intensity, location and nature of the pain are recorded. Every 3 months it is important to visit a gynecologist. If nothing is done, then the state will only get worse with time, a slight degree of disturbance will become severe.

Treatment of secondary algomenorrhea

If it is established that diseases of the genital organs are the cause of painful menstruation, then treatment is carried out with appropriate action drugs (antibiotics, antifungals, antivirals).

Progesterone-based drugs are used that suppress ovulation, reduce intrauterine pressure, as well as the intensity of uterine contractions. In this case, a good effect is given by the use of oral contraceptives. Successfully carried out treatment with duphaston.

If painful periods occur due to the presence in the uterus of adhesions, scars or tumors, then surgery is performed. This takes into account the age of the patient, her intention to have children.

Physiotherapy methods (electrophoresis, therapeutic baths) allow you to fight inflammatory processes. Hirudotherapy (putting leeches that suck blood, reducing tension in the uterus) is a popular method for eliminating menstrual pain. Leech saliva contains painkillers and anti-inflammatory agents.

If the doctor does not find contraindications, then with such a pathology it is permissible to use traditional medicine: soothing herbal teas with oregano, mint, relaxing beetroot and pumpkin juices. Broths and infusions with anti-inflammatory properties are used (from burdock leaves, acorns and herbal preparations).

What other symptoms can accompany painful menstruation and why is it considered a disease?

In medicine, very painful periods are considered as the most frequent disorders of menstrual function. Between the ages of 13 and 45, almost all women experience mild discomfort and soreness on the first day of their menstrual bleeding. And only 10% of them complain of very strong cramping spastic pains from uterine contraction, which are also complemented by the following symptoms:

  • 79% of women have diarrhea
  • 84% have vomiting
  • 13% headache
  • 23% dizziness
  • 16% fainting

The main symptom of algomenorrhea is pain in the lower abdomen, which appears on day 1 of menstruation or 12 hours before it starts, it gradually subsides by 2-3 days, it can be aching, twitching, piercing, into the rectum, into the bladder, the loin may be very sore. Against the background of unbearable pain during menstruation, the woman's psycho-emotional state is disturbed, irritability, drowsiness, depression, insomnia, anxiety, and weakness appear. Painful periods poison a woman’s life, waiting for the next bleeding adversely affects the psyche, the emotional sphere of life, leads to conflicts in the family, at work.

With a mild degree of algomenorrhea - short-term, moderate pain during menstruation does not lead to loss of efficiency and activity, such pain can be tolerated without additional pain medication, however, the causes of painful periods should be clarified, since even a mild degree of algomenorrhea can turn into a more pronounced, with more significant discomfort. Sometimes after childbirth in women, mild algomenorrhea stops and uterine contractions become less painful, its increase during pregnancy and reduction after pregnancy weakens further spastic pains during menstruation.

With a moderate degree - nagging pain in the lower abdomen is complemented by general weakness, nausea, chills, and frequent urination. Psycho-emotional disorders are also added - depression, irritability, intolerance to harsh smells and sounds, performance decreases markedly. This degree of algomenorrhea already needs medical correction and it is also necessary to find out the causes of the pain syndrome.

With severe - very intense pain in the lower back and abdomen accompanied by headache, general weakness, fever, heart pain, diarrhea, tachycardia, fainting, vomiting. In the severe case of painful menstruation, the woman completely loses her performance, usually their occurrence is associated either with infectious and inflammatory diseases or with congenital abnormalities of the genital organs.

The main causes of painful primary menstruation in adolescents - girls

Primary algomenorrhea appears with the first menses or develops within 3 years after the onset of menses. It mainly occurs in easily excitable, emotionally unstable girls, with asthenic physique, in combination with premenstrual syndrome. Depending on the accompanying "set" of symptoms, the primary painful periods are divided into:

In this case, the level of hormones dopamine, adrenaline, norepinephrine increases, causing the failure of the entire hormonal system of the body. The girls have constipation, severe headache, body temperature rises, heartbeat quickens, insomnia appears, legs and arms become bluish in spasm of small vessels, body and face turn pale.

It is characterized by increased levels of the hormone serotonin in the cerebrospinal fluid. In girls, on the contrary, the heart rate decreases, nausea appears with vomiting, body temperature decreases, gastrointestinal disorders are expressed by diarrhea, edema of the extremities and face often appear, allergic reactions on the skin, and girls gain weight.

Modern studies establish the fact that primary painful periods are not an independent disease, but a manifestation of deeper internal disorders, that is, symptoms of the following diseases or abnormalities:

  • Congenital malformations of connective tissue

In gynecological practice, it has long been established that approximately 60% of girls with primary algomenorrhea are diagnosed with genetically determined connective tissue dysplasia. In addition to painful menstruation, this disease is expressed by flat-footedness, scoliosis, myopia, varicose veins, and dysfunctions of the gastrointestinal tract.

This is a very serious disease, which happens most often in girls with elongated limbs, flexible joints, cartilage tissues, most often during the growth of a child magnesium deficiency is detected, which can be established by passing a blood chemistry test.

  • Diseases of the nervous system, neurological disorders

In girls with signs of reduced pain threshold, with emotional instability, with various psychosis, neurosis and other neurological disorders, the perception of pain is exacerbated, so the pain during menstruation in such patients is pronounced.

  • Uterus kinks anteriorly and posteriorly, uterine underdevelopment, malformations of its development - two-legged, two-cavity uterus

The occurrence of very painful menstruation, due to uterine abnormalities, is caused by problematic, difficult blood flow during menstruation from the uterus. This provokes additional uterine contractions, causing pain during menstruation.

Causes of secondary algomenorrhea in women

If the pain during menstruation occurs in a woman who already has children, or she is over 30 years old, then this is considered as secondary algomenorrhea. Today, it happens in every third woman, most often in the medium-severe form, because it reduces performance and is aggravated by accompanying symptoms, and is also accompanied by copious menstruation. In addition to lower abdominal pain, painful periods occur with other symptoms, which are usually divided into several characteristic groups:

  • Vegetative symptoms - bloating, vomiting, nausea, hiccups
  • Vegetative-vascular symptoms - headache, numbness of arms, legs, fainting, heart palpitations, headaches during menstruation
  • Psycho-emotional manifestations - a violation of taste, the perception of odors, irritability, anorexia, depression
  • Endocrine-metabolic symptoms - increased unmotivated weakness, pain in the joints, itchy skin, vomiting

The intensity of pain during menstruation depends on the general state of health of the woman, on age and associated diseases. If a patient has impaired metabolism (diabetes mellitus and other disorders of the endocrine system), then additional monthly symptoms include endocrine-metabolic manifestations, cardiovascular disorders, vegetative-vascular symptoms may be more pronounced when premenopausal women are approached ( see the first signs of menopause), increases the likelihood of manifestation of psycho-emotional instability, depressive symptoms.

Often, women with secondary algomenorrhea experience pain during intercourse, which is definitely not to be left unattended and this is an urgent reason to consult a gynecologist for examination and treatment. If the primary painful periods, the causes of which are associated with congenital anomalies and pathologies, are very difficult to treat, then the occurrence of secondary algomenorrhea is mainly associated with the acquired diseases of the female genital organs, which must be treated on a mandatory basis:

  • infectious - inflammatory diseases of the female genital organs and the accompanying adhesions in the pelvis
  • malignant and benign (polyps) tumors of the uterus and appendages
  • varicose veins in the abdominal cavity, in the pelvic organs
  • endometriosis
  • pelvic neuritis

Also, in women older than 30 years, the appearance of very severe pain during menstruation can be caused by the following factors provoking factors:

  • intrauterine contraception
  • consequences of frequent medical abortions, other intrauterine devices, due to cicatricial cervical stenosis
  • surgical operations on the uterine appendages, generic complications or complications after cesarean section
  • mental and physical fatigue, constant stress, violation of the regime of rest and work

Why should painful menstruation be treated?

Given the above, it should be understood that the natural physiological function - menstruation, should not cause significant general malaise in a woman, depriving her of working capacity. In order to reduce the pain of menstruation, treatment should not consist in anesthesia, but in eliminating the cause of this phenomenon. It is possible to hope that this will change for example with the birth of a child, but if this does not happen, especially if painful periods occur in a woman after the birth of children, you should consult a gynecologist to find out the cause of pain during menstruation.

  • To tolerate pain is not only hard physically, but also very harmful for the nervous system, and regular use of NSAIDs and analgesics does not eliminate the cause of painful periods, moreover, the body gets used to it and painkillers have a number of side effects.
  • The appearance of very painful menstruation is an indication that some kind of malfunction occurs in the body, a disease, it is a bell to the fact that you must find the reason for the inadequate response of the body to the natural process.

Treat painful periods can and should be. Read more about how to reduce pain during menstruation, read our next article. Чтобы определить причину первичной альгоменорею, проводится осмотр гинеколога, сдаются анализы на гормональный статус, УЗИ органов малого таза, а также дополнительно следует обследовать девушку у невролога, остеопата, психотерапевта.With secondary algomenorrhea, hormonal examination, ultrasound, diagnostic laparoscopy, and diagnostic curettage are also performed.

A woman or girl with a painful period should keep a diary of observations, a calendar of menstruation, which describes in detail the sensations, the amount of discharge, the duration of the cycle and the duration of bleeding, all the symptoms that occur during menstruation, then help the doctor in determining the cause and choice of treatment method.

Degrees of severity

Depending on the severity of pain, there are several degrees of dysmenorrhea severity. What are the criteria for evaluating this menstrual disorder:

  • First degree Painful sensations during menstruation are mild. In rare cases, they affect professional and daily activities. Systemic manifestations are absent. To relieve pain, sometimes take painkillers (analgesics) or nonsteroidal anti-inflammatory drugs.
  • Second degree Painful menstruation interfere with everyday life. Occupation professional activity (training, work, etc.) is possible only after taking painkillers. Observed single systemic symptoms.
  • Third degree There is a sharp decline in professional and daily activity. Quite often there are systemic manifestations (headache, depression, sleep disturbance, problems with appetite, fainting, nausea, etc.). Taking painkillers does not bring the desired effect.

Early first periods in a child aged 10–12 years are often accompanied by painful sensations.

Features of primary dysmenorrhea

In most cases, primary dysmenorrhea begins to manifest itself in adolescents 1-2 years after the onset of menstruation. More often sick young girls asthenic physique. The clinical picture of primary dysmenorrhea:

  • Painful menstruation occurs in 12-24 hours or with the beginning of menstruation. As a rule, lasts several days.
  • The pains are cramping and localized in the lower abdomen. Sometimes they complain of aching, jerking or arching pains that extend to the perineal and lower back regions.
  • In parallel, there is a deterioration of the general condition. Weakness, irritability, headache, nausea, vomiting, fever, fainting, etc.
  • Systemic clinical symptoms, including pain, can disturb a woman from 2-3 hours to several days.

When gynecological and ultrasound examination of girls and women suffering from primary dysmenorrhea, pathological changes in the organs of the reproductive system is not detected. The diagnosis is made on the basis of clinical examination and patient complaints.

Features of secondary dysmenorrhea

As clinical practice shows, secondary dysmenorrhea is a manifestation of many gynecological diseases (endometriosis, uterine fibroids, abnormalities of the development of the organs of the reproductive system, etc.). The main group of patients is women older than 30 years, with a history of childbirth, miscarriages, abortion, infectious or inflammatory gynecological diseases. It should be noted that painful menstruation in secondary dysmenorrhea most often develops due to endometriosis.

Basically there are constant aching pain throughout the cycle. A few days before menstruation may increase significantly. When uterine myoma is characterized by cramping soreness. If a woman has secondary dysmenorrhea, then an ultrasound examination will determine any intrauterine pathology. This is the main distinguishing feature from the primary form. If necessary, they can use hysteroscopy and laparoscopy as a method for diagnosis and simultaneous treatment.

The cause of painful periods, which are very pronounced, is often organic pathology.

What to do with painful menstruation in a teenager, a girl, and a woman? Regardless of age, pain relievers are used as emergency care for severe pain during menstruation (Ibuprofen, Tamipul, Spazmalgon, No-shpa, etc.). I wanted to draw your attention to the fact that the application of a heating pad or other warm procedures in the lower abdomen is contraindicated in such cases, since in the presence of an infectious or inflammatory disease in this area, serious complications cannot be avoided. Timely recourse to a specialist doctor is the only sure way to get rid of pain during menstruation.

Methods for getting rid of primary and secondary dysmenorrhea are somewhat different. In the prevailing majority of cases, for primary dysmenorrhea, an integrated approach to treatment is used, which includes:

  1. Drug therapy (painkillers, antispasmodics, tranquilizers, vitamins, etc.).
  2. Non-drug treatment (psychotherapy, physiotherapy).
  3. Folk remedies (at the discretion of the attending physician).

Secondary dysmenorrhea can be successfully cured only if the primary disease is finally eliminated (endometriosis, uterine myoma, inflammatory diseases of the reproductive system, etc.). In the period of exacerbations, symptomatic therapy may be prescribed, consisting in the administration of painkillers.

Only a qualified specialist, after a thorough examination, is able to determine what can hurt in the lower abdomen.

Drug therapy

The main goal of the treatment of primary dysmenorrhea is to eliminate pain, eliminate vegetative disorders and normalize the mental state. The determining factor in the appointment of drug therapy is the severity of the disease. In mild form, nonsteroidal anti-inflammatory drugs, which are considered basic therapy, are taken. If more severe forms of the disease are observed, not only NSAIDs are used, but also gestagen-based drugs, nootropics and drugs that help improve cerebral circulation.

Given the risk / benefit ratio, Ibuprofen is considered the best option for treating primary dysmenorrhea among all non-steroidal anti-inflammatory drugs that have been in clinical studies. It has been proven that its use suppresses prostaglandin production in the uterine mucosa to normal levels. In addition, it does not affect the change in the endometrium during the menstrual cycle. Ibuprofen also has a peripheral and central analgesic effect. Nevertheless, the dosage and duration of NSAID administration must be coordinated with your doctor.

Magnesium preparations can be added to the course of treatment in case of a lack of this trace element in the body. With very painful periods, constantly disturbing a woman, it is recommended to prescribe combined oral contraceptives. They help to reduce the level of estrogen, which leads to a decrease in the production of prostaglandins and the elimination of painful sensations. Also provide a reduction in the threshold of excitability of myometrium. Preparations containing gestagens have a similar effect.

To increase the effectiveness can combine the use of nonsteroidal anti-inflammatory drugs and combined oral contraceptives. Vitamin E supplementation also has a positive effect. Not so long ago, antispasmodic drugs were actively used to treat pain syndrome. Now their use is not so popular.

Summarizing all the above, it can be stated that drug therapy for primary dysmenorrhea consists of:

  • Nonsteroidal anti-inflammatory drugs (Ibuprofen, Indomethacin, Tamipul, Naproxen, etc.).
  • Antispasmodic drugs (No-Spa, Spazmalgon).
  • Combined oral contraceptives or preparations containing gestagens.
  • Soothing preparations - tranquilizers (Relanium).
  • Homeopathic medicines (Remens, Menalgin).
  • Vitamin E.

In order to avoid the development of undesirable side effects and complications, the physician must determine what should be taken for painful periods.

Non-drug therapy

Excellent effect in the treatment of primary dysmenorrhea gives psychotherapy. Special techniques of relaxation and distraction help to successfully cope with painful periods. Especially recommended for teenagers and young girls. As a non-pharmacological therapy, various physiotherapeutic procedures are also actively used. The most popular are the following types of physiotherapy:

  • Reflexology.
  • Amplipulse therapy.
  • Magnetotherapy.
  • Diadynamic currents.
  • Electrosleep.
  • Ultrahigh Frequency Therapy
  • Ultraviolet irradiation in erythemal doses.
  • Balneotherapy

Physical methods of influence on the female body contribute to the normalization of the regulation of the menstrual cycle, reduction of the inflammatory process in the reproductive system, improvement of the peripheral blood circulation (microcirculation) and stimulation of reproductive function. However, there are situations when most physiotherapy procedures cannot be used in the treatment of dysmenorrhea. Among the main contraindications are:

  1. Acute inflammatory pathology of the uterus and appendages.
  2. Endometriosis.
  3. Malignant tumors.
  4. Serious diseases of the central nervous system.
  5. Anemic syndrome.

If you don’t figure out the reason why your period is very painful on the first, second or any other day, the symptoms will recur.

ethnoscience

Often, many girls and women with painful periods, having a permanent nature, resort to treatment with folk remedies. However, we should not forget that the independent use of folk remedies in the treatment of primary or secondary dysmenorrhea without the knowledge of the attending physician often ends with serious complications. Solely for reference, we list several recipes of traditional medicine that can help with pain during menstruation:

  • Celery infusion. Half a teaspoon of celery seeds is poured into a glass of boiled water. Insist for 9 hours. Use an infusion of celery seeds in a tablespoon four times a day for half an hour before meals.
  • Strawberry leaves. Half a tablespoon of medicinal plants fall asleep in 200 ml of boiled water. It is necessary to let it brew for 8 hours. At the expiration of the infusion of strawberry leaves filtered. Take 100 ml twice a day. If you cook the broth, then it is cooked on low heat for half an hour.
  • Calendula. For the preparation of infusion we take medicinal plants at the rate of 3 tablespoons per 500 ml of boiling water. Leave the tank with the solution for 120 minutes in a dark place. Infusion of calendula is used to wash the vagina (douching) three times a day. The course of treatment can last up to 5 days.
  • Melissa. In a glass of boiled water put 2 tablespoons of crushed lemon balm leaves. The process of insisting should last at least two hours. Drink an infusion of lemon balm should be 100 ml three times a day.

Useful tips

What most doctors recommend to reduce the likelihood of developing menstrual disorders like dysmenorrhea:

  1. Correct your daily work / rest / sleep mode.
  2. Go for a balanced diet. During the period of menstruation should be dominated by easily digestible and vitamin-rich foods.
  3. Control your weight. Drastic weight loss or weight gain affects menstrual function.
  4. It is advisable to regularly take vitamin and mineral complexes.
  5. Overly not to get involved in strong coffee and tea.
  6. Learn to cope effectively with stressful situations and emotional stress.
  7. More often walk in the fresh air.
  8. Adhere to the optimum motor mode. Physical activity is selected taking into account the age and general condition of the girl.
  9. Harmful habits (smoking, alcohol) negatively affect the female body. Turning to a healthy lifestyle, you will create serious prerequisites for improving the functioning of all organs and systems, including reproductive.

If the form of dysmenorrhea is not defined (primary or secondary), prolonged use of painkillers and tranquilizers is not recommended.

Natalia Evgenievna Pokhodilova

Psychologist, Kinesiologist Online consultant. Specialist from the website b17.ru

Your doctor is probably not very.
Advice: during menstruation, check hormones, if they jump too much, then drink a couple of days before and a couple of days after starting.
but go to another doctor, mao

Painkillers Bonifen. Pts well helps me, without them I just die from pain. Maybe it will suit you too

I began to use the new ring to protect myself from pregnancy, as one of the advantages was that the monthly ones were just in time and absolutely painless.

Something your doctor is kind of weird. And what tests did you give? I also have cr. days were painful. So I underwent an ultrasound scan, a smear on the degree of purity, oncology, analysis of the hormones FSH, LH, prolactin. Here I have the LH and fell out of the general rule. So I sat on dyufaston, vitamin E and saw gynecological fees (I, "Female Doctor" saw). After that, everything was fine.

I, too, drank a whole break through this vitamin E and C, but it did not help.
and the advice here on the woman’s wines was to drink Novigan or spazmolgon.
I have been drinking for 10 years probably. from it the effect accumulates. now even if I don’t drink, everything will still be fine. Well, it is a little stronger.

I, too, have been saving myself for more than one year only with a Novigan.

Related topics

Do sports. This is not a joke or speculation. I suffer a lot if I'm lazy and don't go to yoga. And so the body is normal and no pain. Just try, it will be easier.

Aspirin as an analgesic can not drink, earn a stomach ulcer. But to drink the infusion of Chernobyl herb at the beginning and during menstruation - there will be no pain, and at the same time clean the liver. Chernobylnik is common wormwood (not bitter), it grows under each fence, in the garden and in the garden. You can also use it as a seasoning for meat.
And painful periods in girls and women who did not give birth. Give birth, and there will never be more pain before menstruation.

Doctors recommended me to drink (or prick) the first phase of the cycle - B vitamins, in the second phase - vitamin E. To drink for about 2-3 months, especially in the spring. Try to drink a medium or high dose of these vitamins. I do not remember the maximum in vitamins B, and 400 mg per day in vitamin E.
Yes, and engage in sports!

I am also saving Ketanov.

I drink ketanol, helps

Be careful with ketanovym. My friend's blood from him went from the nose - she was in pain for half a day. The doctor advised her to Aponil. I also tried it myself - smartly, it works in 15-20 minutes.

Girls, I'm 16 *** monthly so painful that it seems I die right now. I can not walk, sit too. and even lie .. I don’t know what to do. I drink 2 noshpy and one nurofen. helps only in an hour. And this time I suffer. help plizzz.

My monthly painful periods also go away, I went to a gynecologist, an ultrasound scan, everything was normal, I was prescribed vitamins (E and folic acid, indomethacin) No sense, it became worse for me. I think I should go to another doctor.

And if at the expense of a painkiller, only a spasmalgon saves me.

terrible pains (((. only a spasmalgon helps in half an hour .. and then only briefly

girls! and I have a month at all with the manners of cystitis occur (I begin to constantly run to the toilet (

The best - kombispasm. As for me. Even better spazmalgona.

Ketorol. Just super!

And my doctor prescribed hormonal Logest. spent a month .. said that after them months less painful will be. it only got worse. pains such hellish that I climb on a wall. saves only baralgin (((

I usually only have the first day of the hanger. I drink one pill of nurofen (I do not take a lot of pills) and tolerate it. tolerate I am bent, sick, everything aches and hurts.
But today decided to do so .. I climbed into the bathroom and under a warm stream. Seriously! Breaking herself that everything hurts. And really, the pain is very weak. Now at least I can learn. But it was even painful to lie down.

By the way, girls just tummy warm and all the rules)) for a long time I do not drink any pills just in the bath and under a warm stream in my opinion there is no better means))

since the age of 11, I have these terrible pains on the first day of menstruation, like that of my mother and of my grandmother. sleep is impossible, even more so.
and no birth to them from this did not help!
I tried to understand what helps:
1. 2 "big green pills" (at tempalgin :)) almost always helps. but sooo long to wait for the action, I die 20 times in these half an hour, but then the pain abruptly recedes and Kaaif. hours at 6. yes and returns no longer as strong and not for long ..))
2.Waiting for the action of the tablets, in the bath under a warm shower
3. then lightly massage the abdomen clockwise
4. went to the gynecologist, she prescribed me a course of aevit and 10 injections of plazmol in a m, after that 3 months it was my luck, and then the pain returned. The course can be held once a year, so I'm waiting.
5. beer. 2 jars or better live liter unfiltered. the pain goes away for a couple of hours. the only thing you do not always want to pour in so much liquid.
6. coffee. helps only while drunk and another 10 minutes))
7. I was working in a 4-month cruise in the Bahamian-Caribbean resorts, I ate a lot of vitamins, I worked on a simulator, sunbathed, bathed, + balanced diet.
so there, too, everything was fine.I was very afraid, I took a bunch of pills with me, but in fact nothing hurt, then I was at home for another 2 months of normal periods and everything again.

I am 18, menstruation has been going on for 6 years already, the first year didn’t hurt anything, exactly a year later the pain started, but weak, but literally helped after 10 minutes, but later severe pains started, all the symptoms of dysmenorrhea: nausea, fever, pain it was, the gynecologist prescribed homeopathy-dysmenorm — all this was nonsense; it didn't help, and then I realized that homeopathy was all useless. then the surgeon (at a routine medical examination) advised nurofen, since She herself is saved for them and everything, for a year now and only I am saving myself, I'm afraid to get used to it, so I still want to visit a good specialist. But what can I say by myself, I noticed that if you have time to drink a pill on time, i.e. when the days have just begun, and the pain has not yet begun, then you can live if you drink it when it is already sore, then all, all the symptoms will disappear, you will die and climb on the wall, and only then the tablet will act ..

girls advise Ibuklin (on average 50 rubles). Immediately everything passes, you can drink as you feel that they will come and you will be happy. she herself was suffering for 3 years, she lost her consciousness from pain, now you can say your life has gained

Aspirin as an analgesic can not drink, earn a stomach ulcer. But to drink the infusion of Chernobyl herb at the beginning and during menstruation - there will be no pain, and at the same time clean the liver. Chernobylnik is common wormwood (not bitter), it grows under each fence, in the garden and in the garden. You can also use it as a seasoning for meat.
And painful periods in girls and women who did not give birth. Give birth, and there will never be more pain before menstruation.

Aspirin as an analgesic can not drink, earn a stomach ulcer. But to drink the infusion of Chernobyl herb at the beginning and during menstruation - there will be no pain, and at the same time clean the liver. Chernobylnik is common wormwood (not bitter), it grows under each fence, in the garden and in the garden. You can also use it as a seasoning for meat.
And painful periods in girls and women who did not give birth. Give birth, and there will never be more pain before menstruation.

Regarding "give birth and everything will pass," I want to say it is not. I myself suffered severe pains in Crete. days And I used to say the same thing, "give birth and everything will pass." Two years to call gave birth. So what? The first year of beauty-lyapota does not hurt, does not whine. For what then eyes on the forehead from the pain climbed. Nor did she give birth. I went to another doctor. She then explained everything to me that it was not a birth. Passed her full examination found the problem, cured. And now life is raspberry. So, dear ladies, contact a GOOD specialist and everything will be fine. Good luck.

Recently, during menstruation, I just fall out of life, I used to have another day and I’ll not understand the reason for it, the doctor did not understand the reason, but it didn’t really help me. Plz tell me who copes with this problem ??

I also have very painful periods, to the extent that I pinch the skin on my arm and the pain does not go there. I tried various methods of treatment: the first hormonal drugs, when I drink everything perfectly, nothing hurts, then I stop drinking and the atskoe torment is new. Then I was prescribed vitamin B6 also when I drank it all perfectly.
Really effectively helps nurofen in liquid capsules or 50g. Cognac identity becomes normal) and still brewed grass 1: 1 yarrow and nettle leaves (sold in a pharmacy) spasm almost immediately removed.

Causes and symptoms

PMS occurs in females at any age, usually 2-3 days before the onset of the menstrual cycle and up to the end of the period of critical days. Very painful symptoms are so strong that they lead to excessive nervousness, irritability, discomfort, inability to even get out of bed.

The following factors can provoke pathology:

  • failure of the endocrine and vascular systems
  • gynecological diseases
  • puberty in girls at the time of the arrival of menarche, growth of the mammary glands.

The main symptom is a jerking, aching, paroxysmal pain spreading all over the abdomen, accompanied with sharp, colic. Additionally appears:

  • nausea, vomiting,
  • diarrhea,
  • dizziness,
  • migraine,
  • fatigue,
  • tachycardia,
  • arrhythmia,
  • weakness,
  • muscle aches,
  • high temperature
  • psychosis.

Menstruation moves slightly or, conversely, copiously. The pain gives in the perineum, lumbosacral dorsal, pelvic organs. One way or another, painful periods, especially those that manifest themselves with such force, cannot be ignored, forcing girls and women to resort to taking medicines, carrying out physical and respiratory exercises, and accepting a forced body position.

It is believed that this pathology is found only in young, not giving birth to girls and passes without a trace after the birth of the first baby. However, it is not. The provoking factors may be different, for example, painful periods after duphaston. If the girls are often abnormal location of the uterus, the bend that occurs during puberty or not dosed lifting weights. Then in a more mature age gynecological diseases and a number of other factors can provoke a problem:

  • congenital malformation of the uterus,
  • genetic predisposition
  • abnormal flow of the menstrual cycle
  • gynecological problems (polycystic ovary, uterine myoma, polyposis of the cervical canal, dysfunction of the ovarian gonads)
  • primary, secondary dysmenorrhea,
  • inflammatory process in the reproductive system,
  • endometritis,
  • colpit,
  • vaginitis
  • ectopic pregnancy,
  • adhesions in the tubes, appendages of the uterus,
  • mechanical uterine trauma.

Rarely, but pain occurs on the background of functional failure of the pituitary, hypothalamus, vascular or endocrine system. At the heart of the problem is a hormonal imbalance, namely, an overestimated level of prostaglandins in the blood, occurring against the background of gland dysfunction and leading to intense, enhanced contractions of the uterus. This causes rhythm, contraction and soreness with the arrival of menstruation.

Symptoms of amenorrhea in girls are highly individual:

  • excessive sweating,
  • pressure surges
  • general irritability
  • loose stools
  • nausea,
  • dizziness.

What to do?

First of all, it is recommended to visit a gynecologist, and for girls under 16 years old - a pediatrician. Only a specialist can help identify the true causes of pain, conduct a primary visual inspection, redirect to blood tests (general, biochemical) to determine the hormonal status, tracking the synthesis of sexual substances (prostaglandins) in the blood.

Additionally, a cytology scraping will be taken from the uterine cavity in the form of a smear. Possible to:

  • hysteroscopy
  • Ultrasound,
  • video colposcopy
  • laparoscopy for examination of the intrauterine space and the ovaries.

If there are very painful periods, then doctors recommend exercises, warm-up in the morning. You can take painkillers. In particular, dietary supplements are shown, if hormonal contraceptives, the installation of a helix, which can be ambiguously perceived by the body as a foreign body, became the cause of painful periods.

Possible complications

Often girls wonder why pain occurs? This, of course, is not the norm. So, algomenorrhea is fraught with complications. If not to take timely measures, the situation may lead to the loss of reproductive function, the impossibility of conceiving a child in the future.

It is an excess of prostaglandin that leads to painful periods. To prevent complications, it means, to undergo a timely examination, find out the true causes of indisposition on the eve of menstruation.

Primary dysmenorrhea

Dysmenorrhea is inherent in emotionally unstable girls with asthenic physique. Manifested in adolescents with the advent of menstruation for the first time and up to 2-3 years in a row on the background of unstable hormonal background, high levels of hormones (dopamine, norepinephrine, adrenaline).

Additionally, girls start complaining about:

In the parasympathetic type of algomenorrhea, a high level of serotonin is observed in the cerebrospinal fluid and absolutely opposite signs of illness:

  • nausea, vomiting,
  • decrease in body temperature, heart rate,
  • upset stool
  • swelling of the lower extremities,
  • quick weight gain.

In most cases, primary algomenorrhea is detected against the background of connective tissue dysplasia as a congenital genetic abnormality. Also at a young age, girls can provoke:

  • varicose veins,
  • violation of the gastrointestinal tract,
  • myopia,
  • scoliosis.

Painful periods are observed in women with thin, delicate cartilage tissue and elongated legs, when at the time of adolescent growth the body is clearly deficient in magnesium.

Hellish pains can be observed when the uterus bends in the back (front) as a congenital malformation or abnormal development, the wrong location of the fallopian tube. This provokes the difficulty of outflow, the exit of blood from the uterus, a strong contraction and painful periods.

Secondary dysmenorrhea

This pathology refers to type 2 and is detected in more mature women in the form of growth, sealing adhesions in the tissues of the reproductive organs. Pathology leads to disruption of the menstrual cycle, increased painful attacks, muscle spasm.

The main provoking factors of secondary dysmenorrhea:

  • endometriosis,
  • inflammation of the muscular layer of the endometrium,
  • salpingo-oophoritis,
  • cytosis,
  • polyposis (ovarian dysfunction),
  • oncology,
  • staging of the intrauterine device.

When to worry

It happens that the painful signs quickly pass, but sometimes they linger up to 3 days in a row and this is a clear reason to appeal to specialists. It is with the advent of menstruation that a woman experiences fatigue, depression, mood variability, and decreased performance. Pain medications help in part, however, this is not a solution to the problem.

It is important to regulate the secretion of prostaglandin, and therefore, to identify physiological disorders of menstruation, if necessary, consult a doctor, undergo a general physical examination, ultrasound, a course of hormonal therapy.

REFERENCE! You can not ignore the long painful periods and you need to see a gynecologist in an immediate manner. The cause may be infection of the uterus, inflammation of the muscles, and even oncology, which squeezes the nerve endings.

How to eliminate

To eliminate the primary algomenorrhea in girls, it is important to identify the true causes that provoked pathology. The doctor will conduct a survey, examine a blood test to check the hormonal composition.

Troubleshooting should be carried out in the complex. Girls is important:

  • review the diet
  • fight excess weight
  • eliminate bad habits (alcohol, smoking),
  • lead a healthy lifestyle,
  • do sport,
  • to direct therapeutic measures to improve the functions of the reproductive system,
  • combine work and rest.

Effective for eliminating painful periods can be:

  • physiotherapy (acupuncture),
  • hormonal drugs to regulate the secretion of prostaglandin (Butadion, Brufen, Naproxen),
  • electrophoresis in combination with Novocaine to relieve painful attacks in the solar plexus,
  • vitamin complexes,
  • Dietary supplements,
  • Exercise therapy,
  • laser therapy
  • antispasmodics,
  • nonsteroidal drugs to relieve inflammation,
  • hormonal drugs (vain, indometacin),
  • oral contraceptives (Mersilon, Celeste, Marvelon),
  • recipes of traditional medicine, the use of herbs (cat's foot, yarrow, boron uterus, watch, knotweed, field horsetail, motherwort, cuff, marjoram).

To identify the true cause of the manifestation of secondary amenorrhea, it is possible to prescribe laparoscopy and hysteroscopy as minimally invasive methods of examination of the peritoneal cavity in case of severe pain.

IMPORTANT! When treating, informal medicine methods may be useful: apitherapy, acupuncture. However, in case of painful periods, it is impossible to resort to self-treatment, modify the doses and dosage regimens prescribed by the doctor, interrupt the course of therapy, and lift weights.

Opinion of doctors

Painful periods - this is not the norm, and so many doctors say. Treat algomenorrhea and dysmenorrhea is necessary, and with unpleasant sensations do not postpone the trip to the doctors. Only timely treatment will help to avoid a decline in reproductive functions, up to their complete loss.

Doctors claim that pain during menstruation is an excess of prostaglandins or a violation of physiological functions in the body. It is important to direct treatment to eliminate the causes of the primary disease or to undergo a course of hormonal therapy for women. Everything will depend on the results of the blood test, laparoscopy, ultrasound.

It is important to understand that menstruation is a natural physiological function in the body of women, and even a slight discomfort leads to a sharp decrease in performance.

Eliminating painful periods - does not mean numbing, but to identify the first causes of manifestation. Often, with the birth of the first child, the picture in women changes for the better, and the pain ceases to plague with the arrival of menstruation.

In any case, to endure a strong, prolonged pain can not. It is harmful both physiologically and emotionally. Pain affects the nervous system, and analgesics and NSAIDs can only aggravate the situation, lead to side effects and addiction.

It is important to pass tests for hormonal status, to undergo pelvic ultrasound. If a diagnosis of “secondary amenorrhea” is made, then a full hormonal examination or curettage is required. Doctors and women recommend doctors to start a diary (calendar) of menstruation, to observe the appearance of unpleasant sensations, the duration of the cycle and bleeding, other related symptoms: how much blood is released, what are the discharge in color and volume. This information will definitely help doctors in identifying the real causes in order to select the correct medical therapy.

Dysmenorrhea treatment

It is very simple to help patients with primary dysmenorrhea - it is enough to choose the right NSAIDs (non-steroidal anti-inflammatory agent): indomethacin, ibuprofen, ketoprofen, celecoxib, etc. In most cases, one tablet is enough to completely get rid of the pain in the current cycle. With severe pain and regular menstruation, you can start taking NSAIDs 2-3 days before menstruation.

- What is this treatment? It's just painkillers.
- Not really. NSAIDs inhibit prostaglandin synthesis, therefore, they act not only symptomatically (just anesthetize), but also pathogenetically (affect the mechanism of pain development in primary dysmenorrhea).

If you take NSAIDs in each cycle with primary dysmenorrhea, from cycle to cycle, the severity of pain decreases.

It is very easy to help patients who have sex and do not plan pregnancy. The ideal means of getting rid of menstrual pain will be COCs (combined oral contraceptives). It is not without reason that among the non-contraceptive advantages of COC, the elimination of dysmenorrhea and other disorders of the menstrual cycle comes first.

Rarely, but still there are patients who are poorly helped by NSAIDs and COCI. In this case, the combined method is used: COC + NSAID.

Treatment errors

Despite the apparent simplicity of the situation, a whole heap of myths, delusions and stupidities are turned around painful menstruation.

Most patients with painful menstruation do not seek medical help, probably not considering such pain as a sign of disease. Mothers who suffered from dysmenorrhea in their youth, boldly transfer their experience to their daughters: “It will pass when you give birth to a baby” With mild symptoms, our women prefer to “drink something” or lie down. Unfortunately, this "something" is most often no-shpa.

“I don’t understand why 80% of my patients take no-silos for menstrual pain.”
- So after all on TV they say that no-shpa helps.
- Where do they say? Who is talking?
- Well, here, advertising is twisted, where the bride in a white dress is standing, and the mother gives her no-shpu.
“Why do you think the bride has menstruation?”

But the silo really takes a huge number of women. Someone advised mom, someone friend, someone gynecologist. It helps badly. Actually, it has the right not to help at all, because menstrual pains are almost not associated with spasm. Although in severe dysmenorrhea, as part of a combination therapy, but shpa may be recommended and appropriate.

The most curious thing is that the majority of patients who prefer “no-shpu and lie down”, as a rule, had a successful experience of taking NSAIDs, however, they continue to use not very effective means for fear of regularly taking "too strong" or "too harmful" tablets. NSAIDs, of course, have a damaging effect on the stomach wall with prolonged regular use. The application once every 24-30 days can be called regular, but serious additional damaging factors are needed to form a peptic ulcer. If the patient already has a stomach disease, it is possible to suggest preparations containing celecoxib, which are the most carefully applied to the gastrointestinal mucosa.

A special case

Sometimes we encounter girls suffering from severe menstrual cramps.The pain gradually turns an enthusiastic and carefree young lady into a person with a rapidly declining self-esteem.

- What's wrong with you? Get it together! Why can't you “cope” with ordinary menstruation? - reproach peers.
- We do not understand what happened to her. She is not a careless girl at all, - her parents are perplexed. “Maybe she just doesn't want to go to school?”

Conventional hygiene tampons can increase pain. Medicines help badly or not at all. Girls skipping school, refuse to visit the pool and participate in sports activities, it becomes increasingly difficult for them to maintain relationships with friends.

The pain can be so severe that you have to call an ambulance. Doctors exclude acute appendicitis, pregnancy and recommend to be screened for sexually transmitted diseases, ultrasound and computed tomography. This experience leaves a very negative residue. For some young patients, such active intervention is not much different from physical abuse. When, even after all the above, no answers have been received, except that the girl does not have any of the above conditions, she is advised to take any kind of anesthetic.

  • cyclic pain lasts more than 6 months,
  • the patient is worried about pronounced pain, and on examination, the doctor does not find any (or almost no) signs of the disease,
  • treatment helps poorly, almost does not help or does not help with the repeated course of therapy,

endometriosis and its associated secondary dysmenorrhea can be suspected.

Unfortunately, in order to diagnose endometriosis, women need diagnostic laparoscopy.

Alas, not every woman is ready to decide on an operation for diagnostic purposes. Just imagine how difficult it is to explain to the parents of a young girl that their daughter needs surgery to make sure that her menstrual pains are not associated with endometriosis.

The expert of the World Endometriosis Society (World Endometriosis Society), Professor Robert Albee, in his article calls upon all of humanity: “Please believe young women when they say they suffer from pain!”.

The idea that a young woman pretends to exaggerate her suffering comes to mind not only to her relatives, but also to the attending physicians. This is a very dangerous fallacy. There is nothing more offensive for a suffering person than the distrust of people from whom he is waiting for help.

Products on the topic: indomethacin, ibuprofen, ketoprofen, celecoxib, drotaverin, no-shpa

Why monthly painful

Painful periods are called algomenorrhea. They occur in women every month. Not every menstruation is accompanied by unaccepted sensations.

It is very important to respond to too painful periods, as they often signal a developing gynecological disease.

As a rule, the first day of menstruation is very painful. It may be accompanied by aching, cramping and stitching sensations, which pass away on their own after a couple of days or after taking analgesics.

Additional symptoms that accompany algomenorrhea are:

  • headache,
  • nausea,
  • indigestion,
  • weakness,
  • irritability,
  • loss of appetite,
  • tachycardia,
  • vomiting.

An accurate diagnosis for painful menstruation can only be established by a gynecologist. The most common causes of this pathology are:

  1. Hereditary predisposition to painful algomenorrhea.
  2. An acute deficiency of vitamins and nutrients. Especially often the pain is observed with a lack of calcium and magnesium in the body of a woman.
  3. Developing gynecological diseases. These can be: uterine fibroids, pathologies of the development of reproductive organs, ovarian cysts, cancers, infectious lesions, etc.
  4. Hormonal disbalance.
  5. The weakness of the muscles of the pelvis and ligaments in general. This condition is associated with a lack of physical exertion, which leads to muscle weakness and increased sensitivity to abdominal cramps.
  6. The establishment of the intrauterine device.
  7. Vegetative dystonia.
  8. Previously postponed abortion.
  9. Improper nutrition.
  10. Use of hormonal contraceptives.

Moreover, spinal curvature, varicose veins, microstroke and neuralgia increase the risk of painful menstruation.

What do painful periods

If the monthly provoke quite tolerable discomfort in the lower abdomen, and it is easy to stop it with antispasmodics, then you should not worry.

If every period is accompanied by pronounced unpleasant sensations (chills, hot flushes and even loss of consciousness), the cycle is regarded as pathological.

Painful periods in a teenager

Often, painful menstruation is experienced by teenage girls, which becomes a real problem for them. In such a case, the following reasons may provoke discomfort:

  • weakness of vaginal muscles
  • hormonal failure, which is often observed in adolescents,
  • excessive uterine contraction
  • poor blood clotting,
  • low pain threshold
  • stress and depression,
  • inflection of the uterus, which complicates the outflow of blood.

Severe pain during menstruation on the first day

Severe pain during menstruation, which is observed on the first day, may be a variant of the norm or indicate a pathological process. In the latter case, the following problems are most often observed:

  • inflammatory processes in the pelvic organs,
  • infection in the ovaries or uterus,
  • STDs (sexually transmitted diseases).

It is possible to distinguish pathological pain from physiological pain. In the first case, the discomfort will be permanent, rather than periodic (in the form of spasms). It is very difficult to stop them with conventional analgesics.

Cramping pain during menstruation

Discomfort during menstruation and cramping pain may occur with developing gynecological diseases. In most cases, these symptoms provoke inflammatory processes in the pelvis, and also cause endometriosis.

This disease leads to the fact that the inner layer of the uterine wall extends to the ovaries or fallopian tubes. Treatment of endometriosis involves hormonal drugs.

What to take from pain during menstruation

For pain relief during menstruation, it is allowed to take such drugs:

  1. NSAIDs (nonsteroidal anti-inflammatory drugs) - Diclofenac, Nimesil.
  2. Progesterone derivatives, which will reduce the activity of the uterus.
  3. Non-hormonal painkillers - "Analgin".
  4. Oral contraceptives. They will suppress the ovulation process, and reduce the tone of the uterus.

Also allowed to take herbal remedies (infusion of horsetail, decoction of chamomile, mint and yarrow).

How to treat painful periods

Treat painful menstruation is recommended in a complex. If the cause of the discomfort was a specific disease, you should take the drugs prescribed by the doctor.

With the physiological causes of algomenorrhea, you can alleviate your condition by:

  • power correction,
  • eliminate bad habits
  • massage lumbar.

Also on critical days, it is advisable to perform special exercises that will improve the elasticity and tone of the muscles of the pelvis.

Prevention

The following recommendations will help reduce the risk of developing painful periods.

  1. Full nutrition. The diet should be well balanced and rich in nutrients.
  2. Taking vitamins every season. The doctor should select them depending on the individual needs of the body.
  3. Sports activities. This can be both professional training and simple physical exercises performed at home. Also, the usual running and charging will help strengthen the ligamentous apparatus.
  4. Compliance with the optimal mode of rest and work.
  5. Avoiding stress and nervous overstrain.
  6. Protection against overcooling.
  7. Suitable oral contraceptives.
  8. The timeliness of treatment of any gynecological diseases, inflammatory processes, infection.
  9. Regular (semi-annual) preventive examination by a gynecologist and testing.

Conclusion

Painful periods can be so pronounced that a woman will not be able to work, sleep or go about her business. In such a state, it is necessary to look for the cause of the problem and eliminate it, until the ailment has passed into a running form.

Causes of painful menstruation

Before deciding on the use of certain methods of treating painful periods, it is necessary to reliably establish the etiopathogenetic factor, which became the root cause of their occurrence, since in some cases the elimination of the cause is enough to relieve the pain syndrome.

The etiopathogenetic mechanisms of pain syndrome development are the same for all forms of algomenorrhea and are based on the violation of the myometrial trophism resulting from the spasm of the vessels feeding the uterus. The immediate provoker of increased arterial spasm is the process of excessive uterine contractions, which occur under the influence of elevated levels of prostaglandins. Under normal conditions, uterine contractions occur constantly, but they are so weak that they do not affect the health of the woman and do not cause pain. Thus, pain occurs only in the case of energetic intensive contractions of the uterus.

Painful periods in adolescents belong to the group of primary algomenorrhea that occurs in the first three years from the onset of menstruation. Girls of asthenic body type with an emotionally unstable psyche suffer more often with painful menstruation. In some cases, primary algomenorrhea passes on its own after childbirth, due to stretching of the cervix, which is an obstacle to blood outflow.

The debut of primary algodysmenorrhea occurs in adolescence and the occurrence of painful periods is due to one of the following etiological factors:

- disorders of the functioning of the sympathetic nervous system with a concomitant imbalance of the hormonal sphere (an increase in the level of norepinephrine and dopamine). In girls suffering from these disorders, there are not only painful periods, but also frequent constipation, tachycardia, impaired peripheral circulation of the upper and lower extremities, sleep disorders and short-term fever during the onset of menstruation,

- failure in the functioning of the parasympathetic nervous system, accompanied by an increased level of serotonin and manifested in the form of algomenorrhea, a decrease in heart rate, weakened stools, a decrease in body temperature, and a tendency to allergic reactions,

- Tuberculous lesion of the genital organs. In childhood, this pathology manifests itself in the form of the appearance of congenital developmental abnormalities, underdevelopment of one or both mammary glands, chronic salpingo-opharitis, impaired cyclicality of the onset of menstruation and painful periods. It is believed that this pathology is dependent on the season, and periods of exacerbation are observed in the autumn and spring periods of the year,

- a decrease in the level of magnesium in the body is accompanied not only by painful periods, but also by a tendency to constipation, aching pains along the intestines not associated with food intake, as well as the development of signs of myopia,

- dysplastic anomalies of the connective tissue in 60% of cases are accompanied by painful periods. Girls suffering from anomalies of connective tissue development have characteristic phenotypic signs in the form of elongated limbs, disproportionality of the body, static deformation of the thoracic spine and longitudinal-transverse flatfoot,

- various psycho-neurological diseases are accompanied by a distortion of pain perception, therefore girls with such disorders often complain of painful periods, and it is not possible to identify organic pathology of the reproductive system in this case,

- Difficult outflow of menstural discharge with an existing congenital anomaly of the location or shape of the uterus is accompanied by additional painful uterine contractions.

In women after childbirth, painful periods are referred to the category of secondary algomenorrhea and their occurrence is associated with the influence of factors in need of medical correction. Risk factors for the occurrence of painful periods include:

- the formation of adhesions in the pelvic area after infectious and inflammatory diseases of the internal genital organs,

- neoplasms in the uterus and appendages (fibromyoma, polyp). The occurrence of pain is due to a violation of the outflow of blood from the uterus due to the presence of a mass in its cavity,

- signs of endometriosis, manifested by the spread of myometrium cells to other genitals. Pain in this situation arises as a result of the rejection of these cells at the time of the onset of menstruation. Long-lasting pain, which is observed even after the end of menstruation, is characteristic.

- varicose veins of the venous network of the ileofemoral segment,

- massive cicatricial deformity of the uterus, due to numerous intrauterine abdominal surgery and curettage,

- long-term use of intrauterine contraception, as well as violation of the technical conditions of its establishment,

- rupture of the ligamentous apparatus of the uterus during delivery,

- the emergence of signs of adenomyosis, in which the reproduction of endometrial cells develops, and their penetration into the deeper muscular layers of the uterus.

Very painful periods

“Very painful periods” are the most common complaint of most women seeking advice from a gynecologist. Almost all women of reproductive age note that in the first days of the menstrual cycle, they have painful periods that can be regarded as a kind of discomfort with localization in the lower abdomen.

According to world statistics, no more than 10% of women suffer from typical bouts of algomenorrhea, who describe the pain syndrome as a sudden, intense, cramping, recurring pain in the lower square of the abdomen or directly above the womb. In addition to lower abdominal pain in 80% of cases during this period, there is a loosening of stool and single vomiting, not associated with food intake. In most cases, women with painful menstruation in the first days of the cycle, there is a pronounced headache of a compressive nature, dizziness and even short-term impairment of consciousness.

A typical pain syndrome with algomenorrhea is a painful or aggravating pain that radiates to the lumbar as well as to the perianal region, which is observed on the first day of the menstrual cycle, and gradually decreases after two days.

Characteristic manifestations in women suffering from painful periods are psycho-emotional disorders, which manifest as increased irritability, sleep disorders from drowsiness to insomnia, mood disorders, up to the development of depression. All these disorders do not have a substantiation, since in this situation there is no organic pathology of brain structures and, to a greater extent, these psycho-emotional disorders are caused by a change in the hormonal status of a woman during the onset of menstruation.

Depending on the severity of manifestations of certain symptoms, in gynecology there is a generally accepted classification of algomenorrhea, according to which three degrees of severity of this pathology are distinguished.

♦ Mild algodysmenorrhea is characterized by the appearance of short-term moderate pain in the lower abdomen during the onset of menstruation, and this painful symptom complex does not cause a woman’s disability. Despite the fact that the pain syndrome does not have a pronounced negative impact on the state of health, gynecologists recommend comprehensively examining such women in order to identify the causes of its occurrence and prevent the progression of algomenorrhea. Some women notice that moderately painful periods after childbirth stop bothering them or the pain syndrome subsides.

♦ Painful menstrual periods of moderate severity also need to determine the root cause of their occurrence, since women suffering from this pathology need qualified medical treatment to reduce pain. The average degree implies the emergence of a woman in not only pain, but also disorders of the psycho-emotional background.

♦ In almost 100% of cases, the severe form of painful menstruation is caused by a gross congenital or infectious-inflammatory pathology of the organs of the reproductive system. Women suffering from severe algomenorrhea, completely lose their ability to work during the onset of menstruation, as they have pronounced disorders of physical and psycho-emotional health.

In addition, it is necessary to distinguish the compensated form of primary algomenorrhea, in which there is pain syndrome of the same intensity throughout the menstruation, as well as decompensated, characterized by a gradual increase in the intensity of pain. In order to prevent decompensation in the primary type of algomenorrhea, preservation of the first pregnancy is recommended.

All clinical symptoms observed in very painful menstruation can be attributed to a particular syndrome:

- vegetative-vascular syndrome, manifested in the form of dizziness, unmotivated nausea and vomiting, severe compressive headaches, numbness of the upper and lower extremities, as well as short-term disturbances of consciousness,

- psycho-emotional syndrome, which is manifested by increased irritability, the distortion of taste and olfactory preferences, lack of appetite and even the development of depressive moods,

- Endocrine-metabolic syndrome, manifested unmotivated weakness, itching of the skin and pain in large joints.

Sometimes painful periods are accompanied by abundant uterine bleeding, and in some cases, on the contrary, women note scanty release of menstrual blood in the form of clots.

A feature of the painful menstruation that occurs as a result of endometriosis is a pronounced pain syndrome and a symptom complex of an infectious-inflammatory nature (an increase in body temperature to subfebrile level, elevated ESR, the presence of mucopurulent discharge, regardless of the menstrual cycle). A primary gynecological examination of a woman with painful periods, caused by endometriosis, makes it possible to suspect this terrible disease, since painful sensations are observed during a manual examination of the uterus and appendages, as well as a violation of their mobility.

Endometriosis, localized in the body cavity of the uterus, is accompanied not only by a pronounced pain syndrome, but also by the occurrence of uterine bleeding outside the menstrual cycle. One of the manifestations of painful menstruation with internal endometriosis is an anemic syndrome of moderate and severe severity, accompanied by severe weakness, paleness of the skin, a distortion of taste. This pathology needs early diagnosis and treatment, since in 70% of cases endometriosis is complicated by the development of infertility due to obstruction of the fallopian tubes.

As a rule, painful periods even of severe severity do not have specific complications and do not cause prolonged health and disability. With a long course and the absence of timely diagnosis and treatment of the underlying disease, which is the primary cause of the occurrence of algomenorrhea, there is a development of complications of an inflammatory nature.

What to do with painful menstruation

The absolute misconception of many women suffering from algomenorrhea is that this pathology only needs to take an analgesic pill for painful periods. Do not hope that the attacks of painful periods will end after the birth of the child. In fact, even the slightest discomfort in the pelvic area and abdomen is the basis for a thorough medical examination of women using laboratory and instrumental methods of research.

In order to make it easier for the gynecologist to determine the volume of necessary diagnostic and therapeutic measures, a woman suffering from painful periods should always keep a diary that reflects all the changes that occur in her body during the menstrual cycle. In addition to regular registrations of the duration of the menstrual cycle, a woman needs to record the duration, the abundance of the menstrual flow, as well as all the symptoms observed during the onset of menstruation.

Women suffering from painful periods, gynecologists recommend to observe certain conditions of work and rest, as well as adjust the diet. Among the non-specific measures that can reduce pain in the period of the onset of menstruation, it should be noted:

- normalization of the work regime and ensuring a full night’s sleep lasting at least 8 hours,

- regular physical exercises aimed at strengthening the muscles of the anterior abdominal wall,

- correction of eating behavior with a complete rejection of the use of alcoholic beverages, as well as restriction of high-calorie foods,

- restriction of stress effects on the body, as well as the use of soothing methods of psycho-correction of behavior,

- application of general relaxing massage with acupuncture elements,

- application of heat warmer to the region of the lower abdomen a few days before the expected onset of menstruation,

- 5-6 sessions of electrophoresis with Novocainum in the solar plexus before the onset of menstruation.

Alternative medicine also offers a wide range of medicines based on herbal ingredients that you can prepare yourself at home. These recipes are effective in dealing with pain during menstruation: infusion of water pepper (2 tablespoons of boiled leaves boil in 500 ml of water and leave to infuse for two hours, then take 50 ml three times a day, regardless of the meal) , decoction of horsetail (mix 300 ml of boiled water with 1 tablespoon of chopped horsetail and leave for 2 hours, then strain and take 50 ml twice a day).

All of the above methods of dealing with pain have the right to exist, but women should take into account that algomenorrhea is not an independent nosological form and this pathology necessarily requires diagnosis and application of an individual treatment regimen.

The key to successful treatment of algodysmenorrhea is a comprehensive examination of the patient, implying a gynecological examination of the external and internal genital organs, assessment of the hormonal status, examination of the internal organs of the digestive, urinary system using radiation imaging techniques, and, if necessary, laparoscopic examination.

After the initial gynecological examination of the patient with painful periods, the doctor decides on the use of various additional instrumental and laboratory diagnostic methods. In most cases, an ultrasound method for diagnosing the cause of algomenorrhea is an ultrasound examination of the uterus and appendages with a linear or vaginal sensor. This method of radiation diagnosis allows to recognize the presence of volume formations of the uterus and ovaries, as well as anomalies of their location and shape.

In order to clarify the presence of varicose veins in the projection of the pelvis, as well as signs of damage to the ligamentous apparatus of the uterus, it is recommended to perform a laparoscopic imaging method in the premenstrual period.

Laboratory and cytological examinations of blood, urine are not crucial in the diagnosis of the cause of algomenorrhea, but some diseases that cause painful periods, are reflected in changes in laboratory parameters. For example, diseases of infectious and inflammatory nature are accompanied by an increase in ESR, blood leukocytosis. In addition, a mandatory list of diagnostic measures for painful periods includes colpocytology with a biopsy, as well as vaginal smear for atypical cells to diagnose malignant oncopathology of the reproductive system.

Treatment of painful menstruation

Before embarking on the symptomatic treatment of painful menstruation, it is necessary to diagnose the root cause of their occurrence, since in most cases the conduct of adequate etiopathogenetic therapy is completed by the complete elimination of pain during menstruation.

The treatment of women with primary and secondary algomenorrhea should be handled by various specialists: a gynecologist, a geneticist, an endocrinologist, a neuropathologist, a rehabilitologist.

The main directions in the treatment of painful menstruation are: an individual approach, continuity of the therapeutic method and the etiopathogenetic component of therapy. For the selection of the most effective method of treatment, the form of algomenorrhea, the patient's age, the severity of the clinical manifestations of the disease, the possibility of correcting the etiological factor of the occurrence of this disease, as well as the presence of concomitant chronic pathology in a woman should be considered.

Primary algomenorrhea is difficult to treat, since with this pathology it is often difficult to eliminate the cause of the painful periods. In order to eliminate the psycho-emotional factor that aggravates the perception of pain, recommended the use of sedative drugs (Adaptol 500 mg 2 p. / Day. Oral, Sedasen 1 capsule 2 p. / Day).

In order to relieve severe pain, it is advisable to use drugs of the antispasmodic group (Spazmolgon 500 mg per day, No-shpa in a daily dose of 120 mg) and nonsteroidal anti-inflammatory drugs (Nise 100 mg 2 p. / Day. Indomethacin 25 mg 3 p. per day.). Preparations of these groups are recommended to take a few days before the expected onset of menstruation, as well as the entire painful period. It should be borne in mind that nonsteroidal anti-inflammatory drugs are aggressive in relation to the effects on the mucous membrane of the gastrointestinal tract, and therefore, the duration of their regular oral administration should not exceed 5 days.

Non-steroidal anti-inflammatory drugs have an analgesic effect as a result of the ability to quickly reduce the level of prostaglandins, and therefore a positive effect occurs within two hours and the duration of analgesia is at least 6 hours. Absolute contraindication to the use of drugs in this group is pregnancy, viral hepatitis and diabetes.

Drugs with proven efficacy in the treatment of primary algomenorrhea are natural gestagens that can reduce the level of prostaglandin in the blood, thereby providing a relaxing effect on the uterine muscles. In addition, the drugs of this group have a beneficial effect on reproductive function and are a means of preventing spontaneous miscarriage. At a young age, it is preferable to use natural gestagens that are devoid of adverse reactions (Progesterone 5 mg per day by intramuscularly with a course of 6 injections). The only contraindication to the use of drugs in this group is the presence of infectious and inflammatory diseases of the genital organs.

With primary algomenorrhea in sexually active women, it is reasonable to regularly use hormonal contraceptives (Ovidon, Antiovin). The mechanism of relief of pain is due to a decrease in the level of prostaglandin, due to the suppression of ovulation, a decrease in pressure inside the uterus, as well as a decrease in the intensity of uterine contractions. The duration of the use of drugs in this group is at least three months according to the standard regimen of hormonal means of combined action for the purpose of contraception. Long-term use of hormonal contraceptives is considered the best preventive measure to prevent ectopic pregnancy, as well as the occurrence of malignant tumors in the pelvic area.

The combination of oral contraceptives with vitamin E in a daily dosage of 300 mg has a good effect on the treatment of primary algomenorrhea. Like all drugs of synthetic origin, oral contraceptives have a number of contraindications that limit their use, which should include a tendency to increased thrombosis, liver cirrhosis and lactation.

The only area of ​​application of the surgical method of treatment is the presence of a girl with painful menstrual congenital malformations of the reproductive system.

The determining factor in the choice of a suitable method of treatment of secondary algomenorrhea is the establishment of the root cause of the disease and its elimination. Thus, the presence of signs of cicatricial deformity of the uterus in the patient with a concomitant adhesive process in the small pelvis is an absolute indication for surgical treatment. The amount of operational benefits in this situation is determined depending on whether the woman has given birth or not. Also, surgical treatment is resorted to in the case of a diagnosed tumor of the internal genital organs. If the occurrence of painful menstruation is due to prolonged use of intrauterine contraceptive devices, this fact is the rationale for the removal of the uterine spiral.

Vaginal suppositories for painful menstruation are used only in the case of marked pain syndrome caused by infectious and inflammatory changes in the uterus and appendages.

The relief of pain during menstruation is beneficially affected by the use of various methods of physiotherapy treatment (diadynamic currents, electrophoresis with novocaine, acupuncture), which should be used as courses consisting of 10-15 sessions for at least three months.

How to improve well-being

If the cause of the pain is a disease, it must be cured. How exactly - the doctor will determine. But to endure the pain in any case is not necessary. If you have painful periods, many women know what to take. These are the most different drugs. We will tell about the most effective of them.
1. NSAIDs (nonsteroidal anti-inflammatory drugs). It is not only very effective for painful menstrual pills, but also reduces the profusion of blood loss by about 30%. If the drug does not work - most likely the problem is in too small a dosage, it should depend on the weight of the person.
The problem is that the drugs of this group (perhaps the most famous - "Ibuprofen") negatively affect the stomach. Therefore, they can not take all. More "soft", safe options - "Meloxicam" or "Celebrex."

2. Oral contraceptives. Yes, these are the same hormonal pills that protect against pregnancy. But they also serve as an excellent prevention of endometriosis, reduce monthly blood loss - menstruation becomes shorter, poorer and virtually painless.

3. Preparations with progestogen. These are also hormonal preparations, but which, in the case of painful menstruation, should be drunk in the second half of the cycle. Recommended for women who, for whatever reason, cannot take oral contraceptives. Perhaps the most famous drug of this group is Duphaston. By the way, it is also used to treat infertility, if it is caused by progesterone deficiency.

4. Antispasmodics. “No-shpa”, “Papaverina hydrochloride”. Many people know that these drugs relieve muscle spasm. But modern gynecologists consider them less effective than NSAIDs. If your period passes painfully - these medicines are not the best choice.

5. Vitamin E. A study by James Makele 10 years ago shows the positive role of taking vitamin E at a dosage of 200 mg per day before and on menstruation days. And a particularly positive effect is noticeable in adolescents. In young girls not only menstruation becomes less painful, but also not so abundant.

All this is good, but many women are looking for if painful monthly folk remedies which can help, because most of the drugs have side effects, contraindications, and they are not cheap. An alternative can be candles with belladonna - a natural remedy that is sold in a pharmacy. True, the instructions say that it is from hemorrhoids, but some doctors recommend it as an antispasmodic.

The treatment of painful menstrual herbs is also carried out with the following: nettle, sage, chamomile, pine-wood uterus, oregano, celery, wormwood, etc. Different healers offer their own fees. But just how effective and safe they are is unknown.

We recommend not using any medications and herbs by yourself. Consult a doctor.

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