What is Dysmenorrhea?
Dysmenorrhea is a cramping type of pain during menses.
Types of dysmenorrhea :
It can be of two types. Primary or Secondary
Primary dysmenorrhea: This is mainly because of the excessive or imbalanced amount of prostanoids secreted from the endometrium (uterine lining) during menstruation. The prostanoids result in increased uterine contractions in a dysrhythmic pattern. Uterine hypercontractility, decreased uterine blood flow and increased peripheral nerve hypersensitivity contribute to pain.
Secondary dysmenorrhea: This is the cyclic menstrual pain that occurs in association with underlying pelvic pathology.
pelvic inflammatory disease
congenital uterine or vaginal malformation
To diagnose the cause of pain, the following tests are done:
– Complete blood count & ESR to rule out infection
– Urine microscopy to rule out urinary tract infection
– Abdominal or transvaginal ultrasound
– Hot fomentation: applying heat to the lower abdomen and back
– doing exercises daily for 45 mins at least 5 days a week
– Adequate sleep
-NSAIDS & Hormonal pills
– For secondary dysmenorrhea, the underlying cause needs to be identified and treated