> Dysmenorrhea, menstrual pain: causes, treatments, medications and remedies

Definition dysmenorrhea

menstrual pain (dysmenorrhea) affect many women, sometimes just before the loop, in other cases during the menstrual period. It is pain or cramping, usually localized in the lower abdomen.

depending On the intensityà pain, for some women, può be used only as an annoying inconvenience, for others, menstrual cramps can reach an intensityà to restrict the activitiesà daily for a few days.

In the absence of organic causes specific, menstrual pains tend to shrink with age and sometimes after the birth, although not always. The causes of menstrual cramps can sometimes be due to pathological conditions, such as, for example, theendometriosis or uterine fibroids.


The women may experience:


  • a Sense of heaviness and constant pain
  • the

  • Radiation of pain to the lower back and thighs
  • the

  • Dense, painful, spasms or cramps, più or less intense, localized in the lower part of the abdomen;

In some cases, the menstrual pain può be accompanied by:



    Mal di testa


If you è very young, and the first menstrual flow (menarche) è arrived not long, it is usually not c’è the reason of concern. In any case, if the pains are così strong influence for a few days per month normal activity; and if they increase progressively in the course of time, &it is best to seek medical attention.


typically, menstrual pain does not cause complications health, but can lead to such discomfort from interfering with its activities; in daily life (study, work, social relations).
If the menstrual cramps forò are attributable to organic conditions, you canò go to the encounter of medical complications associated with the disease root. For example, in the case of pelvic inflammatory disease (PID), Fallopian tubes can be damaged with the risk of an ectopic pregnancy (implantation of the embryo takes place in different locations from cavità uterine). Or, in the case of endometriosis, can cause problems of fertilityà.


During the menstrual cycle, the uterus contracts to expel the endometrial cells in the decay. The prostaglandin (mediators, inflammatory, cioè chemicals that cause inflammation), depending on their level, they can increase the fact that the inflammation, by triggering the contraction of the muscle of the uterus. It follows that più è a high level of prostaglandin and increased sarà the intensity; or menstrual pain.

The contractions are particularly strong, they can compress the blood vessels that feed the uterus, significantly reducing the flow of blood. In this condition, the pain experienced is very intense.

The pathological causes of menstrual cramps can be sometimes traced to the following:


  • Endometriosis.
  • the

  • uterine Fibroids.
  • the

  • Stenosis of the cervical spine. When the opening of the cervix is very small, the normal menstrual flow is prevented. A condition that può to cause a painful increase of pressure within the uterus, usually post surgery
  • the

  • Adenomyosis. It is a condition in which the tissue that lines the uterus begins to grow abnormally into the myometrium (the muscular wall of the uterus).
  • the

  • pelvic inflammatory Disease (PID). This is an infection of the female reproductive organs, generates caused by bacteria sexually transmitted that spread from the vagina to the uterus and the genital tract.

risk Factors:


  • smoking
  • the

  • family History of dysmenorrhea
  • the

  • Pubertà early (11 years or less).
  • the

  • Età less than 30 years.
  • the

  • heavy Bleeding (menorrhagia).
  • the

  • irregular Bleeding (metrorrhagia).
  • No delivery


typically, a examination è possible to verify the presence of infections or any abnormalities of the reproductive organs. If there is the suspicion that the menstrual pain is caused by an underlying pathology, it is possible to use:


  • Ultrasound. In order to verify and observe the uterus, the cervix, the Fallopian tubes (you can see the più times only if they suffer from the disease, and the ovaries.
  • the

  • CT scan or magnetic resonance imaging (MRI)
  • the

  • Laparoscopy. Not necessary for a diagnosis of menstrual cramps, but it is useful to verify the presence of possible organic pathologies underlying such as endometriosis, adhesions, fibroids, ovarian cyst and an ectopic pregnancy you may suspect.

Cures and remedies

The doctor can; prescribe:


  • pain relievers. Ibuprofen or naproxen sodium, taken with regular doses on the day preceding the arrival of the menstrual cycle. The doctor può opt for the non-steroidal anti-inflammatory drugs (NSAIDS) and, if you can’t take the NSAIDS, paracetamol is of help to reduce the pain. Typically, the pain reliever is taken at the beginning of the cycle, or as soon as you are experiencing any of the symptoms. It continues for two or three days, or until disappearance of pain.
  • the

  • contraceptive Pill. Prevents ovulation, and thereò può to reduce the intensityà menstrual cramps. The hormones contained in the contraceptive pill may also be employed in other forms, such as, for example, by injection, or with the application of patches or implant under the skin. Among other possibilitiesà c’è also l’vaginal ring and spiral (IUD).
  • the

  • Surgery. You resort to surgery when the menstrual pains are caused by an underlying pathology (fibroids or endometriosis).

natural Remedies


  • Reduce stress.
  • the

  • Avoid alcohol and tobacco.
  • the

  • Heat. The heat può be effective as one of the the counter medicines that the doctor willà to advise. Warm applications over the affected part, or even a warm bath can alleviate the pain.
  • the

  • Activitiesà physics. According to some research, regular exercise can reduce the intensityà menstrual cramps.
  • the

  • food supplements. According to studies, vitamin E, vitamin B-1 (thiamine), vitamin B-6, fatty acids omega-3 and magnesium supplements can be of help.


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