Dysmenorrhoea means painful periods.
Primary Dysmenorrhoea : Normal menstruation that happens to be painful .
Secondary Dysmenorrhoea: Period pain caused by certain reproductive disorders, such as endometriosis or fibroids.
This problem is faced by about 10% of the female population.
Symptoms: Pains of dysmenorrhoea can include:
The pain ususally starts either with the onset of menses or 1-2 days before it.
The first 24 hours is the most painful
Pain low in the abdomen that can spread to the lower back and legs
Pain that is gripping or experienced as a constant ache, or a combination of both
Clots are passed in the menstrual blood.
Causes:
Primary dysmenorrhoea: In patients who have no other uterine disease, the cause could be either a narrow cervical opening or excess of certain hormones or simply severe spasms of the uterus.
Secondary dysmenorrhoea: Other causes could be, uterins problems like fibroids, use of intra-uterine contraceptive devices, uterine infections or some diseases of the ovary.
Management
- A short history & examination followed by a sonography of the pelvis is sufficient to locate the cause. Usually when no disease is found & the cause seems simply hormonal, the following can be done to get temporary relief.
- Bed rest during the first day or so of the period
- Applying heat, such as a hot water bottle, to the abdomen
- Regular exercise and attention to overall physical fitness.
- Relaxation techniques
- Homeopathic intervention: But homeopathic medicines if taken continuously for about 4-6 months could cure the problem permanently.
commonly used homeopathic medicines remedies in dysmenorrhoea (menstrual pains) are: Belladonna, Borax, Cactus, Caulophyllum, Coccus, Pulsastilla, Secale cor, Vibernum, sabina, Mag phos.
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