According to the researchers, painful menstruation occurs in almost every woman (since adolescence and ending premenopause). However, any deviation from the normal menstrual cycle The normal menstrual cycle: the main feature of women's health , Including pain during menstruation, require examination and treatment. Algomenoreya is not only varying degrees of severity discomfort in the abdomen, but also interferes with their lifestyle.

What is considered painful menstruation

Painful menstruation (dysmenorrhea, algomenoreya) - it is pain that occurs during menstruation, and accompanied by other more or less severe symptoms. There are primary and secondary algomenoree. Primary dysmenorrhea appears with the first menstruation (menarche) or a year - and a half after the start of menstruation (ie, typical for adolescent girls). Primary algomenoreya always functional. Secondary dysmenorrhea is typical for older women (30 or more), and has an organic nature of origin (ie, associated with changes in internal genital organs).

Causes painful menstruation

The main reason for primary algomenoree doctors called hormonal disorders Hormonal disorders: causes and the most frequent disease Associated with excessive production of hormones - prostaglandins. Typically, painful menstruation observed in asthenic women (lean) body or mentally unstable (emotionally labile teenagers).

Algomenoreya Second, as noted above, is associated with organic lesions of the genital organs. It may be:

• Tuberculosis of genitals;
• diseases of the uterus and appendages (inflammation, fibroids, endometriosis, ovarian cysts);
• malformations of the uterus (double uterus, uterus with an additional horn baffle in the uterus and others);
• incorrect position of internal reproductive organs (uterus backward bend or kink in front);
• intrauterine device;
• genital infantilism (underdevelopment of genitals).

The mechanism of painful menstruation is too pronounced contractions of the uterus and its blood circulation in the muscle layer (like a heart attack).

The clinical picture algomenoree

During normal menstruation women do not experience pain or complain of mild discomfort in the abdomen. When algomenoree pain are characterized by aching and dull or cramping. Usually, pain appears within 10-12 hours before menstruation and lasts the first two days. Depending on the severity of pain are three severity algomenoree:

• Mild

It is characterized by pain of moderate intensity and a slight indisposition. Serviceability and sleep is not disturbed, the general condition remains satisfactory. If untreated mild with time becomes hard.

• The average degree of

A woman complains of severe pain in the abdomen, expressed general weakness, headache, nausea and sometimes vomiting, frequent urination. Patients become irritable, anxious, they are inherent in depression. Disturbed sleep (insomnia), increased appetite (bulimia), there is an intolerance of certain smells. The efficiency decreases.

• Severe

Severe algomenoree characterized by excessive abdominal pain cramping in nature. Characteristically fever, there are heartaches, vomiting and diarrhea, quickens the heartbeat. Patients can not work and are forced to go to the doctor for relief from work.

Treatment of painful menstruation

Treatment of primary algodismenorei is to normalize diet and lifestyle, and in the appointment of drugs. In the first place should be discarded in the second phase of the menstrual cycle The phases of the menstrual cycle failures unacceptable   chocolate, tea and coffee. Not welcome smoking and drinking. Teenagers recommended exercise (cycling, swimming). You should also avoid stressful situations.

Drug treatment is prescription drugs three groups:

• progestin (hormone of the second phase of the menstrual cycle) - normalize menstrual cycles, reduce the amount of prostaglandins in the body (djufaston, norkolut 17-DIC);
• progestagen-estrogen oral contraceptives - hormones inhibit the synthesis of its own body to block ovulation, resulting in a decrease or disappearance of pain;
• nonsteroidal anti-inflammatory drugs (NSAIDs) - inhibit prostaglandin synthesis (indomethacin, ibuprofen, naproxen).

Treatment of secondary algomenoree is treatment of gynecological diseases. When uterine fibroids and endometriosis often resort to surgical intervention.

Anna Sozinova

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