Abdominal pain during menstruation are almost all women. But sometimes the pain is so strong that deprive women of working. In such cases we speak of the menstrual cycle - algodismenoree which may have different origins.

Severe abdominal pain during menstruation - what does this mean?

Normally, at the end of the menstrual cycle, after dropping hormonal support (decreases the amount of progesterone) is rejected enlarged screen endometrium, whereupon menstruation begins. Such a rejection is always accompanied by painful spasms of muscles of the uterus - so the queen tries to get rid of the separated mucosa. Normally, the pain is quite tolerable and do not preclude the possibility of a woman to engage in business as usual.

But in some cases, abdominal pain during menstruation can be so strong that the woman becomes incapacitated. This condition is called algomenorrhea.

Primary algomenorrhea most often occurs in patients with congenital disorders of the structure of the uterus or hormonal disorders that occur during the formation of the menstrual cycle. For example, the lack of female hormones estrogen can cause rapid rejection of complete whole mucosa of the uterus, while rejection is normally occurs gradually in individual portions. These disorders cause a spasm of blood vessels that feed the uterus, and painful spasms of its muscles. Thus, under the action of hormones is reduced synthesis of opiates - substances that suppress pain, and increased synthesis of prostaglandins - substances that enhance the reduction of muscles of the uterus, pain and inflammation.

Secondary algomenorrhea usually develops after infection-pelvic inflammatory disease, against tumors of the uterus endometriosis (proliferation of the mucous membrane of the uterus inside her muscle layer). These conditions lead to a change in structure as the uterus and to hormonal disturbance.

Abdominal pain during menstruation - when they talk about violation of the menstrual cycle

At the beginning of the formation of the menstrual cycle rather severe abdominal pain Abdominal pain: Types and Symptoms   there often. Therefore, obstetricians are in no hurry to put the final diagnosis algodismenorei. And only if the pain does not decrease within two years after the establishment of a regular menstrual cycle, after the test, and determine the cause of the pain talking about primary algodismeneree.

Pain in algodismeneree begin even before menstruation and continue until it ends. Some women have pain cramping in nature, others constant pain, aching, but no less intense. In secondary algomenoree pain often have a constant aching in nature.

Localized pain in the lower abdomen and can give back, perineum, upper legs. Such pain is completely knock a woman out of a rut, moreover they are joined by fatigue, irritability, weakness, headache, sleep disturbances Dreams: how to understand our dreams Sweating. In some cases, all accompanied also by nausea, vomiting, bloating, constipation and diarrhea. Reacts and cardiovascular system: sudden changes in blood pressure, palpitations, heart pain Pain in the heart - always consult a doctor .

Correct diagnosis - the mainstay of treatment algodismenorei

If women are concerned severe pain during menstruation, it is an occasion for the survey. To begin the survey should consult with an obstetrician-gynecologist who after inspection appoint a full examination. We study the blood on hormones, taken swabs from the external genitalia, scrapings from the cervix, highlight investigated in microbiological laboratories.

There are also endoscopic examination: colposcopy Colposcopy - how to prepare it properly?   - A study of the vaginal mucosa and cervical cancer using specific optical instrumentation. If you want to do and hysteroscopy - a study of the mucous membrane of the uterus.

Appointed and consultation of the neurologist - changes can be localized in the brain, for example, in the area of ​​the pituitary gland or hypothalamus - of which "supervise" all the hormonal changes in the body.

At the same time assigned a treatment that promotes a decrease in pain. Well help in this case, non-steroidal antiinflammatory drugs (NSAIDs) which inhibit prostaglandin synthesis - bioactive substances promoting occurrence of inflammation and pain. For drugs in this series include diclofenac, nimesil, Nice. To remove the spasm of smooth muscles of the uterus prescribe antispasmodics (Nospanum, papaverine).

Doctors believe menses in girls' primary sign of life "on a par with the temperature and heart rate. During puberty, girls should undergo regular medical check-up, to learn more about women's reproductive health in a confidential setting and to prepare for the first menstrual period.

Top of the menstrual cycle in girls

The menstrual cycle begins two - two and a half years after the breasts begin to grow and there are other signs of puberty Puberty child - stages of a complex path . Usually menstruation lasts from two days to a week. Duration of the menstrual cycle Menstrual cycle and its characteristics   - 21 - 45 days. Keeping a diary can help identify menstruation menstrual irregularities or problems with women's health.

During the beginning of the menstrual cycle, take the first day of menstruation, and the cycle ends with the first day of the next menstruation.

In the early years of menstruation menses quite moderate or even scarce. According to medical studies, at this time most of the girls changing pads Feminine pads - talk about wings   about three to six times per day.

If the girl with the established menstrual cycle for three months, absence of menstruation, she should consult a gynecologist.

Gynecological examination will determine pregnancy, and to identify possible violations, such as hormonal imbalance or eating disorders (anorexia, bulimia).

12 signs of menstrual disorders

Doctors have compiled a list of the twelve signs of menstrual disorders, which may require medical intervention:

• The absence of menstruation for three years after the onset of breast growth.
• The absence of menstruation at the age of 13 years, the absence of signs of puberty.
• The absence of menstruation at the age of 14, the absence of hair growth on the face or body.
• The absence of menstruation at the age of 14, the likelihood of physical overloads or eating disorders.
• The absence of menstruation at the age of 14, the likelihood of diseases of the genital tract.
• The absence of menstruation at the age of 15.
• Violation of the established menstrual cycle.
• The menstrual cycle is less than 21 days.
• The menstrual cycle is 45 days.
• Menstruation occurs at a frequency less 90 days.
• Menstruation lasts longer than seven days.
• Too heavy menses Discharges in women when there is cause for concern That require frequent replacement of the tampon / pad (more than once every two to three hours).