- Abdominal pain during menstruation: norm or pathology?
- When to see a doctor
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.
Algomenoreya divided into primary (arising from the very beginning of the menstrual cycle) and secondary (after developing some diseases).
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
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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
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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
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- 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.
Treatment depends on the algodismenorei revealed pathology. If hormone replacement therapy is carried out violations when discovered hidden infectious-inflammatory processes and genital infections, their being treated, the tumor is removed.
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).