In some cases it is necessary to observe women who are outside the period of menses are healthy, and menstruation they are so painful that they are forced to seek medical help.
The nature of these pains are very diverse. Sometimes patients characterize them as dull, aching, colicky, or they have a character fights, and sometimes so strong that deprive a woman of the health and even compel her to the bed. Pain localized in the lower abdomen, lower back, in the sacrum. Such painful periods are called dysmenorrhea (dysmenorrhoea).
Pain in dismenoree can occur at different times. Sometimes they appear a few days before menstruation and with the onset of menstruation cease, sometimes appear during menstruation or, finally, by the end of menstruation. Pain sometimes continue for several hours and then they are, and sometimes continue throughout the menstrual period.
Although dysmenorrhea versatile studied, much of the disease remains unclear.
Erroneous, first of all was that the pain in dismenoree was seen as the only local changes in the organs (uterus), as a result of pure mechanical reasons, for example because of barriers to vyhodnou menstrual blood from the uterus (the incorrect position of the uterus, the narrowing of the cervical canal, closing internal throat polyps, submucosal fibroids, etc). Well, and in inflammatory processes, accompanied by disorder menstruation (dysmenorrhea), the pain was seen as the result of the strengthened blood flow to the sexual organs, as a result of the formation of adhesions due to inflammation, etc., But it cannot be considered justified explanation of all cases dysmenorrhea pure mechanical reasons which had just been said, if only because many women that also had listed the changes in the genitals (incorrect position of the uterus, peritoneal adhesions in the previous inflammatory diseases, particularly gonorrhea, and so on), do not suffer from dysmenorrhea. Evidence of this is the fact that the remedy these "reasons", such as correcting the wrong provisions of the uterus, the removal of polyps, not always lead to the end of dysmenorrhea. Apparently, this symptom of much greater significance is undervalued and unrecognized in such cases of neuro-psychic state of patients.
Especially clearly this is in cases where no pathological changes on the part of the genitals is not identified, and dysmenorrhea there. Often in such cases detected some nervous disease, and are not required to sharply expressed severe nervous suffering, sometimes blurred expressed nervous system disorders cause severe dysmenorrhoea.
Especially often dysmenorrhea observed in anemic, weak and poorly plump women, and among those who are in a depressed condition under the influence of any troubles. Dysmenorrhea is found in various forms in women suffering from infantilism, as well as neurasthenia, hysteria.
Finally, the pain in dismenoree can be suggested. If, for example, a girl hears in the family from his relatives that someone of them menstruation flow painful, sometimes this happens enough that she herself upon the occurrence of menstruation began to feel pain. Sometimes susceptible persons attached more or less pronounced fear before the onset of menses.
The facts as described about the great role of the nervous system in the origin of disorders of the menstrual cycle and, in particular, of such disorders as dysmenorrhea.
Treatment of dysmenorrhea first of all should be directed to the elimination of causes of reflex pain that you recognize it is not always easy. The intervention of a local nature (correction of incorrect provisions of the uterus, expansion of the cervix and so on), as it is written, not always give effect. Much more important are measures directed to the treatment of disturbances of mental state of women with dysmenorrhea. When indicated applied hormone therapy and physiotherapy. For young women should be encouraged gymnastics and sports. In cases where dysmenorrhea arises in connection with inflammatory processes, the treatment should be aimed first of all at the underlying disease.
Along with causal treatment, must sometimes resort to symptomatic treatment, especially in cases, when in the sex organs cannot find any pathological deviations or when the cause dysmenorrhea not immediately Able to identify. Among symptomatic funds include the use of heat in the form of bubble of hot water or hot compresses on the belly, hot baths.
From medicines used phenazone 0.3, piramidon 0.3, bromine products 0.5 to 1.0 at the reception and, finally, the strong pain - drug: Tinctura Opii simplex, Tinctura Belladonnae no 8-10 drops in the admission codeine 0,01-0,02.
In cases where the cause dysmenorrhea are nervous diseases or it turns out that she has a conditioned reflex nature, it is necessary to send the patient to a specialist, a neurologist.