Dysmenorrhea (more correctly algomenorea) - pain in the lower abdomen and lumbar-sacral area before or during menstruation. Dysmenorrhea can be of different etiology and is not a disease but a symptom associated or complicating sex and Dnepravia disease. There are primary and secondary dysmenorrhoea. Primary dysmenorrhea is more likely to occur in healthy women and girls in the absence of any violations on the part of the genitals, pain during menstruation are more likely to begin at the age of 17-18 years later usually gets worse; this plays a big role condition of the neuroendocrine system, moments psychogenic nature. Secondary dysmenorrhea (acquired) may be observed in chronic perimetritic and the adnexitis (see) or other diseases of internal genital organs (inflammatory process, malformation of the uterus tumor). Dysmenorrhea is the main symptom of endometriosis , ovarian, pipes and cervico-rectal space; dysmenorrhea can be also observed by submucous fibroids.
Pain during menstruation are many women; dysmenorrhea pain is so intense that forces a woman to seek medical help, many forces to bed regime. Pain usually occur before the onset of menstruation, continue over the first day, and then decrease. Pain localized in the lower abdomen, rarely rump; often accompanied by nausea, migraines, dyspeptic phenomena, palpitations, sleep disturbance and other
The treatment for this condition depends on the cause, its caller. Every patient should be directed to the gynecologist for examination, diagnosis and treatment. The primary dismenoree need thorough examination of menstrual function (on hormonal tests). Hormone treatment is strictly indicated. Estrogen is prescribed in the first phase of the menstrual cycle (phase proliferation), hormones yellow body (progesterone) in the phase of secretion (the second phase of the menstrual cycle). Dosage of hormonal drugs individually different, depending on the degree hormonal deficiency.
Of painkillers is impossible to prescribe drugs that cause addiction (codeine and morphine); while pain should be limited to non-narcotic means: analgesic (acetylsalicylic acid, amidopyrine), holinoliticescoe funds (belladonna) and antispasmodic drugs (papaverine). It is better to use them in the form of candles (for example, papaverine hydrochloric acid 0.03 g, extract of belladonna 0.02 g, antipyrine 0.25 g). Great attention in the treatment of dysmenorrhea should be given remedial gymnastics, physiotherapy and balneology treatment.
Cm. also, Menstrual cycledisorder.