Menstrual pain is the pain experienced by most of the menstruating women and that affects daily life negatively and is usually felt in the abdomen and groin area. Pain can be mild or extremely severe. Dysmenorrhea, that is, severe menstrual pain, can continue throughout the menstrual period, or it can subside after the first 2 days of menstruation by itself.
In such cases, it will be useful to discuss with the gynecologist and obstetrician. 80% of women who have not given birth experience pain during the menstrual period. Of course, pain during the menstrual period does not necessarily mean that there is a health problem. However, severe pain raises some doubts, so it would be beneficial for a general check-up by the gynecologist and obstetrician.
We can say that menstrual pain is usually experienced in the lower abdomen. The pains begin about 1 to 2 days before the bleeding begins. Pain reaches the highest level within 24 hours from the beginning of menstruation and then begins to decrease. However, since it may take 2 to 3 days to decrease, most women have at least 3 days of their menstrual period painfully.
In some women, we can say that menstrual pain can also spread to the waist area. There may also be mild numbness in the groin and waist and diarrhea. We can say that complaints such as dizziness or nausea also occur in the same period.
What are the Causes of Menstrual Pain?
As it is known, the uterus prepares itself for the baby every month. In the absence of fertilization, there is a menstrual period and the uterus begins to clean itself and prepare for the baby again. The uterus is a muscle tissue. The soft wall surrounding the inner side of this muscle tissue is removed from the body during the menstrual period with contractions. It is the hormone called prostaglandin that provides these contractions. One to two days before menstrual bleeding begins, this hormone level in the blood rises and begins to decrease after the first 2 days of menstruation. Because menstrual pain is caused by contractions and the high level of prostaglandin in the blood also becomes a determining factor in the severity of the pain. When the prostaglandin in the blood begins to decrease, the pain decreases in parallel.
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How Does Menstrual Pain Go?
When women suffer from menstrual pain, their daily life, as well as their work and social life, can be negatively affected. Therefore, they may want to get information about how the pain will go away. Generally, the use of medication is preferred, but the use of random pain medication is not correct. For this reason, you can consult your doctor and have a prescription of pain medication that you can use in case of menstrual pain. At the same time, we can say that some lifestyle changes are good for pain complaints.
What Is Good For Menstrual Pain?
Applying heat can reduce the problem of menstrual pain. You may prefer methods such as placing a hot water bag on the lower abdomen. Regular exercise can also make the pain experienced during menstrual periods lighter. Exercising 3 days a week for a period of approximately 1 hour provides beta endorphin secretion. Since this substance is a natural network cutter, it can be good for menstrual pain complaints.
There are various studies suggesting that consuming foods containing omega-3 fatty acids, vitamin E, vitamin B1 and vitamin B6 is also good for menstrual pain. Finally, it should be noted that stress and tension are also a triggering factor in pain. If you stay away from stress or learn how to cope with stress, there may be relief in the pain of your menstrual period.
Dr. Ismet Yildirim says ...
Menstrual pain is the most common problem among gynecological problems, it is present in 80% of women who have not given birth. There may be menstrual pain at varying degrees, sometimes very mild, sometimes affecting social life, in addition, nausea, vomiting, diarrhea may occur.
Ultrasonography should definitely be performed on this patient group and it should be determined that there is no other accompanying disease. Medical treatment is very successful and pain can be completely eliminated. Situations that will cause boredom, stress, air change, physical fatigue, should be eliminated. Regular exercise is very important...
Which Medicine Is Beneficial For Menstrual Pain?
Drug treatment can be applied when you consult a gynecologist and obstetrician with a complaint of severe menstrual pain. The drugs used in the treatment can be nonsteroidal anti-inflammatory drugs or oral contraceptives.
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Nonsteroidal Anti-Inflammatory Drugs
These drugs contain the active ingredients ibuprofen or naproxen. These active ingredients suppress the prostaglandin level and thus it is possible to reduce the severe pain or cramps experienced during the menstrual period. However, like all drugs, the drugs evaluated in this category must be used under the control of a doctor. You should definitely consult your doctor to determine the dosage to suit you. You should also keep in mind that some medical conditions create inconveniences for the use of these drugs.
Oral Contraceptives
The drugs evaluated in this category are drugs known as birth control pills among the public. We can say that these drugs, which contain various hormones that prevent ovulation and also reduce menstrual cramps, are an ideal option for women who are not planning pregnancy. Of course, in case of menstrual pain, these medications should also be recommended to you by your doctor. Do not use medication without consulting your doctor.
Why Is Menstrual Pain So Severe?
Menstrual pain felt at the very beginning of menstruation occurs when the hormone called prostaglandin triggers contractions. Pain, aches or cramps felt due to the menstrual cycle are called 'primary dysmenorrhea'. 'Secondary dysmenorrhea' may be caused by various conditions. We can explain these medical conditions that can cause severe menstrual pain as follows:
Cervical Stenosis
The cervical opening can be small enough to prevent menstrual flow and this increases intrauterine pressure. Therefore, the pain is experienced more intense.
Endometriosis
This situation, which is caused by the tissue covering the uterus coming out of the uterus, can lead to more severe pain in the menstrual period. Women who have this problem also complain of severe pain during sexual intercourse. Chocolate cysts can also be found in these patients.
Uterine Fibroids (Myoma)
Uterine fibroids, which are benign tumors, can also cause severe menstrual pain.
Adenomyosis
It is the problem that the tissue lining the uterus begins to grow towards the muscular walls of the uterus and can lead to serious increase in menstrual pain.
Pelvic Inflammatory Disease
This problem caused by sexually transmitted
bacteria is also among the factors that increase menstrual pain.
If you are experiencing severe menstrual pain, you should definitely contact your gynecologist and obstetrician to investigate the cause. After some examinations and examinations, factors that cause severe pain can be detected and this pain and health problem can be eliminated with treatment.
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Who Is At Risk of More Severe Menstruation?
Some women may experience more severe menstrual pain. Severe pain can sometimes be accompanied by nausea, vomiting, headache and extreme tension. In general, we can list people at risk of more severe menstruation as follows:
- Women younger than 30
- Women entering puberty at age 11 or earlier
- Women with excessive bleeding during their menstrual periods
- Women with menstrual irregularity problems
- Women using tobacco products
- Women with a family history of severe menstrual pain
Excessive menstrual pain does not cause a medical complication. However, as pain or cramps can be the harbinger of some diseases, it is necessary to consult a doctor. When you consult a doctor with a complaint of severe pain, the fallopian tubes and ovaries must be examined with ultrasound.
At the same time, your doctor may request a CT
scan, MRI scan in case of any finding. You may also need laparoscopy to detect
conditions such as endometriosis, adhesions, fibroids, ovarian cysts, and
ectopic pregnancy. After the examination, your doctor will give you more
detailed information about the tests.
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