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Menstrual Pain and Primary Dysmenorrhea
Menstrual pains are nonserious and sometimes recurrent lower pelvic pains (pelvic refers to the lower part of the abdomen containing the reproductive organs). The pains are intermittent and ARE NOT associated with pregnancy, vomiting, fever, changes in stools, or a foul vaginal discharge. A large number of females suffer, to some degree, from menstrual pain. Menstrual pain usually occurs at the beginning of your period and generally lasts 2-3 days. Recurrent, more severe, monthly menstrual pain that is not associated with any disease process is known as primary dysmenorrhea. This diagnosis is made only after extensive evaluation by an OB-GYN specialist, excluding the more serious causes of pelvic pain. Primary dysmenorrhea is characteristically worse between the ages of 15 and 25 years, but can persist throughout the female's fertile years. Evaluation of pelvic pain will include history and physical examination. Pelvic examination will be an important part of the evaluation. Vaginal cultures will be taken to exclude the possibility of pelvic infection. Blood tests, including blood counts and pregnancy testing will be done. Pelvic ultrasound has been a useful tool for identifying uterine fibroids, ovarian cysts, or pregnancy. Laparoscopy remains the definitive test for the evaluation of the female with RECURRENT unexplained pelvic pain. This procedure allows for the direct observation of the internal anatomy using a fiberoptic scope. A diagnosis of such problems as endometriosis can be de
using this procedure.
SELF HELP TIPS FOR TREATING MENSTRUAL PAIN
1. Bedrest when the pain is severe.
2. Heating pad placed on the lower abdomen.
3. Anti-inflammatory medications (medications that contain ibuprofen) can help reduce menstrual pain.
4. Evaluation by a OB-GYN specialist is necessary for definitive diagnosis. Hormonal therapy may be helpful in some cases. Dilatation and currettage (D andC) has been used in some instances.
Hope this article will provide you information about menstrual pain and primary dysmenorrhea.
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