Pain on critical days
Last reviewed: 23.04.2024
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Such a delicate female theme as the menstrual cycle is considered indecent for discussion in society. From an early childhood, girls are taught that menstruation is something, akin, shameful, even the name came up with a veiled - critical days. However, a lot of questions arise on this topic, and girls, becoming women, believe, for example, that pain in critical days is the norm. Such a delusion is formed due to poor awareness, because of ignorance of one's own physiology and fear of asking such scrupulous questions.
Complaints about painful menstruation are quite common. According to many opinion polls, about every third woman in the world experiences pain in critical days. In some, the pain appears several days before the onset of menstruation, in others, painful sensations do not pass after its termination. Severe pain can lead to loss of consciousness and exhaustion of the body due to constant stress.
The soreness of the menstrual cycle is called algodismenorea. It is necessary to distinguish between primary and secondary algodismenorrhea.
[Primary algodismenorea
Algodismenorea is considered primary only in adolescence, when the girls begin to form a menstrual cycle. Pain in critical days, in adolescents, is caused not by pathological changes in organs and tissues, but by dyshormonal manifestations, that is, by restructuring the body to a new level of hormonal background. Most often, algodismenorea develops in emotional girls with asthenic (very slender) physique. Monthly pain is not accompanied from the first days and not immediately, but approximately 1-1,5 years after the beginning, this is associated with the development of the ovulatory cycle.
During menses, the girls complain of cramping, wave pains in the lower abdomen, less often along its entire surface. In rare cases, pain can spread to the thighs and the sacrum area. In addition to pain, there may be symptoms such as:
- nausea;
- dizziness;
- headache;
- diarrhea (diarrhea);
- intestinal colic.
Excess prostaglandins, leading to narrowing of blood vessels and spasms of the uterine muscles, is considered the main cause of primary algodismenorea.
Secondary algodismenorea
Pain in critical days can be caused by pathological changes in the pelvic organs. In this case, they speak of secondary algodismorrhoea.
Causes of painful menstruation is usually considered:
- anatomical changes in the uterus (fibroids, disorders of the ligamentous apparatus of the uterus);
- inflammatory diseases of the pelvic organs;
- complications after surgery in the uterus and tubes (artificial abortions);
- endometriosis;
- congenital malformations of genital organs.
How to cope with pain in critical days?
To eliminate the pain syndrome during the menstrual cycle, it is enough to take a pill of any antispasmodic, for example, No-shpa. This method of anesthesia is suitable for any type of algodismenorea. But, if the cause that causes pain on critical days has not been established, it is necessary to start with diagnostic procedures.
An appeal to a gynecologist is the first step that needs to be taken. After a primary examination and a number of gynecological examinations (ultrasound of pelvic organs, a smear for pathogenic flora, a blood test for hormones), you can identify most of the above causes of algodismenorea. In some cases, laparoscopy is indicated - an endoscopic diagnostic method. With the help of laparoscopy, the possibility of diagnosing increases many times.
Treatment of algodismenosis
Treatment procedures during primary algodismenosis, basically, consists in removal of spasms and normalization of prostaglandins. An appeal to a gynecologist will solve the problem of painful menstruation in adolescents in a very short time. Correctly selected diet, a measured daily routine and support for antispasmodics is quite enough.
With the manifestations of secondary algodismorrhoea, the situation is much more serious. Treatment will be hanged from the revealed true cause, which causes pain in critical days. It can be hormonal preparations and antispasmodics, anti-inflammatory therapy and surgical intervention.