Symptoms of puberty dysmenorrhea

Currently, the debut of dysmenorrhea in 75% of cases coincides with the menarche, and only in every fourth patient the symptoms of dysmenorrhea occur 1-4 years after the menarche.

The main symptom of dysmenorrhea is pain syndrome. Monthly expectation of pain affects the overall well-being, emotional and mental activity. Survey of patients often contributes to the establishment of family cases of dysmenorrhea - the presence of the disease in the mother or the next of kin.

With a predominance of sympathetic vegetative tone, the girl, in addition to painful feelings, complains about:

• pain in the heart and palpitations;
• mood changes (internal tension and anxiety, uncertainty, obsessive fears, pessimism, down to the development of depression);
• an intense headache in the type of migraine;
• disruption of the intestine (intestinal colic due to spasm of arterioles, constipation);
• sleep disturbance, up to insomnia;
• general weakness and dizziness;
• fever with chills or internal tremor;
• increased sweating and the appearance of red spots on the neck in the form of a vasculitis about necklaces;
• nausea;
• increased frequency of urination;
• feeling of heat.

They note the pallor of the skin and acrocyanosis, the dilatation of the pupils. With the predominance of a parasympathetic type of response to menstrual pain, another clinical picture unfolds. Patients complain about:

• bloating and diarrhea;
• a noticeable increase in body weight on the eve of menstruation;
• swelling of the face and extremities;
• decreased efficiency;
• drowsiness;
• the occurrence of itching or allergic reactions;
• lowering body temperature and blood pressure;
• vomiting and increased salivation at the time of the onset of pain;
• increased chilliness at the time of attack of pain; about attacks of suffocation, accompanying pain;
• convulsions and fainting at the time of a bout of pain;
• the appearance of passive-defensive behavioral reactions.

[1], [2]