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Dysmenorrhoea

Dysmenorrhoea is the name given to pain during menstruation. It can range from normal period pains to problems that might suggest underlying illnesses. It is caused by a chemical found in menstrual fluid, that in turn makes the uterus contract. This can be extremely painful, and many women will pursue medical treatment or alternative remedies that are said to relieve the pain.

Dysmenorrhoea that occurs naturally can start soon after a woman has her first period, and can last for the duration of menstruation. This is called primary dysmenorrhoea, and should not cause concern. It is natural, and if the pain isn’t extreme it should go away in a relatively short period of time. Many women will resort to remedies such as drinking tea, having a warm bath or holding a hot water bottle against their stomach to warm the uterus for example. Many people claim that these procedures can make a huge difference, and take away the pain caused by menstruation.

The majority of women experience dysmenorrhoea at some time in their lives. Some will go through it more frequently than others, which is unfortunate, but it will have no serious repercussions.
Sometimes dysmenorrhoea can be caused by underlying problems such as diseases or infections. The symptoms are similar to those of primary dysmenorrhoea, the main difference being that this type of pain – secondary dysmenorrhoea – often begins a few days before the period starts. This could indicate a number of problems, ranging from pelvic inflammatory disease to problems with the development of the woman. Women experiencing pain like this should visit their GP to discuss the problem.

A GP will typically ask their patient a number of questions including the length and frequency of their periods, and the intensity and frequency of the pain they are experiencing. Sexual activity and smoking also affect abnormal dysmenorrhoea. If a patient is sexually active, a gynaecologist may perform an examination of her vagina to investigate whether there are any signs that could suggest an underlying problem. If such a problem is found, it can be treated and this should help relieve the pain experienced during menstruation. If the gynaecologist finds that there is no problem, the patient may have to simply resort to medications that can relieve the pain of the dysmenorrhoea. Quitting smoking can help in some cases, as well as changing other aspects of the patient’s lifestyle that could be contributing.