Dysmenorrhea (Painful Menstruation)
What Is Dysmenorrhea?
Dysmenorrhea means pain just prior to and/or during menses.
What Causes Dysmenorrhea?
The most common reason patients experience painful menses is because of inflammatory agents, called prostaglandins, which are released from the lining of the uterus during menstruation. Rarely, other conditions including endometriosis, uterine abnormalities, or ovarian masses may cause painful menses.
Request an appointment. Because when your child needs expert care, everything matters.
What Are the Signs and Symptoms of Dysmenorrhea?
The most common symptom is crampy, lower abdominal/pelvic pain that occurs just prior to and/or throughout the menses. Most patients experience the most intense pain at the beginning of the menstrual bleeding.
Patients may also experience other symptoms during their menses including:
How Is Dysmenorrhea Diagnosed?
Talking with the patient and taking a careful history is the most important step in evaluating a patient with painful menses. Oftentimes a careful history combined with seeing how a patient’s symptoms respond to standard therapy is the only intervention needed. Infrequently, a limited physical exam may be required to assess anatomy or a transabdominal pelvic ultrasound to evaluate the uterus and ovaries. A speculum exam and/or Pap test is rarely indicated.
How Is Dysmenorrhea Treated?
Typical treatment consists of nonsteroidal anti-inflammatory drugs (NSAIDs) to prevent the pain caused by the prostaglandins. Hormonal contraception is also commonly used either alone or along with NSAIDs. Hormonal contraception alleviates pain by decreasing prostaglandin production. There are many safe and effective options to treat painful periods and prevent them from negatively impacting a young woman’s quality of life.
You Might Also Be Interested In
Helping Your Daughter Deal with Painful Periods
If your daughter complains of having cramps during her period, you can tell her that she isn’t alone. Menstrual pain usually isn’t caused by anything abnormal, and there are plenty of pain management options available.
7 Health Benefits of Birth Control
If a female is prescribed hormonal birth control, the medication “tricks” the ovaries into thinking that the woman is already pregnant, thus holding back the egg from being popped into the fallopian tubes. What many don’t understand, however, is that this reaction can trigger or prevent other functions in the body, which could be perceived as beneficial by the woman taking the medication.