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|Posted By : Dr.(Mrs) Umesh N. Jindal, M.D|
|Posted On : 19 Oct 2007 (Total Views : 8164)|
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Dysmenorrhoea means painful menstruation. This is perhaps the most common problem affecting nearly 80% of women in their reproductive years. Fortunately for most women dysmenorrhoea is mild, easily tolerated and is just a sign of normal menstruation while for others it can be quite significant, requiring intake of medicines. In a minority of women it may be a sign of serious disease. Painful menstruation raises many questions.
?Normal? painful menstruation
Some mild to moderate pain accompanies 60% - 80% of normal cycles. It is a sign of normal ovulation and fertility. A pain which can be ignored or relieved with one or two tablets of analgesics, rest or other symptomatic treatment is generally not harmful.
Menstrual cycles, when they start at menarche are often without ovulation and there may be no pain. With the maturation painful menstruation may start. This is quite normal and rather a good sign. Usually pain decreases with age and after childbirth.
Cause of pain
The exact cause why normal periods are painful is not known. Many theories have been put forward but non-explains it clearly.
The borderline between normal pain and abnormal pain is generally quite clear but some times it may be blurred. Following signs may warn you of the possibility of some underlying disease.
Normally no tests are required to distinguish between normal pain and abnormal pain except for a careful history and examination by a qualified gynecologist. An ultrasound is a very useful test to reassure an anxious patient and her parents in case of young girls more often another future test would be required depending upon whether any underlying disease is suspected or not.
The most important is to have a positive attitude. Menstruation is a normal phenomenon and does not require any special precautions apart from personal hygiene. One or two tablets taken to relieve pain will do less harm than missing a school or office day or lying in bed. Restriction of physical activity only increases the feelings of shame, helplessness and inferiority in young girls. In severe cases a gynecologist should be consulted.
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