Painful Periods - Causes, Symptoms and Treatment
The condition of painful periods is called dysmenorrhea
and it refers to experiencing pain and discomfort when
menstruating. Dysmenorrhea is not a very serious condition
but it can be an indicator of more serious problems.
Some discomfort can be expected just before and during
the first day or two of each period; this is not dysmenorrhea.
A woman who suffers dysmenorrhea is often unable to
continue her normal activities for anything from a few
hours up to several days.
As the term 'painful periods' infers, the most obvious
symptom is the pain, described by sufferers as a dull,
cramp-like ache in the lower abdomen that radiates through
to the lower back. The pain can be felt a few days before
her period starts, gets worse on the day the bleeding
starts and then subsides over the next few hours or
days. No two cases are the same; often, no two periods
are the same. The pain can vary from mild, moderate
or severe to debilitating. It is caused by prostaglandins,
which are like hormones, and cause the uterus to contract
in order to dispel the build-up of blood and tissue
from the endometrium or lining of the uterus.
The pain of dysmenorrhea can be accompanied by nausea
and vomiting, headaches, diarrhea, constipation or fainting.
Some women experience several of these symptoms, others
just have the pain. Many women can continue through
their normal day, perhaps with the help of analgesics
to dull the pain; other women are completely debilitated
by the pain and other symptoms and have to go to bed
and rest. The first treatment offered by doctors is usually analgesic
medication, either over-the-counter or by prescription.
This could be one of the Non Steroidal Anti Inflammatory
drugs like ibuprofen or acetaminophen, or other pain
killers like paracetamol, codeine or aspirin. If this
simple treatment does not relieve the symptoms, you
might be prescribed an oral contraceptive which reduces
the hormone levels in the body which helps with symptoms
of dysmenorrhea.
Your doctor may want to investigate the cause of painful
periods, especially if medication doesn't bring you
relief. There are various causes of the condition, such
as endometriosis, Pelvic Inflammatory Disease and cancer,
and an accurate diagnosis needs to be made to determine
the correct treatment.
As well as taking the medication your doctor has recommended
or prescribed, there are a number of strategies and
lifestyle changes that you can implement to relieve
the severity of the pain and discomfort of dysmenorrhea.
When your body is otherwise fit and healthy, it is better
able to cope with pain. So, it is important to make
sure that you eat predominantly nutritionally balanced
food and avoid too much fast food, sugary drinks, highly
processed food and other 'junk'.
The majority of your
diet needs to be fruit and vegetables, lean protein
foods (including low-fat dairy), wholegrains, nuts,
pulses and plenty of plain water to drink. Regular moderate
exercise increases your fitness, strengthens muscle,
improves your mood, increases your energy and helps
you cope better with your painful periods.
When you experience the pain, a hot water bottle or
heat pack, placed over the abdomen, will often bring
you some relief. Try and anticipate when the pain is
going to be bad, and take some medication before it
strikes. Take the medication for as long as your pain
lasts, following the directions on the pack; stop when
your pain is manageable or subsides. Learning some relaxation
techniques like meditation, yoga or tai chi can be helpful
in managing the pain. |