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What is Dysmenorrhea?

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  • Written By: Mary McMahon
  • Edited By: O. Wallace
  • Last Modified Date: 17 November 2016
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Dysmenorrhea, or painful menstruation, is a medical condition experienced by many women at some point during their lives. The condition is characterized by extremely painful and unpleasant cramps which occur over the course of a menstrual period. These cramps can be so intense that a woman is unable to function because of the strength and duration of the cramping. While dysmenorrhea is not usually regarded as life threatening, it can be extremely frustrating, and there are some options to treat it which should be considered by women who struggle with painful menstruation.

The menstrual period is used to shed the lining of the uterus if an egg is not fertilized. The process is triggered by the production of prostaglandins, compounds which encourage the uterus to contract. This cuts off the blood supply to the lining, causing it to die, while also expelling the dead tissue. After the period is over, the lining will regrow to prepare for the possibility of pregnancy. Prostaglandin production does appear to be linked with painful periods, since high levels seem to be associated with more cramping, but it's not the only cause.

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In secondary dysmenorrhea, the condition is caused by an underlying medical problem, which could include a congenital abnormality in the reproductive tract, or a condition such as endometriosis. The condition usually appears later in life, as a woman's body changes and these changes cause a problem. In these situations, addressing the underlying condition can often clear up the dysmenorrhea. Primary dysmenorrhea has no underlying cause, and usually onset occurs early in life.

Women who are active tend to be less prone to painful periods, as are women who eat a balanced diet and avoid smoking. The size of the uterus seems to be a factor in some women. When women experience painful menstruation, they sometimes find that changing physical position helps to address the cramps, and it is also possible to take drugs to manage the pain and inflammation which are associated with severe cramping.

If dysmenorrhea is experienced, a doctor should be consulted to determine whether it is primary or secondary. In the case of primary dysmenorrhea, lifestyle changes can sometimes resolve the problem. It is also possible to use hormonal birth control to manage the period, making it predictable and often less painful as well. A gynecologist can provide support and information as well as testing to explore possible causes for painful periods.

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Fa5t3r
Post 3

@umbra21 - That's good advice, but I also want to add that if anyone is getting regular pain whenever they have a period that they should absolutely go and see a doctor about it. And don't let that doctor fob them off either.

I still hear about women who get told it's just a normal part of female life and it isn't. A little bit of discomfort isn't the issue. Some women are in agony every month and often it's because they have some kind of condition that can be treated (like endometriosis).

umbra21
Post 2

@croydon - It's not really talked about all that often, but I've found the best relief is to have a healthy sex life, whether that's with a partner or by myself.

I know that sounds a bit strange, but the pain is caused by cramping muscles and when a woman orgasms, she tenses and then relaxes all those muscles. So, doing it regularly means that they have better muscle tone and it reduces dysmenorrhea pain.

I actually wonder if that's not one of the reasons women can orgasm in the first place. Scientists aren't completely sure of why human women can do it, since most females of different species don't seem to do it.

croydon
Post 1

Even if you aren't a big exerciser, you might find that going for regular walks in the week surrounding the beginning of your period can help a lot. I definitely found that it did, and I used to be in a lot of pain for the first two days or so.

Now it's not wonderful, but it's not nearly so sore. And I do find that it's better to start a couple of days beforehand because if I wait until the day it starts, often I'll be too uncomfortable to go on the walk.

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