Why menses become painful with age. The causes of painful periods. Abundant discharge during menstruation

Menstruation Is a natural physiological function of all women of reproductive age. This period is also called critical days, and for many women they are really critical - intense pain, headache, nausea, upset stools and general malaise, and so every month from year to year. According to statistics, 30-50% of women aged 14 to 45 go through similar torments. Unfortunately, not everyone turns to gynecologists for help, believing that this is normal, because occurs in many, and no one has died of this yet, also hoping that over time everything will work out. First, to endure pain is not only abnormal, but also fraught with consequences for nervous system, and the systematic use of analgesics only helps to reduce the pain syndrome, but does not solve the problem and will not lead to anything good (the body sooner or later gets used to the drug being taken, and you will need more and more powerful painkillers, or, on the contrary, the sensitivity to pain will gradually "wear off ", And the cause of the disease will only progress, but without pronounced manifestations, which leads to neglect of the disease). Secondly, pain in itself is not a normal phenomenon, it is a signal from your body that something is wrong, that it needs help. therefore gynecologist's consultation with painful periods - this is just a necessary step on the way to your women's health and a quiet life. Like any other disease, painful periods, and not everyone knows that it is precisely the disease called algodismenorrhea that has causes that can and should be eliminated. Those. treatment of painful periods (algomenorrhea) possible.

Gynecologists medical center " World of Health»Will briefly tell you about the causes and treatment of painful periods.

Causes of painful periods

Algomenorrhea (painful periods, algomenorrhea, dysmenorrhea) are of two types: primary and secondary. Primary algomenorrhea is called functional, because is not associated with anatomical disorders of the internal genital organs. While secondary algomenorrhea - This is a consequence, or rather, a symptom of a number of gynecological diseases, such as chronic inflammation of the uterine appendages and malformation of the internal organs of the genitourinary system.

Causes of primary dysmenorrhea

Most often primary dysmenorrhea manifests itself in adolescence during puberty, when hormonal levels are not as stable as in adult women. The main cause of primary dysmenorrhea is increased hormone levels... According to the body's reaction to an increase in the level of a particular hormone painful periods this type can be roughly divided into two groups:

• Adrenergic - is associated with increased levels of dopamine, adrenaline and norepinephrine. The condition is characterized by severe headache, fever, disruption of the intestines (constipation), the skin on the face and body is very pale, and on the feet and palms it is often cyanotic, which is associated with a slowdown in the passage of blood through small vessels. Sleep disturbances in the form of insomnia are observed.
• Parasympathetic - is associated with an increase in serotonin levels in the cerebrospinal fluid. In this case, most of the symptoms are opposite to the adrenergic type of primary dysmenorrhea: low temperature body, diarrhea, vomiting, decreased heart rate, facial edema. Weight gain is possible a day or two before the onset of menstruation, as well as reactions on the skin of the face.

According to the results of recent studies, in addition to hormonal disorders, the causes of primary dysmenoria can also be abnormalities in the development of connective tissues, vascular disorders, disorders of sexual and other body functions.

However, most often, primary dysmenorrhea is caused by a violation of the hormonal background. This manifestation of painful periods is diagnosed and treated together gynecologist and endocrinologist... To solve this problem in the fair sex at a young age, it is necessary to turn to, where gynecologists will find a special approach to any patient without traumatizing the adolescent psyche.

Causes of secondary dysmenorrhea

Secondary dysmenorrhea most often occurs in women over the age of 30. Because the reasons are pathological in nature, then the pain syndrome with concomitant ailments can be very intense, up to a temporary disability. The reasons:

• External and internal endometriosis - This is the most common cause of secondary dysmenorrhea. Pain with endometriosis during menstruation last 2-3 days and have an aching character. itself is a fairly common disease, which, if neglected, can lead to a number of chronic diseases, up to.
• Pelvic inflammatory disease
• Genital tumors
• Dilation of the pelvic veins
• Adhesive changes after surgery

Diagnosis of secondary dysmenorrhea is also not difficult, and cause of painful periods can be quickly detected by analyzes and (ultrasound examination of the pelvic organs). Depending on the results of the examination, you will be prescribed either therapeutic or surgical treatment. In any case, hesitate to visit to a gynecologist in no case is it impossible, due to the fact that secondary dysmenorrhea is in most cases a sign of pathology, which, without proper attention, can develop into a whole bunch of chronic diseases and c.

So, you need to contact a gynecologist if you experience severe ailments during menstruation. There are 3 main degrees of manifestation of painful periods:

• Moderate pain with mild general malaise. At the same time, a woman's working capacity is rarely disturbed, and the level of vital activity practically does not decrease. However, I would like to note that such a rather mild form of dysmenorrhea without timely referral to a gynecologist can eventually develop into a more severe one, associated with increased malaise and the duration of painful conditions.
• The second most common case is a case characterized by severe pain in the lower abdomen, general weakness, nausea, headaches, frequent urination, chills. In addition, a woman may experience feelings of anxiety, depression, and become irritable. In many patients with this form of dysmenorrhea (algomenorrhea, painful periods) there is insomnia, intolerance to various odors, increased appetite. Performance is noticeably impaired, and it is often necessary to take the appropriate medications, selected exclusively with the help of a specialist.
• The third degree of dysmenorrhea (painful periods) manifests itself in excessive pain in the abdomen and lower back, pronounced general weakness, severe headaches, and fever. There is vomiting, diarrhea, heart pain, tachycardia, fainting is not uncommon. In such a state, the activity decreases to almost zero, and the intake of painkillers (for example, analgesics) does not give any effect, further traumatizing the weakened woman's body. With such manifestations of dysmenorrhea, hesitate to contact to a gynecologist it is impossible, because most often, these symptoms are associated with an abnormality of the internal genital organs.

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According to the gynecological specialists of our medical center, one of the most frequent complaints with which they are referred is painful periods. In scientific terminology, they are usually denoted by the term "dysmenorrhea", which literally translates from Greek as "difficult menstrual flow" and in the modern sense is a combination of various painful symptoms experienced by a woman during menstruation. In domestic medical practice, there is also the concept of "algomenorrhea", which characterizes the soreness of menstruation, not associated with other gynecological diseases. However, this term has recently been used less and less.

The course of dysmenorrhea may vary somewhat, but in most cases, a woman begins to experience pain in the abdomen on the first day of menstruation, or about 10 to 12 hours before it begins. The pain usually continues during the first or second day of the cycle and then gradually fade away. By nature, they can be aching, stitching, twitching, but, as a rule, cramping, often with spreading into the rectum, bladder and lumbar region.

In addition to pelvic pain, other symptoms are characteristic of dysmenorrhea (algomenorrhea, painful periods), for example, nausea, general weakness, fever up to 37 - 38 ºС. Many patients during menstruation are also susceptible to such phenomena as irritability, increased anxiety, insomnia, or, on the contrary, excessive sleepiness, bulimia. Depending on the severity of the symptoms, experts distinguish three forms of the disease.

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The most common cases are moderate pain with mild general malaise. At the same time, a woman's working capacity is rarely disturbed, and the level of vital activity practically does not decrease. However, it is worth noting that such a rather mild form of dysmenorrhea without timely medical intervention can eventually develop into a more severe one, associated with increased malaise and the duration of painful conditions.

The second most common case is a case that is characterized by severe pain in the lower abdomen, general weakness, as well as symptoms such as nausea, headaches, frequent urination, chills. In addition, a woman may experience feelings of anxiety, depression, and become irritable. Many patients with this form of dysmenorrhea (algomenorrhea) have insomnia, intolerance to various odors, and increased appetite. Efficiency is noticeably impaired, and often in such cases it is necessary to take the appropriate medicines, selected exclusively with the help of a specialist.

And finally, the third, less common, degree of dysmenorrhea (algomenorrhea, painful menstruation) is manifested in a feeling of excessive pain in the abdomen and lower back, pronounced general weakness, severe headaches. The temperature often rises, there is vomiting, diarrhea, heart pain, tachycardia, fainting is not uncommon. In such a state, the activity decreases to almost zero, and the intake of painkillers (for example, analgesics) does not give any effect, further traumatizing the weakened woman's body. Such a severe form of dysmenorrhea (algomenorrhea, painful periods) can be associated with congenital anomalies of the genital organs (for example, a doubled uterus, etc.), which are diagnosed by ultrasound and require consultation with a gynecologist.

In general, the main cause of dysmenorrhea (algomenorrhea, painful menstruation) at the present stage is considered to be a violation of the synthesis of hormonal substances. This leads to an excessive concentration of the hormone prostaglandin in the body, which is especially painful for young women aged 13-14 to 23-25 \u200b\u200byears. This type of disease, which occurs due to hormonal disruptions, is called primary dysmenorrhea and is usually treated with medications such as analgesics or progestins. To alleviate painful conditions, it is also possible to take combined oral contraceptives. During treatment, the doctors of our center recommend keeping a menstrual calendar and consulting a specialist about once every two months.

Meanwhile, in older women (after 30 - 35 years), painful sensations and malaise during menstruation can be symptoms of gynecological diseases such as endometriosis, uterine fibroids, adenomyosis, various inflammation of the pelvic organs, therefore, very serious should be paid to painful menstruation. Attention. Such symptoms should serve as a motive for an immediate visit to a gynecologist, especially if you have never been to him.

Painful sensations and malaise during menstruation in women after 30 - 35 is called secondary dysmenorrhea and, as a rule, requires a more thorough examination, which is assigned by the specialists of our medical center individually to each woman with the obligatory ultrasound and surgical examination of the pelvic organs. If you have intrauterine contraceptives available, it is recommended to remove them. Also, the use of non-steroidal anti-inflammatory drugs helps to reduce pain.

Summing up the above, it is worth noting that even Hippocrates called pain "the watchdog of health." In accordance with this, it can be concluded that dysmenorrhea (algomenorrhea, painful menstruation), even in a mild form, is a signal of certain disorders in the body that are eliminated only after being diagnosed in a timely manner.

Causes of primary dysmenorrhea (algomenorrhea, painful menstruation)

Primary dysmenorrhea (algomenorrhea, painful periods) usually manifests itself in adolescence and adolescence together with the onset of the first menstrual period or 1-3 years after it. As a rule, the first few years of pain are quite tolerable, short-lived and practically do not affect the decrease in the level of vitality and performance. Other symptoms of the disease (weakness, nausea, etc.) are usually absent in adolescence, but they can appear after a while, accompanied by an increase in pain in the pelvic region and an increase in their duration. Depending on this, two forms of primary dysmenorrhea are distinguished - compensated and uncompensated. The compensated form of dysmenorrhea is characterized by the persistence of painful conditions during menstruation over time. With an uncompensated form of the disease, as evidenced by the experience of gynecologists not only in our medical center, without qualified medical supervision, the strength and duration of pain increases over the years.

Also, conditionally, two types of primary dysmenorrhea can be distinguished, depending on the body's response to the onset of menstruation. The first type, adrenergic, is caused by an increase in the body's level of hormones such as adrenaline, norepinephrine, dopamine, which usually leads to disruption of the normal functioning of the entire hormonal system. In this case, the patient's condition is usually characterized by severe headache, fever, red spots on the face and neck, bowel dysfunction (constipation), palpitations. The color of the feet and hands often becomes cyanotic due to a slowdown in the passage of blood through the small vessels located in these areas; the skin on the face and body looks very pale. With this type of dysmenorrhea, there are often sleep disturbances, up to insomnia.

The second, parasympathetic, type of dysmenorrhea, as a rule, occurs due to an increase in the level of the hormone serotonin in the cerebrospinal fluid. The most typical symptoms in this case are vomiting, a decrease in heart rate, a decrease in body temperature, diarrhea (diarrhea). Patients often complain of facial swelling, weight gain on the eve of menstruation, and allergic skin reactions.

The gynecologists of our medical center especially note that in some cases of primary dysmenorrhea (algomenorrhea, painful menstruation), psychological factors play an important role. In particular, the very anticipation of pain leads to a more acute perception of it. A woman is in tension, becomes emotionally unstable, prone to mood swings. From such loads on the psyche, first of all, the general physical well-being suffers, and this leads to a significant decrease in the pain threshold of sensitivity. In addition, it is worth remembering that the susceptibility of menstrual pain is much more acute in various types of neurological disorders and diseases of the nervous system.

According to the results of modern research, an increasing number of specialists are inclined to believe that primary dysmenorrhea in young women is more likely not a separate disease, but one of the symptoms of various disorders in the hormonal, reproductive and other body systems. With a detailed analysis of gynecological practice, it was found that most of the girls who complain of painful periods (about 60%) have abnormalities in the development of connective tissue (dysplasia). In addition to painful menstruation, this disease can be characterized by vascular disorders in the extremities, curvature of the spine, similar to scoliosis, flat feet. About 30% of patients also suffer from myopia (myopia), stomach pains of varying severity. Scientists believe that one of the causes of the disease is insufficient magnesium in the blood, which is established by a biochemical blood test.

Along with dysplasia, a disease such as chronic tuberculosis of the genitals can become the main cause of dysmenorrhea. In such a case, menstruation may be accompanied by abdominal pain without a clear localization, as well as previous general malaise. Typically, pain worsens during the spring and fall seasons. Painful symptoms usually begin with the first menstrual period.

In addition, it is not uncommon for primary dysmenorrhea to be caused by endometriosis - the formation of tissue similar to the uterine lining in other areas of the pelvis (in the ovaries, fallopian tubes, in the cervix, and even in the vagina). In this case, pelvic pain can bother not only during menstruation, but also persist throughout the cycle, while the bleeding itself becomes more abundant. It is worth noting that endometriosis can not only deliver a lot of painful sensations, but also lead to infertility in the future, therefore, its timely detection and treatment is extremely important.

All of the above pathologies leading to painful menstruation are promptly and fully diagnosed at the Euromedprestige medical center. The treatment is carried out in a comprehensive manner. Depending on the causes of the disease, the patient receives help not only from a gynecologist-endocrinologist, but also from a chiropractor, ophthalmologist, gastroenterologist, and neuropathologist.

In general, the recommendations of doctors for girls suffering from dysmenorrhea (algomenorrhea, painful periods) are as follows. Firstly, with painful sensations, you need to calm down, pull yourself together and remember that after a while the pain will decrease. With severe emotional symptoms, it is possible to take a number of sedatives after consulting a specialist. Also, medicines based on natural progestins (for example, duphaston) are increasingly being used for menstrual pain and associated ailments. Such a method of treatment as diadynamic therapy, which consists in exposure to electric current of various frequencies, remains relevant. However, with all the available variety of methods for alleviating dysmenorrhea, it should be remembered that it is much more important not to get rid of the pain for a while, but to find the root cause of the disease (which can be more serious than pain during menstruation) and eliminate it, which is possible only with a thorough complex examination under the supervision of a specialist.

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Treatment of primary dysmenorrhea (algomenorrhea, painful menstruation)

In order to correctly diagnose and choose the most suitable treatment, it is always necessary to carry out a series of procedures first. If dysmenorrhea is suspected, the gynecologists of our medical center, as a rule, examine the patient's external genitalia, analyze the hormonal status, and ultrasound the pelvic organs. If necessary, an examination of the circulatory system, digestion, urinary system, and mammary glands is carried out. All of these procedures allow you to more accurately determine the main cause of painful menstruation (dysmenorrhea), as well as exclude mechanical damage and trauma to the genitals.

Based on the data obtained during the initial examination and analyzes, the patient is prescribed the most suitable treatment for her. Despite all the variety of drugs used for dysmenorrhea, they are all conditionally divided into 3 large groups: gestagens, hormonal contraceptives and non-steroidal anti-inflammatory drugs.

Gestagens are a group of hormones naturally produced in the body or their synthetic analogues. They affect the neoplasm of the tissues of the mucous membrane of the uterus, relax the uterine muscles, and ensure the normal formation of estrogens. Gestagens have a great effect on the reproductive system of the body. In particular, their lack can lead to infertility, menstrual irregularities, spontaneous abortion (miscarriage).

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In gynecology, gestagens have been used for therapeutic purposes for a long time. Their active use began in 1938, and to the present day, the scope of application of various means based on gestagens is constantly expanding. For the treatment of primary dysmenorrhea, as a rule, drugs based on the hormone progesterone, close to natural ones, are used. These funds are aimed at normalizing the menstrual cycle, and also help lower the level of prostaglandin in a woman's body. Modern gestagens, in contrast to drugs of the same type used in the middle of the twentieth century, are not only effective, but also safe, that is, when used correctly, they do not give any side effects.

Hormonal contraceptives are also widely used for primary dysmenorrhea (in particular, in sexually active women). The most effective is the use of combined oral contraceptives (COCs) containing a synthetic analogue of the hormone estrogen. Their action is based on suppressing ovulation, as a result of which the level of prostaglandins decreases, and as a result, the symptoms of dysmenorrhea disappear or become less pronounced. In addition, hormonal contraceptives help to reduce intrauterine pressure, frequency and amplitude of contractions of the muscles of the uterus, which also leads to the elimination of painful conditions during menstruation. At the same time, COCs can also have such positive effects on the body of a young woman as reducing the risk of tumor diseases of the genital organs, improving the condition of the skin, and preventing ectopic pregnancy.

In addition to oral contraceptives, there are injectables that are also used for dysmenorrhea. The injection can be given by a doctor or a qualified nurse at a specific time, which is set depending on the type of drug. When used regularly, these products help with painful periods and provide reliable protection against pregnancy (approximately 99%).

The third group of drugs used in the treatment of dysmenorrhea is the so-called non-steroidal anti-inflammatory drugs (NSAIDs). Traditionally, they are considered a remedy for young women who do not want to use contraceptives and other hormonal drugs, or in cases where the latter are contraindicated for a number of reasons. NSAIDs have analgesic properties (relieve pain) and are recommended for use directly during menstruation with the onset of painful sensations. Also, like the aforementioned groups of drugs, NSAIDs reduce the content of prostaglandins in menstrual blood. Drugs of this type are immediately absorbed in the body and act, as a rule, from 2 to 6 hours.

Despite the effectiveness of modern medicines aimed at eliminating dysmenorrhea (painful menstruation), there are a number of individual contraindications to their use. In particular, in inflammatory diseases of the genital organs and in some cases after an abortion, it is highly discouraged to use gestagens. Injectable contraceptives are contraindicated in pregnancy, viral hepatitis, diabetes mellitus... Oral contraceptives are not used for patients with a tendency to thrombosis, kidney disease or cirrhosis, epilepsy, or during breastfeeding. Contraindications to the use of non-steroidal anti-inflammatory drugs are bronchial asthma, urticaria, and acute rhinitis.

When using the above drugs, it is extremely important to correctly calculate the dosage and duration of administration. There are many nuances due to the individual characteristics of a woman's body, so often what suits one is completely unacceptable for another. In this regard, it is recommended to choose drugs for the treatment of dysmenorrhea (painful menstruation) under the guidance of an experienced specialist in order to avoid aggravation of painful conditions or the appearance of other symptoms.

Secondary dysmenorrhea (algomenorrhea, painful periods)

Secondary dysmenorrhea, according to the international classification, is usually called painful menstruation in women over the age of 30. According to statistics, about 30% of women suffer from this disease, and many of them are in a rather severe form, with a number of concomitant symptoms and periodic disability. The most common cases are when the pain begins a day or several hours before menstruation and ends at the same time or even a little later. In this case, there are heavy bleeding with clots, as well as severe pain in the lumbar region.

Symptoms and causes of secondary dysmenorrhea (painful periods)

In general, all the symptoms of secondary dysmenorrhea, in addition to immediate pelvic pain, can be roughly divided into 4 groups:

• emotional and mental
• vegetative
• vegetative-vascular
• metabolic endocrine.

Emotional and psychological symptoms include depressive conditions of varying severity, increased irritability, anorexia and bulimia, altered perception of smell and taste, etc.

Vegetative symptoms - nausea, bloating, hiccups, etc.

Vegetative-vascular symptoms - headaches, dizziness, up to fainting, tachycardia, numbness of the arms and legs, etc.

Metabolic and endocrine symptoms - vomiting, itching of the skin, joint pain, severe weakness, etc.

The severity of these symptoms, as a rule, depends on the general physical condition of the woman and on her age. So, with problems of the cardiovascular system, vegetative-vascular symptoms are more manifested, with impaired metabolism - metabolic-endocrine, etc. It has been noticed that women after 40 years of age are more prone to depressive and other emotional and mental symptoms of the disease. In addition, many women with dysmenorrhea (painful periods) have dyspareunia (pain during intercourse), which in itself is a reason for contacting a specialist and a thorough examination.

As mentioned earlier, hormonal disruptions are the main cause of painful periods at a young age. Meanwhile, with age, especially after the birth of a child, the hormonal background becomes stable, the sharp release into the blood of substances that cause painful conditions stops. That is why experts say that dysmenorrhea (algomenorrhea, painful menstruation) after 30 years is one of the signs of organic changes in the pelvic organs and is mostly caused by them. Such organic changes, first of all, can be caused by:

• endometriosis
• inflammatory diseases of the pelvic organs
• adhesive changes after surgery
• dilated pelvic veins
• tumors of the genital organs

It should also be noted that intrauterine contraception can also have a negative effect on the course of menstruation. Women who use it, at the slightest feeling of pain during menstruation, should consult a doctor, since only an experienced specialist can determine how safe this remedy is for the body.

In most cases, to identify the main cause of secondary dysmenorrhea (algomenorrhea, painful menstruation), the specialists of our medical center use methods such as ultrasound of the pelvic organs, smear, hysteroscopy, laparoscopy. Hysteroscopy is an examination of the walls of the uterine cavity using a special instrument of small diameter. It allows you to detect almost any intrauterine abnormality and is carried out only in a hospital setting under the supervision of a doctor, therefore it is completely safe for a woman. Also, in the hospital, laparoscopy is carried out, but unlike hysteroscopy, it is aimed at examining the abdominal cavity, and not the uterus.

In addition, the patient also needs to carefully maintain a menstrual calendar to chart the pain and choose the most appropriate treatment.

Treatment and prevention of secondary dysmenorrhea (painful menstruation)

In general terms, there are two radically different ways to eliminate dysmenorrhea (algomenorrhea, painful menstruation) - therapeutic and surgical. The latter is used in cases where the patient is diagnosed with endometriosis or inflammatory diseases of the genital organs, and is aimed specifically at the treatment of these major diseases. Painful conditions during menstruation, thus, go away by themselves. The type of surgical intervention in this case is determined based on the results of the examination.

Another, therapeutic, method of treatment, as a rule, is used in a situation when the examination does not reveal any inflammatory processes in the genitals, endometriosis or other diseases. In this case, the main principle of therapy for dysmenorrhea (algomenorrhea, painful periods) is to reduce pain during menstruation by taking various drugs (for example, non-steroidal anti-inflammatory drugs) and diagnosis by a neuropathologist. At the same time, analgesics, which many women try to use on their own, according to the gynecologists of our medical center, it is better not to use (without the appropriate recommendation of a specialist doctor). The main danger of analgesics is that they gradually “erase” the sensitivity to pain and, thus, make possible the progression of the disease without particularly pronounced painful conditions. The same applies to tranquilizers, usually used for pronounced psychological symptoms of dysmenorrhea.

Painful menstruation (algodismenorrhea). Leech therapy

Often, painful menstruation occurs as a result of an abnormal position of the uterus, with inflammatory processes in the genitals, with endometriosis, and also against the background of increased excitability of the nervous system. Pain can often be severe. Hirudotherapy is advisable in cases where the cause of pain is due to a local inflammatory process occurring against the background of blood stagnation in the pelvic organs.

Features of the procedures: procedures are carried out in the place where pain is felt. As a rule, when the procedure is carried out at the site of pain points, pain decreases within the first day. Treatments for pain should be carried out daily until they stop. Further - to consolidate the effect of 2-3 procedures. A second course of treatment should be started on the eve of the expected menstruation in 2-3 days.

In our medical center "Euromedprestige" a certified specialist is practicing - a hirudotherapist who treats diseases, including gynecological ones, using the method of hirudotherapy. Treatment is carried out under the supervision of a gynecologist.

There are women who consider the worst days of their lives to be the critical ones. Dysmenorrhea, or very severe pain during menstruation, the reasons for which can only be identified by a gynecologist, simply knocks the ladies off track. Symptoms like these are not normal, but signal serious health problems. Here you can not hesitate, you should consult a doctor for help as soon as possible.

What is the menstrual period

Menstruation, or menstruation, is the process of rejection of a specific part of the endometrium, during which bleeding occurs. menstruation is considered the beginning of the menstrual cycle. During this period, a woman cannot get pregnant.

During monthly bleeding, an intense contraction of the uterine muscles occurs. Vascular spasm occurs, which prevents proper tissue nutrition, and therefore severe pain occurs during menstruation. The reasons here lie in the increased level of prostaglandins in the blood. That is, during the whole month, the uterus prepares for the fertilization of the egg, and its internal cavity is covered with small blood vessels, which should, in case of conception, nourish the embryo. If pregnancy does not occur, then these tissues become unnecessary for the body. He seeks to get rid of them by bleeding.

The situation resembles a "mini-birth", where the uterus contracts and tries to push out unnecessary tissue, while opening the cervix. Moderate pains are quite acceptable here, but strong ones indicate health problems. You do not need to endure them and you need to do everything possible to get rid of monthly soreness.

Severe pain during menstruation: causes

As a rule, behind such an uncomfortable state lies a number of very different factors, these are:

• violation of the hormonal background of a woman;
• inflammation of the uterus or appendages;
• endometriosis, including adenomyosis;
• myoma (fibroids) or any other formation in the uterus;
• polyps in the uterine environment;
• violation of progesterone production;
• ovarian cyst;
• ectopic pregnancy.

Severe pain during menstruation can cause stress and prolonged nervous tension. A specialist will help establish the reasons. So, a gynecologist should be consulted with prolonged menstruation, which lasts more than seven days and is accompanied by very severe pain. You should go to the doctor when the body temperature rises to 38 ° C. Of particular concern are the symptoms that arise for the first time in a woman.

A type of dysmenorrhea

There are primary and secondary dysmenorrhea (painful menstruation). The first occurs as a result of a failure in the production of progesterone. This is a kind of response to egg non-fertilization. The woman experiences pain during the release of the egg from the ovary. In the absence of ovulation, the body begins to rebel and experiences a number of ailments. These are abdominal pain, migraine, dizziness and nausea, vomiting, diarrhea, constipation, neuropsychological disorder, etc.

Secondary dysmenorrhea occurs if there is or appendages. In addition, pain in the lower abdomen may indicate an inflammatory process of the abdominal cavity, pregnancy. These can be the consequences of surgery, trauma, or a viral disease. Such ailments also provoke some ways of preventing unwanted pregnancy. For example, a spiral.

Types of ailments

Severe pain during menstruation, the reasons for which often speak of health problems, can be different, these are:

• headache (migraine);
• unpleasant sensations high blood pressure in the eye area;
• sharp jumps in blood pressure;
• discomfort in the heart;
• nausea, dizziness, and vomiting;
• excessive sweating;
• depression, irritability;
• mood swings;
• sleep disturbance;
• fast fatiguability;
• swelling;
• excessive breast tenderness;
• back pain;
• disruption of the gastrointestinal tract (flatulence, constipation, diarrhea, etc.).

It has been proven that most women experience some discomfort during menstruation (especially on the first day) between the ages of 13 and 45.

Pain syndrome of varying severity

Changes in the chemical composition of the blood during menstruation affect the function of the brain, which causes migraines. A similar condition can be caused by a violation of the water-salt balance. In order for the body to be able to fully perform the procedure of cell rejection during the menstrual period, it accumulates fluid, which then participates in this process. Causes swelling of the limbs, joints and brain tissue. All this provokes a severe headache during and before menstruation.

Lower abdominal pain

Severe abdominal pain during menstruation, the causes of which are different for each woman, occur in many. Moderate pain is considered normal, while severe pain indicates certain disorders in the gynecological sphere.

Pain in the abdomen can be weak, moderate and strong. They appear in the depths of the pelvis as a dull, pulling or pressing pain. May be permanent or pulsating. Pain is considered normal, which begins to appear before the onset of critical days and passes immediately after the end of menstruation.

Severe pain in the lower abdomen during menstruation, the causes of which are often not established, can go together with migraine, accompanied by a disorder of the gastrointestinal tract. This condition cannot be considered normal. In this case, you should undergo a complete medical examination.

The consequences of painful menstruation

Very severe pain during menstruation, the causes and consequences of which should be identified by a gynecologist, lead to complete disability. They influence the well-being and psychological state of a woman.

The mild to moderate form does not cause complications. Average pain syndrome provoked by diseases of the genital organs and pathologies can progress due to the development of gynecological disease. In this case, the pain itself does not have any effect on the complication of the symptom.

Menstruation should not be accompanied by very severe pain that deprives a woman of full capacity. Treatment of such symptoms is not limited to pain relievers, you should look for the true cause and eliminate it. Strong pain is exhausting. It is difficult to tolerate them not only physically, but also emotionally, because it harms the nervous system. In addition, the constant use of anti-inflammatory drugs and pain relievers is addictive and a number of side effects.

Very painful critical days signal a serious problem in the body. It is simply necessary to treat such periods.

Diagnosing painful menstruation

Severe pain during menstruation, the causes and treatment of which will help establish the correct diagnosis, are a real problem for a woman. To begin with, a lady must visit her gynecologist, who can prescribe the following:

• hormone analysis;
• conducting ultrasound of the small pelvis;
• laparoscopy;
• curettage for the study of intrauterine material;
• general clinical examination;
• dopplerography of blood vessels.

In addition, a woman must constantly keep a diary of the monthly cycle and a calendar of critical days. All the symptoms that were present during this period are entered there. Duration of menstruation, profusion. All this helps to establish the severity of the disease. A specialist may also advise you to undergo an examination by a neurologist, psychotherapist and osteopath. Algomenorrhea is often diagnosed at the end of the examination. Treatment is prescribed depending on the severity.

Treatment of menstrual pain

Severe pain on the first day of menstruation, the causes of which lie in a change in the hormonal background of a woman, require special attention. Here, therapy is aimed not only at anesthesia, but also at getting rid of the pain itself.

For mild elimination of PMS symptoms, non-hormonal agents based on herbal ingredients can be used, for example, TIM-FACTOR® dietary supplement. Vitamins C and E, folic acid, rutin, minerals (iron, magnesium and zinc), indole-3-carbinol, glutamic acid, aucubin, gingerols, as well as standardized plant extracts of angelica roots, ginger root and vitex fruits sacred help to normalize the menstrual cycle, reduce irritability, relieve pain and alleviate other symptoms of PMS.

In treatment with medications, a combination of antispasmodics with analgesics is often used. For example, "Nurofen" and "No-shpa". In turn, very severe pain during menstruation requires an individual approach. It is not menstruation itself that is treated here, but a disease that provokes pain.

Folk remedies that can reduce pain syndrome

Very severe pain during menstruation, the causes of which lie in diseases of a number of organs, can be eliminated by traditional medicine.

The pain symptom will help to remove To prepare the infusion, pour a tablespoon of herbs with a mug (300 ml) of boiling water. Let it brew for an hour. Drink 50 mg every hour and reduce the dose as the pain subsides.

Severe pain before menstruation, the causes of which are individual for each woman, can relieve water pepper. Two tablespoons of the plant are poured with half liters of boiling water, after which the mixture is boiled over a fire for another 10 minutes. Before use, the herbal infusion must be cooled and filtered. Consume 100 grams three times a day.

The collection of the following herbs will help relieve soreness: knotweed, centaury, field horsetail, in a ratio of 1: 3: 1: 5. Here a tablespoon of the mixture is steamed with a glass of boiled water. They insist on an hour. Drink one sip throughout

Helps relieve pain with elecampane root. Pour a teaspoon with a glass of boiled water, wait an hour, filter. Consume a tablespoon in the morning, afternoon and evening.

These and other popular recipes are able to overcome menstrual pain, so they cannot be discounted.

Preventive measures

Severe pain during menstruation gives many problems. How to treat it without medication and what to do so that such a symptom does not bother in the future? So, the following measures help to eliminate the cause and have a preventive effect on the body:

• Correct daily routine.
• Adequate sleep.
• Physical exercise, including swimming.
• Diet menu with a predominance of raw vegetables and fruits.
• Drinking the right amount of water, at least 1.5 liters per day.
• Quitting bad habits (alcohol and cigarettes).
• Relaxation and relief from stress, depression.
• Yoga, acupuncture, massage, electrophoresis with novocaine.
• Soothing herbal tea.
• Essential oil bath.

Such activities will have the best effect on a woman's health, her well-being and reduce the soreness of her periods. They can get rid of such discomfort forever.

Update: December 2018

Moderate pain during menstruation occurs in about 70% of girls and women of childbearing age. The pain syndrome accompanying menstruation can be of varying intensity. Mild pain, only minor discomfort, especially in nulliparous women, is considered a normal physiological phenomenon.

However, if a woman every month experiences unbearable, severe pain during menstruation, accompanied by diarrhea, dizziness, fainting, vomiting and other symptoms that deprive a woman of her ability to work, obvious "critical days" really come - this is usually referred to in medicine as the disease of algomenorrhea. Such symptoms indicate that a young woman has various disorders in the hormonal, vascular, reproductive, nervous or other body systems.

If the causes of painful periods are established, then the treatment of these disorders can significantly alleviate the condition, improve the tolerance of such a natural process in a woman's body as menstruation. In this article we will tell you why girls and women have painful periods, the causes and treatment of such a disorder.

What other symptoms can accompany painful periods and why is it considered a disease?

In medicine, very painful periods are considered the most common menstrual disorders. Between the ages of 13 and 45, almost all women experience mild discomfort and soreness on the first day of their menstrual bleeding. And only 10% of them complain of very strong cramping spastic pains from uterine contraction, which are also complemented by the following symptoms:

• 79% of women have diarrhea
• 84% have vomiting
• 13% headache
• 23% dizziness
• 16% fainting

The main symptom in algomenorrhea is pain in the lower abdomen, which appears on the 1st day of menstruation or 12 hours before its onset, it gradually subsides by 2-3 days, it can be aching, twitching, stabbing, giving into the rectum, into the bladder, also maybe. Against the background of unbearable pain during menstruation, a woman's psycho-emotional state is disturbed, irritability, drowsiness, depression, insomnia, anxiety, weakness appear. Painful periods poison the life of a woman, the expectation of another bleeding adversely affects the psyche, the emotional sphere of life, leads to conflicts in the family, at work.

With a mild degree of algomenorrhea - short-term, moderate pain during menstruation does not lead to a loss of working capacity and activity, such pain can be tolerated without additional intake of painkillers, however, the causes of painful menstruation should be clarified, since even a mild degree of algomenorrhea can go further into a more pronounced one. with more significant malaise. Sometimes after childbirth in women, a mild degree of algomenorrhea stops and uterine contractions become less painful, its enlargement during pregnancy and contraction after pregnancy further weakens the spastic pain during menstruation.

With a moderate degree, pulling pains in the lower abdomen are complemented by general weakness, nausea, chills, and frequent urination. There are also psycho-emotional disorders - depression, irritability, intolerance to strong smells and sounds, performance is noticeably reduced. This degree of algomenorrhea already needs medical correction and the causes of pain should also be found out.

In severe cases, very intense pain in the lower back and abdomen is accompanied by headache, general weakness, elevated temperature, pain in the heart, diarrhea, fainting, vomiting. In a severe case of painful menstruation, a woman completely loses her ability to work, usually their occurrence is associated either with infectious and inflammatory diseases, or with congenital abnormalities of the genital organs.

The main causes of primary painful menstruation in adolescent girls

Primary algomenorrhea appears with the first menstruation or develops within 3 years after the onset of menstruation. It mainly happens in easily excitable, emotionally unstable girls, with an asthenic physique, in combination with. Depending on the accompanying "set" of symptoms, primary painful periods are divided into:

• Adrenergic type

In this case, the level of the hormones dopamine, adrenaline, norepinephrine increases, provoking a failure of the entire hormonal system of the body. Girls have constipation, severe headache, body temperature rises, heart rate increases, insomnia appears, legs and arms become bluish in spasm of small vessels, the body and face turn pale.

• Parasympathetic type

It is characterized by increased levels of the hormone serotonin in the cerebrospinal fluid. In girls, on the contrary, the heart rate decreases, nausea with vomiting appears, the body temperature decreases, gastrointestinal disorders are expressed by diarrhea, swelling of the extremities and face often appear, allergic reactions on the skin, girls gain weight.

Modern studies establish the fact that primary painful periods is not an independent disease, but a manifestation of deeper internal disorders, that is, symptoms of the following diseases or abnormalities:

• Congenital malformations of connective tissue

In gynecological practice, it has long been established that approximately 60% of girls with primary algomenorrhea are diagnosed with genetically determined connective tissue dysplasia. In addition to painful periods, this disease is expressed by flat feet, scoliosis, myopia, and dysfunction of the gastrointestinal tract.

This is a very serious disease, which occurs more often in girls with elongated limbs, flexible joints, cartilaginous tissues, most often during the growth of a child, a magnesium deficiency is found, which can be established by taking a biochemical blood test.

• Diseases of the nervous system, neurological disorders

In girls with signs of a reduced pain threshold, with emotional instability, with various psychoses, neuroses and other neurological disorders, pain perception is aggravated, therefore, pain during menstruation in such patients is pronounced.

• Bends of the uterus anteriorly and posteriorly, underdevelopment of the uterus, malformations - two-horned, two-cavity uterus

The occurrence of very painful menstruation, due to abnormalities in the development of the uterus, is caused by a problematic, difficult outflow of blood during menstruation from the uterine cavity. This provokes additional uterine contractions, causing pain during menstruation.

Causes of secondary algomenorrhea in women

If pain during menstruation occurs in a woman who already has children, or she is over 30 years old, then this is considered a secondary algomenorrhea. Today it occurs in every third woman, most often in a moderate-severe form, since it reduces performance and is aggravated by concomitant symptoms, and is also accompanied by heavy menstruation. In addition to pain in the lower abdomen, painful periods occur with other symptoms, which are usually divided into several characteristic groups:

• Vegetative symptoms - bloating, vomiting, nausea, hiccups
• Vegeto-vascular symptoms - dizziness, legs, fainting, heart palpitations, headaches during menstruation
• Psycho-emotional manifestations - violation of taste, perception of smells, increased irritability, anorexia, depression
• Endocrine metabolic symptoms - increased unmotivated weakness, joint pain, itching of the skin, vomiting

The intensity of pain during menstruation depends on the general health of the woman, on age and concomitant diseases. If the patient has a metabolic disorder (and other disorders of the endocrine system), then endocrine-metabolic manifestations are added to additional symptoms during menstruation, with disorders of the cardiovascular system, vegetative-vascular symptoms may be more pronounced, with the approach of premenopause in women (see. ), the likelihood of psycho-emotional instability and depressive symptoms increases.

Often, women with secondary algomenorrhea occur, which definitely cannot be ignored and this is an urgent reason to contact a gynecologist for examination and treatment. If the primary painful periods, the causes of which are associated with congenital anomalies and pathologies, are very difficult to treat, then the occurrence of secondary algomenorrhea is mainly associated with acquired diseases of the female genital organs, the treatment of which must be carried out without fail, these are:

• infectious and inflammatory diseases of the female genital organs and the accompanying adhesions in the small pelvis
• malignant and benign (polyps) tumors of the uterus and appendages
• varicose veins in the abdominal cavity, in the pelvic organs
• pelvic neuritis

Also, in women over 30, the appearance of a very severe pain with menstruation, it can be caused by the following reasons, provoking factors:

• intrauterine contraception
• , other intrauterine interventions, due to cicatricial narrowing of the cervix
• surgical operations on the uterine appendages, labor complications or complications after cesarean section
• mental and physical overwork, constant stress, violation of rest and work

Why should painful periods be treated?

Given the above, it should be understood that the natural physiological function - menstruation, should not cause significant general malaise in a woman, depriving her of her working capacity. In order to reduce the soreness of menstruation, treatment should not consist in pain relief, but in eliminating the cause of this phenomenon. It is certainly possible to hope that this will change, for example, with the birth of a child, but if this does not happen, especially if a woman has painful periods after the birth of children, you should contact a gynecologist to find out the cause of pain during menstruation.

• To endure pain is not only physically difficult, but also very harmful to the nervous system, and the regular use of NSAIDs and analgesics does not eliminate the cause of painful periods, moreover, the body gets used to them and painkillers have a number of side effects.
• The appearance of very painful menstruation is an indicator that some kind of malfunction occurs in the body, a disease, this is a call to the fact that it is imperative to find the cause of the body's inadequate response to the natural process.

It is possible and necessary to treat painful periods. Read more about that in our next article. To determine the cause of primary algomenorrhea, a gynecologist is examined, tests for hormonal status, ultrasound of the pelvic organs are taken, and the girl should also be examined by a neurologist, osteopath, psychotherapist. With secondary algomenorrhea, hormonal examination, ultrasound, diagnostic laparoscopy, diagnostic curettage are also performed.

A woman or girl with painful periods should keep a diary of observations, a calendar of menstruation, in which to describe in detail the sensations, the amount of discharge, the duration of the cycle and the duration of bleeding, all the symptoms that appear during menstruation, in order to then help the doctor in determining the cause and choosing the method of therapy.

There are many questions associated with the topic of menstruation. They all proceed differently: the color of the discharge, the degree of pain, the presence or absence of other symptoms. Many women dream of getting rid of pain during and after menstruation. Fortunately, pharmacies today offer a wide variety of pain relievers. Therefore, you can always choose a drug to reduce or relieve pain.

Why are there very painful periods?

To choose the optimal tactics for treating algomenorrhea, one should understand the reasons for its appearance.

Primary algomenorrhea observed in young girls during the formation of the menstrual cycle (the first three years after the onset of menstruation) or in women who have not given birth after thirty years. It can be a sign of:

• disturbances in the work of the sympathetic division of the nervous system and an increased content of norepinephrine and dopamine in the blood. This violation characterizes not only
• painful periods, but frequent constipation, heart palpitations, sleep disturbances, insufficient blood circulation in the upper and lower extremities, fever before the onset of menstruation.
• tuberculosis of the genital organs. This pathology is characterized by painful periods, accompanied by a violation of the menstrual cycle, underdevelopment of the mammary glands, the manifestation of inflammatory processes in the appendages, and a seasonal increase in manifestations.
• lack of magnesium in the body. Such algomenorrhea is accompanied by regular stool retention, aching pains in the intestines and symptoms characteristic of myopia.
• psycho-neurological disorders. This condition causes a distorted acceptance of pain. It is not combined with the objective signs of pathology in the female reproductive system.
• congenital anomalies in the development and location of the genitals. Most often, such conditions are the cause of a difficult outflow of monthly discharge, which stimulates additional contractions of the uterus.

Why arises

The following factors can provoke the development of primary algomenorrhea:

• congenital impairment of connective tissue growth, which is caused by magnesium deficiency. This disease is a dangerous complication in the form of a violation of the composition of the cartilage tissue, which leads to malformed joints, lengthening of the limbs, flat feet and scoliosis. Myopia, problems with the digestive system and varicose veins may occur;
• genital tuberculosis;
• disorder of a nervous and mental nature;
• congenital uterine anomalies (two-hornedness, malposition or underdevelopment).

If the bending of the uterus arose during puberty due to improper development or excessive stress, then there is a high probability that the sore period will stop bothering the girl after childbirth. If the pathology is congenital, then childbirth will not correct the situation, only a qualified specialist should deal with the treatment of the disease.

Secondary algomenorrhea observed in women with a history of childbirth, and is caused by reasons that need correction and may indicate:

• adhesive process in the small pelvis, which arose after diseases of the genital organs of an inflammatory nature.
• tumor changes in the uterus and appendages, which impede the natural outflow of secretions, increasing soreness during menstruation.
• endometriosis, the spread of endometrial cells in places that are not typical for it. With the onset of menstruation, these cells are rejected, as well as from the uterine cavity, from all organs where they are fixed. Thus, causing additional pain.
• cicatricial changes in the uterus, due to numerous interventions in the uterine cavity.
• violation of the integrity of the ligaments of the uterus in the process of delivery.
• long-term use of intrauterine contraceptives.

There are three degrees of intensity of algodismenorrhea: mild, moderate and severe.

Statistics

70% of women of reproductive age face the problem of painful periods, but only 10% of them complain of intolerable cramp-like pain during critical days. Statistics claim that pain syndrome is complemented by other symptoms:

• 17% of women experience fainting due to pain;
• 23% of the fair sex suffer from dizziness and another 13% from headaches;
• vomiting occurs in 84% of cases;
• 79% of women complain of diarrhea.

Source: https://ginekola.ru

The severity of pain during menstruation

PMS symptoms often cause feeling unwell... If the stomach hurts during menstruation, it becomes necessary to take medications.

The discomfort experienced on critical days can be pulling, tingling, and spasmodic. It usually makes itself felt a few days before the onset of menstruation. Pain medication is often taken for abdominal pain during menstruation.

Depending on the severity of the pain syndrome, 3 degrees of menstrual discomfort are distinguished:

1. Weak. The pain that occurs in the lower abdomen is not severe or pronounced. It does not interfere with the usual course of life.
2. Average. The intensity of the pulling pain increases. Feelings of lightheadedness and dizziness may occur. The body temperature drops slightly. Instability of the psychoemotional state is observed.
3. Strong. The pain spreads throughout the body. There is a need to drink pills for menstruation. Symptoms such as vomiting, headache, fever, and weakness are possible. This is the reason for the oppressed state of the woman.

The systematic occurrence of such unpleasant signs as nausea, vomiting, severe pain felt in different parts of the body may indicate gynecological diseases.

Diagnosis and treatment of pain during menstruation

Many women who suffer from increased soreness during menstruation consider such a course of them harmless and get by with taking antispasmodic and analgesic pills, in the hope that after pregnancy and childbirth everything will work out on its own.

Indeed, a single intake of such drugs, adherence to a herbal and milk diet, normalization of work and rest, maintaining physical fitness through regular exercise to strengthen the muscles of the abdomen and pelvis, applying heat to the abdomen, quitting smoking and taking alcoholic beverages, prevention of hypothermia, avoidance of stressful situations - all these measures can significantly reduce pain during menstruation of mild and moderate severity, but will not remove the reasons for their occurrence.

To help the gynecologist in the selection of diagnostic methods, a woman who complains of excessive soreness of her periods should keep a diary of observations of the menstrual cycle. Where indicators such as the duration of the cycle, the duration of bleeding, its intensity, as well as the accompanying symptoms will be noted.

To find out the cause of severe pain during menstruation, the doctor at the first stage needs to conduct a primary gynecological examination, intracavitary ultrasound examination of the pelvic organs. This will reveal the volumetric formations of these organs or their abnormal location. General clinical indicators of blood and urine are not very informative in this case, but they can indicate inflammatory processes. The laparoscopic method is used for diagnostic purposes if there is a suspicion of rupture of the uterine ligaments or varicose veins of the small pelvis.

It is mandatory to conduct a cytological examination of cells from the surface of the cervix and cervical canal, colposcopy, if necessary, biopsy from areas suspicious of oncology, curettage of the uterine cavity, analysis of the amount of hormones are performed. It may be necessary to involve other specialists (endocrinologist, neuropathologist) in the treatment.

Treatment of algodismenorrhea includes relief of pain and treatment of the disease that caused it. It is very difficult to establish the cause of the onset of primary algodismenorrhea, therefore, the therapy of painful menstruation of this type is reduced to taking antispasmodic drugs, non-steroidal anti-inflammatory substances and analgesics in the form of tablets or suppositories. A good analgesic effect is achieved with the help of physiotherapeutic methods: acupuncture, electrophoresis. The intake of sedatives will enhance their effect. In the absence of inflammatory diseases of the genital area, intramuscular injections of progesterone are prescribed, which helps to relax the muscles of the uterus. If the woman is sexually active, hormonal contraceptive drugs may be considered, which suppress ovulation and reduce uterine contractions. The surgical method of treatment is considered for congenital malformations of the female genital organs.

Treatment of secondary algodismenorrhea much more often includes surgical methods. Surgical intervention is indicated for adhesions, cicatricial changes in the uterus, neoplasms. Priority is given to laparoscopic and organ-preserving operations.

Paracetamol tablets in case of pain syndrome during menstruation can be taken exclusively 3 times, one piece per day.

The strength of the effect of pills for pain during menstruation directly depends on the chemical composition of the drugs. Pain relievers in capsule form are divided into groups.

Antispasmodics

The principle of action of pain relievers in the form of tablets is based on the elimination of spasm and pain. The rate of exposure directly depends on the "generation" to which the chemical composition of the capsules belongs. The best pain pills for menstruation in this category are recognized:

Papaverine

The scheme for taking an anesthetic is detailed in the instructions. In most cases, it is recommended to drink 1 tablet 3 times a day. The active ingredients of this powerful drug help to eliminate muscle tone. The pain does not go away completely after taking the pill, but it becomes barely noticeable, severe cramps disappear.

Buscopan

The scheme of taking pills: in most cases, the therapist prescribes to drink one or two tablets 5 times a day. The complex of components of the pain reliever was created specifically to relieve tone and eliminate colic and cuts that appear in the lower abdomen. Buscopan is recognized as one of the safest antispasmodic drugs for menstruation, because the tablets are absorbed into the gastrointestinal tract in minimum quantity, which means that the harmful effect on the organs of the digestive system is minimal.

Drotaverin

The reception scheme is identical to Buscopan. Due to the expanding effect on the blood vessels, the tablets are recommended for relieving not only menstrual pain, but also for eliminating discomfort in the postpartum period and during pregnancy. The drug has the most long-lasting effect and is able to relieve pain as soon as possible.

No-shpa

One of the most favorite pills for pain during menstruation for women. By chemical composition the medicine is analogous to Drotaverine, but side effects absent at the time of admission. Experts say that Noshpu can be consumed up to 6 tablets per day.

Dosage of antispasmodics.

They are used alone or in combination with non-steroidal anti-inflammatory drugs with insufficient effectiveness of the latter. For instance:
Papaverine tablets - 1 tablet 3-5 times a day.
No-shpa tablets - 1-2 tablets 2-3 times a day.
Halidor tablets - 1 tablet 3 times a day.
Buscopan tablets - 1-2 tablets 3-5 times a day.
Drotaverin tablets - 1-2 tablets 2-3 times a day. The maximum daily dose is 240 mg.

Duration of treatment: up to 2 days or until the pain disappears.

Antispasmodics are contraindicated:
with severe renal failure;
with severe liver failure;
with severe heart failure;
with increased sensitivity to the components of the drug;
with arterial hypotension (due to the danger of collapse);
with glaucoma (increased intraocular pressure), except for drotaverine.

Analgesics

They differ in the ability to instantly relieve pain. Let's look at a list of the most popular pain pills for menstruation from a number of analgesics. These include:

• Spazmalgin;
• Novalgin;
• Baralgin;
• Analgin;
• Minalgin;
• Peretin.

Due to the complex effect on all body systems, doctors do not recommend taking drugs of the analgesic series more often than 1 time per day.

Analgesics are able to help in the fight against aching and pulling premenstrual pain, as well as to eliminate inflammation in the muscles.

Non-steroidal pills for pain during PMS

These pain relievers not only relieve pain, but also have anti-inflammatory effects. Most often, experts prescribe non-steroidal tablets in conjunction with antispasmodics. These pills for menstrual pain differ not only in effectiveness, but also in an affordable, low price. Consider the most common non-steroidal drugs:

Aspirin

The tablets have a cumulative property and smoothly relieve pain. Therapists prescribe 2 tablets 4 times a day. On average, the price category of a medicine varies from 80 rubles.

Paracetamol

Ibuprofen

The frequency of taking pills should not exceed 6 times a day. The cost of the drug is 15 rubles. for 20 tablets.

Ketolong

Based on the reviews and comments of women who have resorted to these funds, the drugs, although inexpensive, do an excellent job of both pain and cramps during menstruation.

In addition to pills, women use pain relieving injections, menstrual pain patches and rectal suppositories to relieve pain and cramps. Let's consider some of them.

Dosage of non-steroidal anti-inflammatory drugs.

They have a pronounced analgesic effect. Due to the special mechanism of action, drugs in this group can be recommended 2-4 days before the expected menstruation. In this case, unpleasant sensations will not arise, or they will be insignificant. So, from this group can be assigned:

Aspirin tablets - the maximum single dose is 2 tablets, but no more than 6 tablets 3-4 times a day.
Paracetamol tablets - the maximum single dose is 2 tablets, but no more than 8 tablets 3-4 times a day.
Ibuprofen tablets - the maximum single dose is 2 tablets, but no more than 6 tablets 3-4 times a day.
Naproxen tablets - the maximum single dose is 2 tablets, but no more than 4 tablets 2 times a day.
Diclofenac tablets - the maximum single dose is 1 tablet, but no more than 3 tablets 3 times a day. Can be used in the form of rectal suppositories: 1 suppository, 1-2 times a day.
Indomethacin tablets - the maximum single dose is 1 tablet, but no more than 3 tablets 3 times a day. Can be used in the form of rectal suppositories: 1 suppository, 1-2 times a day.
Piroxicam tablets - the maximum single dose is 1 tablet, but no more than 3 tablets 3 times a day. Can be used in the form of rectal suppositories: 1 suppository, 1-2 times a day.
Ketoprofen tablets - the maximum single dose is 2 tablets, but no more than 6 tablets 3-4 times a day.

All drugs in this group must be taken after meals with plenty of water (not milk, juice or alcoholic beverages). The effect develops within 0.5-2 hours after administration, the maximum analgesic effect after 4 hours. Duration of treatment: up to 4 days or until the pain disappears.

Pain relieving suppositories during menstruation

The action of anesthetic suppositories during menstruation is aimed at instantly relieving pain. Unlike tablets, the active substances of this dosage form instantly enter the bloodstream, bypassing the gastrointestinal tract.

Experts note that the use of analgesic suppositories rectally or vaginally reduces the risk of allergic reactions and completely eliminates the negative effects of analgesics on the liver and kidneys.

Many women prefer suppositories because of the lack of the unpleasant, bitter taste associated with pills. One of the advantages of this form is the possibility of performing the procedure independently.

Pain-relieving shots are similar in hit rate active ingredients in the blood and safety of use, but, unlike suppositories, require outside help, therefore, not so common.

The most popular analgesic suppositories for rectal or vaginal effects are:

• Paracetamol;
• Papaverine;
• Naproxen;
• Indomethacin;
• Ketoprofen;
• Tylenol.

It is worth noting that the anesthetic suppositories used during critical days have a number of contraindications. Before use, you must consult with your doctor!

Pain relieving patches during menstruation

Plasters for menstrual pain belong to the category of homeopathic remedies of the external spectrum of influence. The principle of operation is based on a warming effect that reduces the severity of pain and spasm. Thanks to the herbal extracts included in the composition, these funds have a relaxing effect on the muscle muscles, enveloping the problem area with a "warm train". In fact, the product is an improved analogue of a heating pad that can be used anytime and anywhere. In most cases, women use pain patches in conjunction with analgesics.

The most popular among the fair sex is Frauplast thermoplastic. The price of a homeopathic remedy will be about 120 rubles. Before use, you should consult a specialist.

Painkillers during menstruation

The advantage of using analgesics in the form of injections is the quick effect of the active components on pain and the absence of a negative effect on internal organs... As practice shows, this "ambulance" requires outside help, which means that it cannot be used at any time and in any place.

In most cases, an injection is done as a last resort, if the pain is not relieved either with pills, or with the help of suppositories, or with the help of decoctions or patches. Experts say that in case of severe, repeated cramps during menstruation, injections must be given:

• Analgin;
• Baralgin;
• Lidocaine;
• Novocaine;
• Diclofenac;
• Mydocalma;
• Ketonala;
• Ibuprofen.

Self-administration of this dosage form or arbitrary dose adjustment is not allowed! Pain-relieving injections, regardless of the "power" of the active components ", should be administered under the strict supervision of the attending physician!

List of the most popular menstrual pain pills

Studying the ways of dealing with menstrual pain, one can come to the conclusion that the most popular means of combating the disease are capsules of antispasmodic and analgesic effects. Buy medications you can at any pharmacy. No prescription is required for these funds.

List of popular pills for menstrual pain:

• Papaverine;
• Nurofen;
• Ketonal;
• Tempalgin;
• Ketanov;
• Solpadein;
• Spazmalgon;
• Buscopan;
• Combispasm;
• Novalgin;
• Menalgin;
• Nise;
• No-Shpa.

Remember that the combination of taking painkillers in the form of tablets, injections, suppositories or patches and the use of alcohol is strictly prohibited!