Severe abdominal pain during menstruation - what does this mean?
OK at the end of the menstrual cycle after declining hormonal support (decreases the number of progesterone) is rejected the increase in volume of the mucous membrane of the uterus, followed by menstrual bleeding. Such rejection is always accompanied by painful spasms of the muscles of the uterus so the uterus is trying to get rid of the separated mucosa. Normally, these pain bearable and does not deny a woman's ability to engage in normal cases.
But in some cases, abdominal pain during menstruation are so strong that a woman becomes incapacitated. This condition is called algodismenorrhea. Algomenorea is divided into primary (arising from the very beginning of the formation of the menstrual cycle) and secondary (after developing some diseases).
Primary dysmenorrhoea is more likely to occur in congenital disorders of the uterine structure or hormonal disorders occurring during the formation of the menstrual cycle. For example, the lack of female sex hormones estrogen can cause rapid complete rejection of the entire mucous membrane of the uterine cavity, while in the norm of such a rejection occurs gradually, in some areas. Such violations cause a spasm of the blood vessels supplying the uterus and painful spasm of her muscles. Under the influence of hormones decreases synthesis of opiate substances that suppress pain, and increased synthesis of prostaglandins - substances that increase the contraction of the uterus muscles, pain and inflammation.
Secondary dysmenorrhoea usually develops after infectious-inflammatory diseases of female genital organs, on the background of tumors, endometriosis of the uterus (proliferation of the mucous membrane of the uterine cavity inside the muscle layer). These diseases result in a change in the structure of the uterus and hormonal background.
Abdominal pain during menstruation - when they talk about the menstrual cycle
At the beginning of the formation of the menstrual cycle rather severe abdominal pain are common. Therefore, obstetricians-gynecologists are in no hurry to make a final diagnosis of algodismenoreei. And only if the pain does not decrease within two years after the establishment of a regular menstrual cycle, after examining and establishing the causes of these pains speak about primary algodonera.
Pain when algodonera begin even before menstruation and continue until it ends. Some women have pain cramping in nature, others have persistent pain, aching, but no less intense. When the secondary oligomenorrhea pain more likely to have persistent whining character.
Localized pain in the lower abdomen and can give back, perineum, upper part of the legs. Such pain is completely knock the woman out of the rut, in addition they are joined by fatigue, irritable weakness, headache, sleep disturbances, sweating. In some cases, it is accompanied and even nausea, vomiting, bloating, constipation and diarrhea. Reacts and cardiovascular system: a sharp drops in blood pressure, palpitations, pain in the heart.
Correct diagnosis is the basis of treatment algodismenoreei
If the woman is disturbed by severe pain during menstruation, then it is an occasion for examination. Start examination should consult an obstetrician-gynecologist, who, after examination, will appoint a full examination. Investigated blood on hormones, swabs taken from the vulva, the scrapings from the cervix, the selection is investigated in the Microbiology laboratory.
There are also endoscopic studies: colposcopy - examination of the mucous membrane of the vagina and cervix using a special optical equipment. If necessary, make and hysteroscopy - a study of the mucous membrane of the uterine cavity.
Assigned and consultation of the neurologist - changes can be localized in the brain, for example, in the area of the pituitary gland or hypothalamus - bodies who "manage" all the hormonal changes in the body.
Treatment algodismenoreei depends on the pathology. When hormonal disorders conduct substitution therapy when identified latent infectious-inflammatory processes and genital infections their prolecia, the tumor is removed.
At the same time treatment to help reduce pain. Good help in this case, non-steroidal anti-inflammatory drugs (NSAIDs), which inhibit the synthesis of prostaglandins are biologically active substances that contribute to inflammation and pain. The drugs of this series include diclofenac, nimesil, nice. To relieve spasm of the smooth muscles of the uterus prescribe antispasmodics (but, silos, papaverine).
Source:
Open sources worldwide Network
No comments:
Post a Comment