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Dysmenorrhea (Painful Menstruation)

what is Dysmenorrhea ?
Dysmenorrhea is a Menstrual cramps are abdominal and pelvic area (belly) pains that are experienced by a woman around the time of her menstrual period.

The medical term for menstrual cramps is dysmenorrhea. There are two types of dysmenorrhea, primary and secondary.

In primary dysmenorrhea, there is no underlying gynecologic problem causing the pain. This type of cramping usually begins at menarche (the beginning of menstruation), the time when a girl starts having menstrual periods.

In secondary dysmenorrhea, some underlying abnormal condition (usually involving a woman's reproductive system) contributes to the menstrual pain. Secondary dysmenorrhea may be evident at menarche but, more often, the condition develops later.

Causes of Dysmenorrhea
Each month, the inner lining of the uterus (the endometrium) builds up in preparation for a possible pregnancy. If the egg is not fertilized by a sperm, the current lining of the uterus is no longer needed. The woman's estrogen and progesterone hormone levels decline and the lining of the uterus becomes swollen and dies.

Symptoms of Dysmenorrhea
Menstrual cramps are pains that begin in the lower abdomen and pelvis. The discomfort can extend to the lower back or legs. The cramps can be a quite painful or simply a dull ache. They can be periodic or continual.

Menstrual cramps usually start shortly before the menstrual period, peak within 24 hours after the onset of the pains, and subside again after a day or two.

Diagnosis
To determine whether a problem requires treatment, your child's doctor or gynecologist will do a thorough pelvic exam, a Pap smear, blood tests (to check hormone levels), and sometimes even urine and stool tests. If he or she thinks there is some sort of growth in the uterus or fallopian tubes, an ultrasound or CAT scan may be performed. Together, those tests can reveal how a condition should be handled.

 

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