DISMENORREA

	D
	DISMENORREA
	*DISMENORREA*

DISMENORREA

Dismenorrea

Severe pain in the beginning and during the menstruation.

It varies from a woman to another one.

Less severe after to have given light.

There are two types:

PRIMARY DISMENORREA. One appears between the fifteen and twenty-five years, approximately (soon).

SECONDARY DISMENORREA. Usually one appears late much more, after years of menstruations painless, or only annoying.

Causes

It is a symptom, not a disease.

One takes place like result of strong uterine contractions for the expulsion of its content, normal process of the menstruation; probably due to the excess of production of hormones prostaglandins.

In the SECONDARY DISMENORREA, the causes are:

pelvic infections

endometriosis

uterus tumor

hormonal problems

anatomical anomalies like the hymen nonperforated, vaginal septum, etc.

Signs and symptoms

Pain in the low part of the abdomen that radiates to inferior column and thighs, usually of cólico type (increases and diminishes of intensity).

Lack of energy.

Nauseas and vomits.

Diarrea.

Perspiration.

Frequent necessity to tinkle.

Irritability, nervousness and depression.

Factors of risk

Familiar history of dismenorrea.

Stress and mental state.

The psychological aspects do not cause the dismenorrea but if they diminish the effectiveness of any treatment.

Lack of physical exercise.

Caffein abuse.

Inflammatory diseases of pelvis.

Prevention

To treat the underlying causes.

Diagnosis and treatment

Diagnosis

Pelvic examination and history of the patient. Treatment

The treatments initiated at the beginning of the symptoms have more possibilities of calming the pain.

The heat, in abdomen or back, diminishes the pain.

To seat in a water bath warms up 10-15 daily minutes improves the sintomatología.

The hipnótica therapy also has results.

Asímismo is effective the combination of exercise and rest.

The antinflamatorios ibuprofeno and paracetamol usually are most effective against the pain.

The oral contraceptives that inhibit the ovulation, also are effective.

In the secondary dismenorreas, the treatment must be directed to treat the underlying cause, in which case the surgical treatment can be indicated.

Complications

Intense pain that interferes with the normal activity.

Prognosis

The symptoms can be controlled with the treatment in almost all the cases.

In the secondary dismenorreas the prognosis will be the one of the underlying efección.

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