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Painful menstruation (dysmenorrhea)

 

More than half of menstruating women have pain in the first day or two of their bleeding. Usually this pain is mild. Sometimes it can be severe enough to limit daily activities. This severe pain is called dysmenorrhea.

The substance called "prostaglandin" secreted from the inner wall of the uterus is responsible for cramps and pain in the uterus. Pain usually begins in the premenstrual period.

primary dysmenorrhea; It is menstrual period pain that starts with the first menstruation.

secondary dysmenorrhea; It is menstrual pain due to an organic pathology and tends to increase and decrease over time. Endometriosis (Chocolate cyst), Adenomyosis (the tissue that should normally be found on the inner surface of the uterus is found in the uterine muscle layer), fibroids are among the causes of secondary dysmenorrhea.

Non-steroidal anti-inflammatory (NSAID) agents, which are primarily used as pain relievers, are used in its treatment. These act by lowering the level of prostaglandins in the blood. The effectiveness of NSAIDs is further increased by using them before the onset of menstrual bleeding. Usually 3 days is enough. NSAIDs also reduce the amount of bleeding by about 50%.

Apart from NSAIDs, hormonal methods including birth control pills can also be used to treat dysmenorrhea. In secondary dysmenorrhea, cause-oriented treatment is required.

 

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