9/29/2008

Severe pain in menstruation

The pain associated with menstruation is called dysmenorrhea, and it is a problem that affects adolescents.

The pain starts with menstrual bleeding, and persists for hours or even days, and may be accompanied by nausea, vomiting and diarrhea. In some youth, abdominal pain appears in the days prior to menstruation.

Dysmenorrhoea is considered a primary or secondary, depending on whether the painful menstruation are related or not detectable with gynecological pathology. It is secondary when there is an underlying pathology, such as that caused by endometriosis (presence of uterine lining called the endometrium, so abnormal located outside the uterus). In adolescence endometriosis may pass unnoticed and cause a gradual and insidious disorder.

When is the dysmenorrhea an isolated event in sexual activity with a young, you should consider a pelvic inflammatory disease, and should be examined by the gynecologist and then conduct the studies that apply.

Another cause of severe pain in this period, peritoneal adhesions are left as sequelae of previous abdominal surgery, or chronic inflammatory processes. It also can be associated with the use of intrauterine devices (IUDs).

In the case of dismenorreas primary, are due to the increase in uterine contractions, due to an increase of prostaglandins.

It is always desirable for the teenager, keeps a schedule that allows you to know what are the days likely will happen menstruation, to receive in the days before, prostaglandin inhibitor medication.

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