It
can be
defined
as pain
which is
in
relation
to
menses
that is
troublesome
so as to
disable
a woman
from
performing
her
routine
chores.
Dysmenorrhea
can be
classified
into
primary
dysmenorrhea
where no
underlying
pathology
can be
demonstrated
and
secondary
dysmenorrhea
which
has a
definitive
underlying
causative
pathology.
On the
basis of
the
character,
dysmenorrhea
can also
be
classified
into
spasmodic
and
membranous
type.
As the
names
suggest,
the
spasmodic
type of
dysmenorrhea
involves
severe
pain
which
waxes
and
wanes in
intensity
with the
contraction
and
relaxation
of the
uterus
while
the
membranous
variety
has
actual
shedding
of
chunks
of meaty
portions
of the
innermost
wall of
the
uterus
called
the
endometrium.
Very
often
dysmenorrhea
is
accompanied
by a
whole
lot of
symptoms
such as
giddiness,
nausea,
vomiting,
muscle
cramps,
fever,
etc.
Remarks:
Excessive
production
of
prostaglandins
is one
of the
major
causes
for most
signs
and
symptoms
of
dysmenorrhea.
Primary
dysmenorrhea
is
almost
wholly
due to
this and
may be
due to a
tight
cervix,
the
mouth of
the
uterus.
Such
cases
improve
totally
after a
normal
child
birth
due to
stretching
of the
uterine
musculature.
Secondary
dysmenorrhea,
however,
needs
proper
investigating
into in
order to
know the
causative
pathology.
The
underlying
pathology
needs to
be
treated
to
control
painful
menses.
Pain-killers
can only
offer
temporary
relief.
The
common
causes
of
secondary
dysmenorrhea
are
pelvic
infections,
congestive
or
inflammatory
conditions
within
the
pelvis
like
endometriosis,
uterine
tumors
such as
polyps
or
fibroids,
and the
presence
of a
foreign
body
such as
an
intrauterine
contraceptive
device [IUCD].
Suggestion
about
homeopathic
treatment:
Homeopathy
has a
promising
role to
play in
cases of
dysmenorrhea.
The
medicines
are
known to
reduce
the
severity
of the
pain as
well as
to treat
the
cause,
whenever
possible.
Every
patient
with
dysmenorrhea
may
present
with a
different
set of
individual
symptoms,
which
are
carefully
noted
while
deciding
the
homeopathic
line of
treatment.
Homeopathic
treatment
is
strongly
suggested. |
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