katyzzzDysmenorrhea and working
November 10th 2006 16:03
Dysmenorrhea :
Dysmenorrhea is the term for painful menstruation. It occurs most commonly in teenagers and in women who have never been pregnant.
There are two types of dysmenorrhea. Primary dysmenorrhea is a recurring condition, usually beginning shortly after the onset of menstruation in a young girl. Secondary dysmenorrhea develops later in life, after a woman has been menstruating for some time.
Causes :
The cause of primary dysmenorrhea is thought to be the release of excess prostaglandins from the lining of the uterus shortly before the beginning of a menstrual period. (Prostaglandins are substances that, among other functions, stimulate uterine contractions.) The resulting contractions constrict blood vessels in the uterus, causing pain in the same way that a decrease in blood supply to the heart causes chest pain.
The reason for this excessive production of prostaglandins is not known. Secondary dysmenorrhea is usually a result of another reproductive problem, such as fibroid tumors, a narrow cervix, or endometriosis (the displacement of tissue from the uterine lining to areas elsewhere in the body).
Symptoms :
The major symptoms of dysmenorrhea are cramps and pain in the lower abdomen, possibly extending around to the back. Nausea, vomiting, diarrhea, headache, fatigue, and nervousness are mainly associated with primary dysmenorrhea. These symptoms usually appear at the beginning of, or slightly before, the menstrual period, and may last several hours or several days.
Diagnosis :
Diagnostic evaluation will include a complete physical examination as well as medical and menstrual histories. If the symptoms have been present from the onset of menstruation at puberty, primary dysmenorrhea is usually the diagnosis. If the symptoms appeared suddenly in a woman who has been menstruating for some years, secondary dysmenorrhea can be assumed.
Treatment :
Primary dysmenorrhea has been successfully treated with non-steroidal anti-inflammatory drugs (such as ibuprofen, naproxen, meclofenamate, diflunisal, and mefenamic acid), which, when taken just before a period is to begin, act to suppress the production of prostaglandins and thereby reduce the intensity of the contractions that cause pain.
Dysmenorrhea is the term for painful menstruation. It occurs most commonly in teenagers and in women who have never been pregnant.
There are two types of dysmenorrhea. Primary dysmenorrhea is a recurring condition, usually beginning shortly after the onset of menstruation in a young girl. Secondary dysmenorrhea develops later in life, after a woman has been menstruating for some time.
Causes :
The cause of primary dysmenorrhea is thought to be the release of excess prostaglandins from the lining of the uterus shortly before the beginning of a menstrual period. (Prostaglandins are substances that, among other functions, stimulate uterine contractions.) The resulting contractions constrict blood vessels in the uterus, causing pain in the same way that a decrease in blood supply to the heart causes chest pain.
The reason for this excessive production of prostaglandins is not known. Secondary dysmenorrhea is usually a result of another reproductive problem, such as fibroid tumors, a narrow cervix, or endometriosis (the displacement of tissue from the uterine lining to areas elsewhere in the body).
Symptoms :
The major symptoms of dysmenorrhea are cramps and pain in the lower abdomen, possibly extending around to the back. Nausea, vomiting, diarrhea, headache, fatigue, and nervousness are mainly associated with primary dysmenorrhea. These symptoms usually appear at the beginning of, or slightly before, the menstrual period, and may last several hours or several days.
Diagnosis :
Diagnostic evaluation will include a complete physical examination as well as medical and menstrual histories. If the symptoms have been present from the onset of menstruation at puberty, primary dysmenorrhea is usually the diagnosis. If the symptoms appeared suddenly in a woman who has been menstruating for some years, secondary dysmenorrhea can be assumed.
Treatment :
Primary dysmenorrhea has been successfully treated with non-steroidal anti-inflammatory drugs (such as ibuprofen, naproxen, meclofenamate, diflunisal, and mefenamic acid), which, when taken just before a period is to begin, act to suppress the production of prostaglandins and thereby reduce the intensity of the contractions that cause pain.
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