Menstrual Cramp - Seizures So Painful - Treatments for Women
Definition of menstrual cramps
Menstrual cramps are pains in the abdomen and pelvic areas experienced by a woman as a result of her menstrual period. Menstrual cramps are not the same as the discomfort felt during premenstrual syndrome (PMS), although the symptoms of both disorders can sometimes be experienced as an ongoing process. Many women suffer from both PMS and menstrual cramps.
Menstrual cramps can range from mild to very severe / severe. Menstrual cramps may be barely noticeable mild and of short duration - sometimes felt just as a feeling of reduced weight in the abdomen. Menstrual cramps can be tough so painful that they interfere with routine activities of a woman for several days.
Menstrual cramps of some degree affect more than an estimated 50% of the women, and among these, up to 15% would describe her menstrual cramps as severe. Surveys of adolescent girls shows that over 90% of girls reported having menstrual cramps.
Definition of Dysmenorrhea
The medical term for menstrual cramps is dysmenorrhea. There are two types of dysmenorrhea, primary (primary) and secondary (secondary).
In primary dysmenorrhea, there is no underlying problem gynecologist who cause pain. This type of seizure may begin within six months to a year after menarche (onset of menstruation), the time when a girl starts having menstrual periods. Menstrual cramps typically does not begin until the ovulatory menstrual cycles (when an egg is released from the ovaries) occurs, and the actual menstrual bleeding usually begins before the onset of ovulation. Therefore, a teenage girl may not experience dysmenorrhea until many months to years after the onset of menstruation.
In secondary dysmenorrhea, some abnormal condition of the underlying (usually involving a woman's reproductive system) contribute to menstrual pain. Secondary dysmenorrhea is probably obvious at menarche, but, more often, the condition develops later.
Causes of Menstrual cramps
Each month, the inner lining of the womb (endometrium) is formed in preparation for a possible pregnancy. After ovulation, if the egg is not fertilized by a sperm, no pregnancy and the resulting uterine lining is no longer needed. The levels of the hormones estrogen and progesterone a woman down, and the uterine lining becomes swollen and die. He was later released and will be replaced with a new layer to the next monthly cycle.
When the old uterine lining begin to break down, molecular compounds called prostaglandins are released. These compounds cause the muscles of the womb to contract. When the muscles of the womb to contract, they constrict the blood supply (vasoconstriction) to the endometrium. This narrowing prevents delivery of oxygen to the tissues of the endometrium which, in turn, breaks down and die. After the death of this network, the womb contractions literally squeeze the old endometrial tissue through the cervix (cervical) and out of the body by way of the vagina. Other compounds known as leukotrienes, which are chemicals that play a role in the inflammatory response, also elevated at this time and may be associated with the development of menstrual cramps.
Menstrual cramps are caused by contractions of the womb that occur in response to prostaglandins and other chemicals. Sensation (feeling) seizures (amplified) when clots or pieces of tissue from the lining of the uterus pass through the cervix, especially if a woman's cervical canal is narrow.
The difference between menstrual cramps are more painful and less painful they may be associated with elevated levels of prostaglandins a woman. Women with menstrual cramps have levels of prostaglandins are elevated in the endometrium (uterine lining) when compared with women who did not experience seizures. Menstrual cramps are very similar to that experienced by a pregnant woman when she is given prostaglandin as a medication to induce labor.
Menstrual cramps can be Measured?
Yes. Menstrual cramps can be scientifically demonstrated by measuring the pressure in the content and the number and frequency of contractions of the womb. During a normal menstrual period, the average woman has contractions of a low pressure (50-80 mm Hg), which lasted 15-30 seconds at a frequency of 1-4 contractions every 10 minutes. When a woman has menstrual cramps, contractions-contractions are of a higher pressure (they may pass through 400 mm Hg), lasting longer than 90 seconds, and often occur less than 15 seconds apart.
Other Factors Affecting Menstrual cramps
As mentioned above, a narrow cervical canal unusual tends to increase menstrual cramps. Other anatomical factors that are thought to contribute to menstrual cramps is a slope that rolled back from the womb (retroverted uterus).
Exercise is now recognized deficiencies contribute to menstrual cramps are painful.
It has long been thought that psychological factors also play a role. For example, it is widely accepted that emotional stress can increase the discomfort of menstrual cramps.
Menstrual cramps are pains that start in the lower abdomen and pelvis. Discomfort can be extended to the lower back or legs. Seizures can be a very painful sore or just a dull pain. They can be periodic or continuous basis.
Menstrual cramps usually start shortly before the menstrual period, peaking within 24 hours after the onset of pains, and subsided again after a day or two days.
Menstrual cramps may be accompanied by a headache and / or nausea, which can lead, though rarely, at the point of vomiting. Menstrual cramps can also be accompanied by constipation or diarrhea because the prostaglandins that cause smooth muscles to contract are found in both the uterus and gastrointestinal tract. Some women experience an urge for urinating more often.
Diagnosing Menstrual cramps
Diagnosis of menstrual cramps are usually made by women themselves and reflect the individual perception of pain. Once a woman has experienced menstrual cramps, usually with the onset of menses as a teenager, her menses (monthly menstrual flow), he became aware of the typical symptoms.
Seizures-Treatment For Common menstrual cramps (primary dysmenorrhea)
Every woman needs to find a treatment that works for him. Perhaps the most common treatment, especially in the past, is lying at the first sign of pain. It is usual that the restroom, restroom woman has a bed (couch) so that a woman who felt sick or unwell can lie down. A bed in the school nurse's office serves the same purpose and the girls are routinely exempted from physical education or other classes because of menstrual cramps.
The recommendations now include not only adequate rest and sleep, but also exercise regularly (walking terutam). Some women find that massage (massage) the stomach, yoga, orgasm or sexual activity helps. A heating pad placed in the abdominal area may relieve pain and congestion.
A number of agents that are not prescription (over-the-counter) can help control the pain as well as actually prevent menstrual cramps themselves. For mild cramps, aspirin or acetaminophen (Tylenol), or acetaminophen plus a diuretic (Diurex MPR, FEM-1, Midol, Pamprin, Premsyn, etc.) may be sufficient. However, aspirin has limited effect in detaining the production of prostaglandins and is only useful for the spasms that are less painful.
The main agents for treating menstrual cramps are the nonsteroidal antiinflammatory drugs (NSAIDs), which lowers the production of prostaglandins and reduce its effects. NSAIDs that do not require a prescription are:
* Ibuprofen (Advil, Midol IB, Motrin, Nuprin, etc.);
* Naproxen sodium (Aleve, Anaprox), and
* Ketoprofen (Actron, Orudis KT).
A woman should start taking one of these medications before the pain becomes difficult to control. This may mean starting medication 1-2 days before her period starts and continue taking the drug 1-2 days into the period. The best results are obtained by taking one of the NSAIDs on a scheduled basis and not wait until the pain starts.
NSAIDs are prescribed for the treatment of menstrual cramps include mefenamic acid (Ponstel).
If the menstrual cramps in a woman is too heavy / severe to be controlled by these strategies, the doctor may prescribe a low dose oral contraceptive containing estrogen and progestin on a regular cycle or extended. This type of approach can prevent ovulation (the monthly release of an egg) and reduce the production of prostaglandins which, in turn, reduces the severity of spasticity and causes a mild menstrual flow.
The use of an IUD that releases small amounts of progestin levonorgestrel directly into the cavity of the womb, have been associated with a 50 percent reduction in the prevalence of menstrual cramps. In contrast, IUDs do not contain hormones, such as those containing copper, may worsen menstrual cramps.
Operations Solutions
In the past, many women with menstrual cramps had an operation known as D & C (dilation and curettage) to remove several layers of content. This procedure is also sometimes used as a diagnostic measures to detect the conditions of cancer or precancerous uterine lining. Some women even take the road on the final solution to the issue of possession of menstruation with a hysterectomy, surgery that removes the entire content.
Today, when a woman has heavy bleeding and pain of the womb is abnormal, the doctor may recommend endometrial ablation, a procedure in which uterine lining burned off or evaporated using an apparatus that produces heat.
Treatment of Secondary Dysmenorrhea
Treatment of secondary dysmenorrhea depends on its cause. There are a number of underlying conditions that can contribute to pain include:
* Endometriosis (cells of the uterine lining weeds located in other areas of the body);
* Uterine Fibroids (growths are not cancerous womb that respond to estrogen levels);
* Adenomyosis (a benign condition in which cells of the inner uterine lining invade muscular wall, myometrium);
* Pelvic inflammatory disease or pelvic inflammatory disease (PID);
* Adhesions (abnormal fibrous patches between the organs); or
* The use of an intrauterine device (IUD) for contraception.
All of these conditions must first be diagnosed by a doctor who will then recommend an appropriate treatment.
If a woman begins to experience changes in menstrual cramps, as in the severity, timing, or location, he must confer (consult) with the doctor, especially if the change is a sudden onset.
Prognosis For menstrual cramps
In general, seizures do not worsen a woman's menstrual life. In fact, menstrual cramps of primary dysmenorrhea usually decreases with age and after pregnancy. This is expected due to the fact that the content of the nerves degenerate (degenerate) with age and disappeared at the end of pregnancy, with only a portion of these nerves to renew after the birth of a child.
When there is secondary dysmenorrhea with an underlying condition that contributed to the pain, the prognosis depends on the successful treatment of that condition.
When the women have learned more about their bodies and how to maintain them at maximum health, menstrual cramps have become less of a terrible disease, and more often, merely an inconvenience for a small monthly.
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