More than half of women experience more or less pain during their menstrual period. However, in approximately 10% of cases, menstrual pain occurs. very severe It occurs and causes the woman to feel so bad that she cannot function for 1-3 days and even becomes bedridden.
Menstrual pain is a severe cramp-like pain that can hit the waist, groin, and sometimes the legs. In addition, some women may experience menstrual pain with complaints such as nausea, vomiting, irritability, constipation, and frequent urination. In medical terms, painful menstruation dysmenorrhea is called.
dysmenorrhea or painful menstruation which is actually part of the normal menstrual mechanism uterine contractions It is felt by the woman as extreme pain. This is called primary dysmenorrhea in medicine. The uterus contracts a little during the menstrual period to prevent excessive menstrual bleeding and to limit blood loss. However, in some women, the intensity of these contractions is really high. Substances that cause contractionsprostaglandin They are substances called regional secretions in the uterus. It is thought that the event that causes pain is either the excessive secretion of these prostaglandins or the woman's hypersensitivity response to these substances in the form of pain.
In the treatment, preventing the formation of these substances painkillers is used. menstrual pains with painkillers If it can be controlled and there are no other gynecological symptoms, gynecological examination is not necessary. However, if menstrual pains are very severe and have started to affect the general well-being, cannot be controlled with ordinary painkillers and/or cause loss of work, a gynecological evaluation should be made and the necessary treatment should be applied. The purpose of the gynecological examination is to determine whether menstrual pain occurs for a different and important reason. Here is secondary dysmenorrhea, which is usually seen in women of childbearing age. menstrual pain There are reasons called.
These reasons:
Endometriosis (presence of the innermost layer of the uterus in the outer layers of the uterus or in a region outside the uterus)
cervical stenosis
uterine tumors
The uterus is in different positions (especially when it is clearly turned towards the back)
Inflammatory diseases of the uterus and neighboring organs
These are psychological reasons.
menstrual pain There is a close relationship between ovulation and ovulation. In cases that do not respond to painkillers birth control pills Eliminating ovulation can also eliminate menstrual pain from being a problem. Further examination is required in women who do not benefit from this treatment. For this purpose laparoscopy The abdominal cavity is examined with the method called. In this examination, endometriosis is usually detected and its treatment is different. Sometimes inflammations or adhesions due to operations can also cause pain. If such situations are detected laparoscopy The necessary treatment is applied immediately by the surgeon.
In cases where the psychological side of the incident is suspected, psychiatric consultation may be required according to the doctor's recommendation. As a result A Gynecologist examination is necessary, especially for menstrual pains that appear later than they were before and increase over time.