Menstrual cramps are a common symptom in women of reproductive age. Most people, when they have menstrual cramps, tend to take painkillers. Use a hot water bag Hot pads for better relief If the pain disappears, it is considered normal menstrual pain. But if any person has sudden pain and the pain is increasing. Even after taking the medicine, you are unable to live your daily life normally. ทางเข้า ufabet Or the pain increases every time you menstruate. You should immediately see a doctor. Because it may be a warning sign of various diseases. related
Causes of menstrual pain
menstrual pain Divided from the causes of occurrence into 2 types as follows:
1. Primary dysmenorrhea
is menstrual pain without any disease or pathology. It is caused by substances. Prostaglandin secreted from the endometrium during menstruation This causes the uterine muscles to contract. There is less blood and oxygen coming to the uterus. Generally the symptoms are as follows.
- Starting to have pain after menstruation. of menstruation in the first 6 months of life
- Pain within 48-72 hours of your period
- Squeezing pain or pain similar to labor pains
- Starting to have pain from the pelvic floor. There may be a fracture to the back or thigh.
- There may also be nausea, loose diarrhea, weakness, and fatigue.
- Upon internal examination, no abnormalities were found.
2. Secondary dysmenorrhea
is menstrual pain that has pathology or any disease that causes pain, such as endometriosis. Uterine tumor Caused by inserting an IUD or have fibrosis in the abdomen The pain is severe and often chronic, as follows:
- The pain started between the ages of 20-30 with no previous menstrual pain or mild pain. I’ve never had so much pain before.
- The pain is more severe. Affects daily life In some cases, the pain may be so great that painkillers need to be injected.
- My period is heavy. or abnormalities as well
- There is an abnormality in the pelvic floor. or physical examination finds abnormalities
- Does not respond to treatment with NSAIDs or birth control pills.
- have infertility
- pain during sex
- Have abnormal vaginal discharge
What are the risks of severe or chronic menstrual pain?
Menstrual cramps that are severe or chronic It is often secondary to menstrual cramps. This is often the cause or symptom of various diseases as follows:
- Endometriosis
- Uterine tumor Especially subendometrial uterine tumors.
- Using an IUD that causes the uterus to contract more or cause fibrosis in the uterus
- Presence of fibrosis in the abdominal cavity That is often the result of a cesarean section. or have ever had surgery into the abdominal cavity or inflammation in the pelvis and abdomen which causes fibrosis until the uterus is pulled back
- Cervical stenosis makes it difficult for menstrual blood to flow out of the uterine cavity. The uterus contracts more.
- There are physical structural abnormalities in the reproductive organs. Makes menstruation unable to flow out or does not flow well
- Conditions such as ovarian tumors, peritonitis, pregnancy, various uterine tumors, urinary tract infections and cystitis, ectopic pregnancy, chronic inflammatory bowel disease, pelvic inflammatory disease.