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The information provided in this article is for educational purposes only and is based on NHS recommendations. It is not a substitute for professional medical advice. Always consult your doctor or a qualified healthcare provider for advice on medical conditions or treatments.

What Is Dysmenorrhoea?

Dysmenorrhoea refers to painful menstrual cramps occurring before or during menstruation. It is categorised into two types: primary and secondary. Primary period pain is common and not linked to any underlying health condition, while secondary dysmenorrhoea results from disorders such as endometriosis or fibroids. Symptoms can include abdominal pain, fatigue, and mood changes. Effective management requires understanding the type of dysmenorrhoea and its underlying cause, allowing for appropriate treatment and relief.

There are two types of period pain: primary dysmenorrhoea and secondary dysmenorrhoea. Period pain should not be severe. Consult your doctor if it affects daily life, such as school or work.

Symptoms of Primary Dysmenorrhoea?

Primary dysmenorrhoea is period pain without an underlying health condition. The pain usually starts with your period or slightly earlier. This type of dysmenorrhoea includes crampy or achy abdominal pain. You might also feel it in your lower back or upper legs. Other symptoms can include:

  • Fatigue
  • Bloating
  • Diarrhoea
  • Headaches
  • Mood changes

You can treat milder period pain and help alleviate with:

  • A hot water bottle
  • Gentle exercise
  • Pain relief such as paracetamol or ibuprofen (always follow instructions)

Consult your pharmacist for pain relief advice. For severe pain, your doctor can prescribe stronger medications.

Symptoms of Secondary Dysmenorrhoea?

Secondary dysmenorrhoea is period pain caused by a health condition. Some women might experience more painful periods after years of normal pain. If severe period pain disrupts daily activities, consult your doctor. It's essential to get checked if you're concerned. Symptoms of secondary dysmenorrhoea include:

  • Increased period pain or longer-lasting pain
  • Heaviness in the abdomen or back pain
  • Pain outside of your period

Additional symptoms can include:

  • Heavy periods
  • Irregular periods
  • Bleeding between periods
  • Unusual discharge
  • Painful sex or bleeding after sex

If you have any of these symptoms, speak to your doctor or book an appointment at Spital.

Diagnosis of Dysmenorrhoea?

Your doctor might perform an internal examination to check your womb and pelvis. A chaperone will be present during this intimate examination. You can request a female doctor or health professional. Your doctor will look for possible causes of your painful periods. They might take samples (swabs) to check for infections. If secondary dysmenorrhoea is suspected, you may be referred to a gynaecologist for further investigation.

Health Problems linked to Period Pain?

  • Endometriosis: Tissue similar to the womb lining grows elsewhere in the body.
  • Fibroids: Non-cancerous growths in the womb's muscular wall.
  • Adenomyosis: Womb lining tissue grows into the womb's muscular wall.

Our Expertise - Dysmenorrhoea.

Period pain can sometimes be caused by intrauterine devices (IUDs), especially in the first few months after insertion. Your period might become more irregular, last longer, or cause spotting between periods. You might also experience pain during sex or vaginal discharge. If these symptoms occur after IUD insertion, along with period pain, consult your doctor immediately. For personalised advice and treatment, visit Spital Clinic or consult your healthcare provider.

Treatment for Secondary Dysmenorrhoea depends on the cause. Your doctor will advise the best course of treatment for your symptoms and condition. Feel free to ask questions about your care. Keep a record of period dates and symptoms using a calendar, diary, or app. This helps your doctor decide on necessary tests or treatments. When visiting your doctor, consider these details:

  • First day of your last period
  • How long your period lasts
  • Shortest and longest time between periods
  • Frequency of changing period products on heavy days
  • Date of your last smear test (if over 25)

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Frequently Asked Questions

You have a question about Dysmenorrhoea? We have an answer.

What causes Dysmenorrhoea?

Primary dysmenorrhoea is caused by natural chemicals called prostaglandins in the uterus. These chemicals make the uterus contract, causing pain. Secondary dysmenorrhoea often results from underlying conditions like endometriosis or fibroids. Other potential causes include pelvic inflammatory disease or adenomyosis. Your GP can help identify the specific cause of your dysmenorrhoea. They might ask about your symptoms, medical history, and perform a physical examination. In some cases, they may recommend further tests like ultrasounds or laparoscopy. Identifying the cause is crucial for effective treatment. Your GP can develop a tailored management plan based on the underlying cause.

How common is Dysmenorrhoea?

Dysmenorrhoea is extremely common, affecting up to 90% of menstruating women. It's one of the most frequently reported menstrual disorders. Severe dysmenorrhoea affects about 10-20% of women, significantly impacting their quality of life. The condition is more common in younger women and tends to improve with age. Your GP can provide more information about dysmenorrhoea prevalence in different age groups. They can help you understand how your experience compares to others. Remember, even though it's common, severe pain shouldn't be considered normal. Your GP can offer treatment options to manage your symptoms effectively.

How is Dysmenorrhoea diagnosed?

Diagnosing dysmenorrhoea involves a thorough medical history and physical examination. Your GP will ask about your symptoms, their timing, and their impact on your life. They may perform a pelvic examination to check for abnormalities. In some cases, they might recommend further tests like ultrasound or laparoscopy. These tests can help identify underlying conditions causing secondary dysmenorrhoea. Your GP might also ask you to keep a pain diary. This can help track symptom patterns and severity. Remember, accurate diagnosis is crucial for effective treatment. Be open and honest with your GP about your symptoms and concerns.

Can lifestyle changes help manage Dysmenorrhoea?

Certain lifestyle changes can indeed help manage dysmenorrhoea symptoms. Regular exercise can help reduce pain intensity and duration. A balanced diet rich in fruits, vegetables, and whole grains may also provide benefits. Reducing caffeine and alcohol intake might alleviate symptoms for some women. Stress-reduction techniques like yoga or meditation can help manage pain perception. Your GP can provide personalised advice on beneficial lifestyle changes. They might recommend specific exercises or dietary modifications based on your needs. Remember, lifestyle changes often work best when combined with other treatments. Your GP can help you develop a comprehensive management plan.

When should I see a GP about Dysmenorrhoea?

You should consult your GP if menstrual pain significantly impacts your daily life. Seek medical advice if over-the-counter painkillers don't provide relief. It's important to see a GP if your symptoms worsen or change over time. Sudden severe pain, especially if accompanied by fever, requires immediate medical attention. Your GP can assess your symptoms and rule out serious underlying conditions. They can provide appropriate treatment and monitor your progress over time. Remember, severe menstrual pain isn't normal and shouldn't be ignored. Your GP is there to help you manage your symptoms effectively.

Can Dysmenorrhoea affect fertility?

Primary dysmenorrhoea typically doesn't affect fertility. However, some conditions causing secondary dysmenorrhoea, like endometriosis, may impact fertility. If you're concerned about fertility, it's important to discuss this with your GP. They can assess your individual situation and provide appropriate advice. In some cases, they might refer you to a fertility specialist for further evaluation. Remember, many women with dysmenorrhoea conceive without issues. Your GP can help address any concerns and provide guidance on fertility matters.

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