Ask the Expert: What Causes Painful Periods?

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If you do not wish to say the phrases "painful period" you'll be able to simply say "dysmenorrhea" - it might sound higher, however you'll nonetheless really feel uncomfortable. So let's speak about what's inflicting the ache and the way you are able to do it higher.

First, let's focus on the distinction between main dysmenorrhea and secondary dysmenorrhea. Primary dysmenorrhea is a sort of menstrual cramp in your yard brought on by chemical compounds that the uterus makes that trigger cramps. Secondary dysmenorrhea is brought on by malformations of the pelvic organs that result in convulsions.

So let's dive deeper into main dysmenorrhea. The nasty chemical compounds which can be inflicting the cramps are Prostaglandins, and they're made by the uterus across the time of our interval. Remember that the uterus is a muscle and these prostaglandins trigger that muscle to contract. They may also trigger the sleek muscle mass of our gastrointestinal tract to contract, inflicting nausea and diarrhea in some girls. Prostaglandins may also trigger fever and ache, though these signs are rather less frequent.

And most significantly, we have a tendency to provide extra prostaglandins throughout the menstrual cycle once we are ovulating.

How can we assist with main dysmenorrhea? We can take medication that block the manufacturing of extra prostaglandins - and when you're somebody with common cycles you'll be able to even begin taking these medication (referred to as "Prostaglandin synthetase inhibitors“) The day earlier than your interval begins. Once the prostaglandins are there, they do their nasty job, so take these medication early!

And the place do you get these medication? At the grocery retailer or pharmacy across the nook: They might need fancy names, however they embrace ibuprofen and naproxen and even aspirin. And possibly you seen I mentioned that if you ovulate, you make extra of these nasty chemical compounds - so how does it not ovulate?

You can take a mixed hormonal contraceptive (contraception) that blocks ovulation, and you too can take ibuprofen with it. And don't be concerned about disrupting your physique's prostaglandin manufacturing: within the subsequent cycle, that uterus will nonetheless produce numerous prostaglandins.

Of course, common train can be very useful, as is a nutritious diet. But if all of this stuff are not serving to sufficient, see your gynecologist because it may imply you may have secondary dysmenorrhea. Problems like endometriosis and fibroids may also trigger cramps, and your physician will work with you to research whether or not these issues may very well be contributing - after which work out how one can assist.

Dr. Mary Jane Minkin is a medical professor within the Department of Obstetrics, Gynecology, and Reproductive Sciences at Yale University School of Medicine; Moderator of the podcast "menopause: unumted"; and has had his personal apply for over 35 years. It has set itself the duty of destigmatizing girls’s well being issues, particularly menopause.

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