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Menstrual cramps can range from a dull ache to completely debilitating. While they are something we often feel like we have to deal with, that’s not necessarily the case. With the help of our team at MAIA, cramps (or dysmenorrhea) don’t have to rule your life any longer.

What is Dysmenorrhea?

Dysmenorrhea is the medical term for painful menstrual cramps. It happens because your uterus contracts in order to shed its lining. The pain typically starts before your period and then goes away after a few days. The pain can range from mild to severe and can come with other symptoms like a feeling of pressure in the abdomen, nausea, fatigue, headache, and diarrhea.

There are two types of dysmenorrhea: primary and secondary.

  • Primary dysmenorrhea: This type of menstrual cramps happens repeatedly and aren’t caused by another medical condition. Pain begins 1-2 days before bleeding begins and subsides in 2-3 days. This is the most common type of dysmenorrhea.
  • Secondary dysmenorrhea: This type is caused by a specific medical condition like endometriosis, fibroids, abnormal pregnancy, or infection in your reproductive organs. This type of pain usually begins several days before your period and lasts until the bleeding stops.

What Causes Dysmenorrhea?

Menstrual cramps occur when a chemical called prostaglandin makes your uterus contract. Before and during menstruation, your prostaglandin levels are higher, causing the uterus to contract much more strongly. This is what leads to the pain and discomfort you feel right before your period begins. The higher the levels of prostaglandin, the more painful your cramps are likely to be. The levels decrease once your period starts, which is why cramping tends to ease a day or two after your period begins.

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If you’re struggling with secondary dysmenorrhea from another medical condition, the pain can be caused by the following:

  • Endometriosis: Tissue that acts similar to the lining of the uterus grows outside of the uterus, most commonly on fallopian tubes, ovaries, or the tissue lining your pelvis, which can cause intense pain
  • Uterine fibroids: These noncancerous growths in the wall of the uterus can cause pain.
  • Adenomyosis: The tissue that lines your uterus begins to grow into the muscular walls of the uterus and can lead to pain
  • Pelvic inflammatory disease: This infection of the female reproductive organs is usually caused by sexually transmitted bacteria, and pain is one of the primary symptoms.
  • Cervical stenosis: With this condition, the opening of the cervix is small enough to impede menstrual flow, causing painful pressure within the uterus.

Dysmenorrhea Treatment Options

There are a few different treatment options for dysmenorrhea. NSAIDs and other over-the-counter pain relievers like ibuprofen or acetaminophen work for some women as they are prostaglandin inhibitors, but others need stronger medications or even surgery.

Hormonal Medications

Hormonal birth control can often help lessen menstrual cramps. They work by suppressing ovulation and may reduce the amount of pain you feel before your period.

Lifestyle changes

There are a few simple changes you can make before or during menstrual cramps. Use a heating pad on your abdomen or lower back when you have cramps. Get as much rest as possible, avoid caffeine, cigarettes, and alcohol, and exercise regularly. Yoga and breathing exercises can be especially helpful for period cramps.

Surgical Options

There are several surgical options for dysmenorrhea, but they are usually only done when symptoms are particularly severe. These treatments include:

  • Endometrial ablation: a procedure done to destroy the lining of the uterus
  • Endometrial resection: a procedure done to fully remove the lining of the uterus.
  • Hysterectomy: complete removal of the uterus

Frequently Asked Questions

What are the symptoms of dysmenorrhea?

Dysmenorrhea is characterized by intense menstrual cramps, typically in the lower abdomen, that can range from dull and aching to sharp and severe. Other symptoms may include lower back pain, nausea, vomiting, diarrhea, fatigue, headaches, and dizziness.

Are there any factors that put someone more at risk for dysmenorrhea?

Certain factors can increase the likelihood of experiencing dysmenorrhea, including being under 30 years old, having heavy or irregular periods, a family history of painful periods, smoking, high stress levels, and conditions like endometriosis or pelvic inflammatory disease (PID). Additionally, early menarche (starting menstruation before age 12) may also be a risk factor.

How is dysmenorrhea treated?

Treatment for dysmenorrhea depends on its severity and underlying cause. Over-the-counter pain relievers are often effective in reducing pain and inflammation while hormonal birth control methods can help regulate menstrual cycles and lessen symptoms. In more severe cases, prescription medications, physical therapy, or surgical interventions may be necessary.

What are the differences between dysmenorrhea and regular period cramps?

Regular period cramps are usually mild to moderate, lasting for a short duration and responding well to over-the-counter pain relievers. Dysmenorrhea, on the other hand, involves more severe, persistent, and sometimes debilitating pain that additional symptoms like nausea and fatigue may accompany.

How is dysmenorrhea diagnosed?

Dysmenorrhea is diagnosed based on a patient’s medical history, symptoms, and a pelvic exam. If secondary dysmenorrhea (caused by an underlying condition) is suspected, additional diagnostic tests such as ultrasound, MRI, or laparoscopy may be recommended to identify potential causes.

Can dysmenorrhea go away on its own over time?

For some individuals, dysmenorrhea can improve with age, especially after childbirth. Primary dysmenorrhea, which is not linked to another medical condition, may become less severe over time. However, if the pain persists or worsens, it is important to consult a healthcare provider to rule out secondary causes.

What are the differences between dysmenorrhea and endometriosis?

Dysmenorrhea refers to painful menstrual cramps, while endometriosis is a medical condition in which tissue similar to the uterine lining grows outside the uterus. While endometriosis can cause dysmenorrhea, it often leads to chronic pelvic pain that extends beyond menstruation.

How can dysmenorrhea be managed at home?

Home management strategies for dysmenorrhea include using heat therapy, staying hydrated, maintaining a healthy diet, and engaging in regular exercise. Stress management techniques like yoga, deep breathing, and meditation can help alleviate symptoms.

Can dysmenorrhea be a sign of a more serious condition?

Yes, dysmenorrhea can sometimes indicate an underlying medical issue; if menstrual pain is severe, persistent, or accompanied by unusual symptoms like heavy bleeding, irregular cycles, or pain outside of menstruation, a medical evaluation is recommended.

Why does dysmenorrhea occur?

Dysmenorrhea occurs due to the release of prostaglandins, hormone-like substances that cause the uterus to contract and shed its lining. High levels of prostaglandins can lead to more intense contractions, reducing blood flow to the uterus and increasing pain.

Schedule A Consultation

Find the relief you’re looking for from dysmenorrhea with the help of our experienced providers at MAIA! Dr. Wolowick and Dr. Mitchell will listen to your concerns, answer any questions you have, and build a treatment plan that meets all your needs. At MAIA, we happily serve residents in Chicago, Naperville, Downers Grove, and Aurora, IL.

Take the first step to better gynecological health and schedule a consultation today! Call our Downers Grove, IL office at 630-320-6703 or fill out our online contact form.

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