Up to 60-75% of women experience discomfort before menstruation and during menstruation. Menses tend to be more frequent in young girls and nulliparous women. In women after childbirth, there are mainly manifestations of a general nature. Usually this condition is associated with neurosis and hormonal insufficiency, blood filling of the pelvic organs.

Causes and conditions of development.

Dysmenorrhea occurs with ovulatory cycles, in the presence of two phases, so there is no pain or discomfort in young girls when menstruation occurs or when an anovulatory monophasic cycle of pain and discomfort occurs.

Dysmenorrhea can be primary and secondary. Primary is a kind of dysmenorrhea that occurs during menstruation in women who previously had no problems with the gynecological profile. This condition occurs in adolescents, with asthenic constitution, infantilism, bending of the uterus, ovarian hypofunction. A major role is played by the neuropsychic component - usually dysmenorrhea occurs in emotionally unbalanced women. Dysmenorrhea can occur due to hypofunction of the yellow body, with the symptoms giving predominance of estrogens. Sometimes it is diagnosed the so-called unspecified dysmenorrhea, which has no painful causes.

Secondary dysmenorrhea - painful menstruation, which occurs against the background of transferred or existing gynecological disorders. At the same time, the activity of the nervous system is quite normal. Soreness can be caused by:.

adhesions, infiltrates in the ligamentous zone, inflammatory phenomena in the small pelvis - with blood filling it leads to a strong tension of ligaments and muscles;.

scars on the cervix, which requires more active contractions to expel blood;.

presence of myomatous nodes of the uterus;.

endometriosis of the uterus, ovaries or other small pelvic organs;.

membranous algomenorrhea - the formation of impressions and clots in the uterine cavity.

Symptoms of dysmenorrhea.

Symptoms depend on the type of dysmenorrhea.

With the primary form of pain, sharp, cramping, give back and pelvis, rectum and perineum. At the same time, a woman is nervous, agitated, aggressive or depressed. Pain can disrupt the habitual rhythm of life. May disturb insomnia, diarrhea, vomiting, headaches.

In the secondary form of the disease, aching, not strong, can give pain in the groin or back. May increase breast sensitivity, dilute stool, decrease appetite. Performance usually does not suffer much.

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