Menstruation happens when the uterus sheds its lining as soon as a month. Some aches, cramping, and discomfort throughout menstrual durations are regular. Excessive pain that causes you to overlook work or college will not be.
Painful menstruation can also be referred to as dysmenorrhea. There are two varieties of dysmenorrhea: main and secondary.
Primary dysmenorrhea happens in individuals who expertise ache earlier than and through menstruation. If you’ve had regular durations that grow to be painful later in life, it could be secondary dysmenorrhea. A situation affecting the uterus or different pelvic organs, similar to endometriosis or uterine fibroids, could cause this.
What are the causes?
It’s not at all times attainable to establish the reason for painful menstrual durations. Some persons are simply at a better danger of getting painful durations.
These dangers embody:
being beneath age 20
having a household historical past of painful durations
A hormone referred to as prostaglandin triggers muscle contractions in your uterus that expel the liner. These contractions could cause aches and irritation. The stage of prostaglandin rises properly earlier than menstruation begins.
Painful menstrual durations will also be the results of an underlying medical situation, similar to:
Premenstrual syndrome (PMS). PMS is a typical situation that’s attributable to hormonal modifications within the physique occurring 1 to 2 weeks earlier than menstruation begins. Symptoms sometimes go away after bleeding begins.
Endometriosis. This is a painful medical situation by which cells from the liner of the uterus develop in different components of the physique, often on the fallopian tubes, ovaries, or tissue lining the pelvis.
Fibroids in the uterus. Fibroids are noncancerous tumors that may put a strain on the uterus or trigger irregular menstruation and ache, although they usually don’t trigger signs.
Pelvic inflammatory disease (PID). PID is an infection of the uterus, fallopian tubes, or ovaries usually attributable to sexually transmitted microorganisms that trigger irritation of the reproductive organs and ache.
Adenomyosis. This is an uncommon situation by which the uterine lining grows into the muscular wall of the uterus, inflicting irritation, strain, and ache. It also can trigger longer or heavier durations.
Cervical stenosis. Cervical stenosis is an uncommon situation by which the cervix is so small or slender that it slows menstrual circulation, inflicting a rise of strain contained in the uterus that causes ache.