WHAT IS DYSMENORRHOEA?
Dysmenorrhoea is painful menstruation; although it’s normal for most women to have mild cramps but few women experience severe pain due to which they are not able to do daily routine work.
Dysmenorrhoea or painful menses is one of the most common gynecological symptoms and is affecting many women in their reproductive age.
RISK FACTORS FOR DYSMENORRHEA
- Young age
- early menarche
- heavy menstrual flow
- nulliparity (state in which a woman has never carried a pregnancy)
TYPES OF DYSMENORRHOEA
PRIMARY (no pathology)- primary dysmenorrhoea is presence of painful menses in absence of any pathology.
Primary dysmenorrhoea is caused by excessive levels of prostaglandins (hormone that cause contraction of the uterus). it affects adolescent girls but the problem cease as they mature, particularly after a pregnancy.
Age at onset : 16–25 yrs
In primary dysmenorrhoea pain typically begins with onset of menses and last for 12-72 hours. The pain is typically most severe on the first day and diminishes gradually.
Primary dysmenorrhoea is usually seen in absence of ovulatory cycles.