Severe pain during menstruation is defined as "dysmenorrhea". These pains may be mild or severe enough to impair the person's quality of life. In cases where the severity increases, you should be alarmed and see a specialist for the underlying disease.
There are two types of dysmenorrhea: primary and secondary.
Primary dysmenorrhea
Primary dysmenorrhea, It is pelvic pain caused by the natural production of prostaglandins. This begins in young girls during their first menstrual cycle, and in most cases, pain attacks become less painful with advancing age. Pain due to primary dysmenorrhea may decrease after birth.
Secondary dysmenorrhea
Secondary dysmenorrhea is pain other than pain caused by natural prostaglandin release. It begins at a later age than primary dysmenorrhea. Patients have no history of dysmenorrhea during their first menstrual period. It usually formed later. Secondary dysmenorrhea pain lasts longer than normal cramps. Pain may begin before menstruation begins, get worse during the period, and continue after it ends. The most common causes of secondary dysmenorrhea are endometriosis and myomas.
Is severe menstrual pain normal?
There may be different causes of severe menstrual pain. Since there may be more serious medical conditions underlying the periodic pain, it is necessary to consult a specialist. This condition is called secondary dysmenorrhea in medical language. Menstrual pain, which has different underlying causes, mostly affects women between the ages of 30-45. These pains may be caused by endometriosis, myoma, or pelvic inflammatory disease.
Myomas: These are benign tumors that can cause women's menstrual periods to be heavy and painful.
Pelvic inflammatory disease: Such as the fallopian tubes and ovaries. It is a broad definition used for infections of the upper reproductive organs. Severe pain occurs in case of widespread infection.
Relationship between menstrual pain and endometriosis: Endometriosis is the occurrence of tissue that should be in the uterus in non-uterine tissues such as ovaries and fallopian tubes. These tissues bleed and shed in response to monthly hormonal changes. Menstrual bleeding along with the menstrual period in places where they are seen They cause bleeding and pain like water. Constant pain during menstruation may indicate endometriosis.
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