It is important to determine the cause of dysmenorrhea (menstrual pain) and draw a treatment plan accordingly. The patient's medical history, including symptoms and menstrual periods, is taken. A pelvic examination is performed. Laboratory tests and ultrasound evaluation may be required. In some cases, laparoscopic surgery may be performed for diagnostic purposes. The laparoscope allows the doctor to examine the pelvic organs. While the cause of dysmenorrhea can sometimes be found, often the cause cannot be identified. In particular, it enables visual diagnosis of causes such as secondary dysmenorrhea, myoma and endometriosis.
Treatment: Treatment of dysmenorrhea is aimed at relieving pain and includes medications and pain-reducing techniques. While the doctor may recommend hormonal therapy or medication that relaxes the muscles, surgery may be required in some cases.
Medication: Drugs called nonsteroidal anti-inflammatories suppress prostaglandin production, reducing the severity of cramps. These medications can also prevent complaints such as nausea and vomiting. Most nonsteroidal anti-inflammatory drugs, such as ibuprofen and naproxen, are available without a prescription. Generally, taking it for 1-2 days is sufficient and alcohol should be avoided.
Hormonal contraception: Hormonal contraception methods such as birth control pills reduce pain. In some cases, hormonal intrauterine devices may be recommended. These hormones reduce the levels of prostaglandins produced in the uterus, reducing contractions, bleeding and pain, as well as the development of fibroids and endometriosis.
Surgery: If fibroids are detected as causing pain, surgical removal may be recommended. Pain due to endometriosis: Laparoscopy may be recommended for treatment. Foci located outside the uterus can be destroyed by laparoscopy or surgery. In severe cases, the uterus can be removed; this treatment is the last option and needs to be evaluated carefully!
Other treatments: These are treatments that relieve pain but do not prevent it. It can be considered alternative or complementary; Vitamin B and magnesium supplements, massage, acupuncture, exercise, heat application, regular sleep, meditation or yoga practices.
In conclusion: Pain during the menstrual period is a common problem in women. Most of these pains are mild and can be treated with over-the-counter medications. Sometimes these pains are very severe. may occur and additional treatments may be required. If you have menstrual cramps that last longer than 2-3 days, you should consult a doctor and be examined in detail.
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