Dysmenorrhea

Menstrual Pain (Dysmenorrhea): Drug Therapy

Therapeutic target Improvement of symptomatology. Therapy recommendations Depending on the exact cause, various therapeutic measures may be indicated: In primary dysmenorrhea, nonpharmacologic and pharmacologic therapeutic measures are the primary treatment options: Analgesics (painkillers): NSAIDs (nonsteroidal anti-inflammatory drugs), e.g., ibuprofen. Spasmolytics (antispasmodic drugs), e.g., butylscopolamine. Estrogen-progestin combinations or progestins, if there is no desire to have … Menstrual Pain (Dysmenorrhea): Drug Therapy

Menstrual Pain (Dysmenorrhea): Diagnostic Tests

As a rule, the diagnosis of dysmenorrhea is made by history and physical examination. Optional medical device diagnostics-depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics-are used for differential diagnostic clarification Vaginal sonography (ultrasound using an ultrasound probe inserted into the vagina (vagina)) – if necessary, detection of … Menstrual Pain (Dysmenorrhea): Diagnostic Tests

Menstrual Pain (Dysmenorrhea): Micronutrient Therapy

Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for supportive therapy of primary dysmenorrhea. Vitamin E The above vital substance recommendations (micronutrients) were created with the help of medical experts. All statements are supported by scientific studies with high levels of evidence. For a therapy recommendation, only clinical … Menstrual Pain (Dysmenorrhea): Micronutrient Therapy

Menstrual Pain (Dysmenorrhea): Prevention

To prevent primary dysmenorrhea (period pain), attention must be paid to reducing individual risk factors. Behavioral risk factors Psychosocial situation Psychological conflicts To prevent secondary dysmenorrhea, attention must be paid to reducing individual risk factors. Behavioral risk factors Psycho-social situation Psychological conflicts such as unfulfilled desire to have children or other partnership problems.

Menstrual Pain (Dysmenorrhea): Symptoms, Complaints, Signs

The following symptoms and complaints may occur together with dysmenorrhea (period pain): Leading symptoms Lower abdominal discomfort that occurs just before menstruation or on the first days of menstruation. Cramp-like pain Nausea (nausea)/vomiting Circulatory problems such as hypotension (blood pressure too low) or tachycardia (heartbeat too fast: > 100 beats per minute) Associated symptoms Back … Menstrual Pain (Dysmenorrhea): Symptoms, Complaints, Signs

Menstrual Pain (Dysmenorrhea): Causes

Pathogenesis (development of disease) One can distinguish various factors in the pathogenesis of dysmenorrhea. These include psychological (such as stressful situations) and social factors (social status) as well as hormonal influences. These are prostaglandins (group of tissue hormones), but also leukotrienes, oxytocin or vasopressin. Probably the triggering factor of dysmenorrhea is an overproduction of prostaglandins, … Menstrual Pain (Dysmenorrhea): Causes

Menstrual Pain (Dysmenorrhea): Therapy

General measures Avoidance of psychosocial stress: Mental conflicts Nutritional medicine Nutritional counseling based on nutritional analysis Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things: Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings … Menstrual Pain (Dysmenorrhea): Therapy

Menstrual Pain (Dysmenorrhea): Medical History

Medical history (history of illness) is an important component in the diagnosis of dysmenorrhea (period pain). Family history Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). How long has the pain been present? Since your first menstrual period? Does … Menstrual Pain (Dysmenorrhea): Medical History

Menstrual Pain (Dysmenorrhea): Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Uterine malformation (uterine malformation). Blood, blood-forming organs – immune system (D50-D90). Pelvipathy – lower abdominal pain in women due to very different causes, which can be somatic (physical) as well as psychological. Radiation colitis – disease that can occur after radiation, especially in the context of cancer therapy. … Menstrual Pain (Dysmenorrhea): Or something else? Differential Diagnosis

Menstrual Pain (Dysmenorrhea): Complications

The following are the most important diseases or complications that can be caused by dysmenorrhea (period pain) as well: Psyche – Nervous System (F00-F99; G00-G99). Anxiety – in premenstrual syndrome (PMS) with dysmenorrhea in adolescent girls. Depression – in premenstrual syndrome (PMS) with dysmenorrhea in adolescent girls. Severe pain that can lead to social isolation. … Menstrual Pain (Dysmenorrhea): Complications

Menstrual Pain (Dysmenorrhea): Examination

A comprehensive clinical examination (to exclude e.g. fibroids, endometriosis, cysts) is the basis for selecting further diagnostic steps: General physical examination-including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Abdominal wall and inguinal region (groin area). Gynecological examination Inspection Vulva (external, primary female sexual organs). Vagina (vagina) Cervix uteri (cervix) … Menstrual Pain (Dysmenorrhea): Examination