Causes, Signs and Symptoms of Primary Dysmenorrhoea

Primary dysmenorrhea is painful menstruation in the absence of any underlying problem of the uterus (womb) or pelvis. 

The pain usually begins one or two years after the establishment of the menstrual cycle. It occurs most often between 15 and 25 years of age. The pain is usually first noticed about 24 hours before menstruation and seldom lasts more than 48 – 72 hours. Symptoms usually decrease as a woman ages. 

Causes 

Natural body process Here, pain is due to the shedding of the endometrium. It remains unclear why some women experience more pain than others. Prostaglandin, a chemical in the uterus may cause spasms of the uterus. Scientists believe that accumulation of prostaglandin in large amounts in some women cause spasms. Some scientists believe that cramps are caused by poor circulation in the uterus. Mother May induce expectations with a daughter that menstruation is painful because of his own experience. 

Signs and symptoms 

The main symptom is pain like a cramp in the lower abdomen. It usually starts bleeding begins and usually lasts 12 to 24 hours. In some patients, pain may begin one day before the start of menstrual bleeding and lasts until May 3 to 4 days. Pain may vary in each period and tends to become less serious as the individual ages or after childbirth. 

Some women may experience (not gynecological symptoms) Headache, fainting episodes, sickness, bloating and emotional feeling with menstrual cramps. 

In this type of doctor would not be able to find any problems during the exam. In this category, there is no need for any investigations and the diagnosis is usually made after taking history and proper examination of the patient. 

This article is the second installment of “Walking with a series Doc – Dysmenorrhea”