Algodismenorrhea: causes and treatment of painful periods. Additional procedures for algodismenorrhea

Mild discomfort during critical days experienced by almost all representatives of the fair half of humanity. But some women are simply persecuted unbearable pain. Such ailment sometimes even makes it incapacitating. Doctors call painful menstruation algodismenorrhea. Why does discomfort occur? And what methods can you use to get rid of it?

Description of the pathology: pain, scanty or heavy discharge

Algodismenorrhea is one of the forms of impaired menstrual cycle . She is characterized by severe pain during menstruation. The pathology is accompanied by excessively abundant or scanty discharge.

Algosmenorrhea occurs as a result of strong contractions of the uterus

This condition causes serious discomfort in women. In some cases, this is not a sign of pathologies of the genital organs, but most often signals the development of certain diseases.

Doctors, speaking about painful periods, use several more terms, such as algomenorrhea, dysmenorrhea.

The mechanism of discomfort: what does the presence of blood clots indicate?

Every month, a woman’s body prepares to conceive a child; at a certain period of the cycle, ovulation occurs (the release of a formed mature egg from the ovary). This process causes pain in some representatives of the fair half. They can last a few minutes or last for the entire period before the onset of menstruation.

Thus, pain before the onset of menstruation may indicate successful ovulation.

The uterus is also preparing to bear a baby. To receive a fertilized egg into its bowels, the endometrium (the inner layer of the uterus) thickens under the influence of hormones. But if pregnancy does not occur, then it begins to be rejected and comes out in the form of menstruation through the genital tract. This process is accompanied by contractions of the uterus, which cause characteristic pain.

The discharge is a complex mixture containing vaginal cells, blood, and endometrial particles. Therefore, the presence of clots is a normal physiological phenomenon.. But sometimes it can indicate serious violations in organism.

Classification of pathology

Doctors distinguish several degrees of algodismenorrhea depending on the severity of symptoms:

1. Easy degree. This form is characterized by moderate short-term discomfort. The pain does not disrupt the usual way of life and does not lead to loss of ability to work. The problem most often disappears after childbirth.
2. Average degree. The woman suffers from quite pronounced discomfort and weakness appears. The malaise is accompanied by psycho-emotional disturbances, which can be expressed by irritability, depression, intolerance to sounds or smells. Performance is significantly reduced.
3. Severe degree. Painful sensations are pronounced. Malaise may be accompanied by disturbances in the functioning of the heart, gastrointestinal tract, autonomic system. During menstruation, a woman completely loses her ability to work.

Primary dysmenorrhea occurs in adolescence

According to the mechanism of occurrence, dysmenorrhea is divided into:

1. Primary. Painful sensations appear in adolescence. Typically, dysmenorrhea is observed in easily excitable girls who are characterized by emotional instability. Most often, primary algodismenorrhea is not associated with pathologies of internal organs. Although such causes can be completely excluded only after examination.
2. Secondary. This pathology develops in adult women, usually after 30 years. The occurrence of painful periods is dictated by acquired diseases of the genital area.

Primary dysmenorrhea is divided into 3 types:

1. Spasmogenic. The appearance of pain is provoked by severe spasms of the uterus. The condition resembles “mini-childbirth” in its manifestations.
2. Essential. This type pathology is associated with low pain threshold in a woman.
3. Psychogenic. Girls with unstable psyches usually suffer, anxiety states, fear of pain, tendency to hysterics.

Why do girls and women experience painful periods?

Doctors believe that different factors underlie primary and secondary algodismenorrhea.

Causes of primary dysmenorrhea in adolescence

Unpleasant discomfort appears in girls 6–18 months after the start of menstruation. It is by this time that the process of ovulation is established..

The causes of primary algodismenorrhea can be:

1. Hormonal changes. Phase 2 of the cycle is characterized by a deficiency of endorphin and enkephalin (hormones of happiness). At the same time, the formation of prostaglandins increases. Such changes in hormonal levels cause pain.
2. Tuberculosis of the genital organs. The pathology, which develops from childhood, leads to various anomalies in the development of the genital organs. Menstruation may be absent or manifest as scanty discharge accompanied by severe pain.
3. Developmental disorders connective tissue which are often inherited. Anomalies can provoke various pathologies: scoliosis, pelvic distortion, intestinal problems. These changes have negative impact on the genital area (they compress, leading to bending of the organs), as a result of which the girl experiences discomfort. In addition, with such disorders, magnesium deficiency is detected.
4. Diseases nervous system. Women suffering from psychosis and various neuroses often have a heightened perception of pain.
5. Abnormal structure of the reproductive system. Underdevelopment of the uterus and kinks of the organ lead to severe pain during menstruation. The pathological structure impairs the outflow of blood from the cavity. The uterus is forced to contract more strongly. The result is severe pain.

Causes of secondary pathology: hysteroscopy with curettage, inflammation, IVF, removal of an ovarian cyst, withdrawal of Regulon, taking Duphaston, Postinor, Qlaira and other drugs

Painful discomfort in women can develop for the following reasons:

Symptoms accompanying algodismenorrhea: pain, fever, depression and others

Dysmenorrhea, depending on the severity of its manifestations, can provoke a whole “bouquet” of unpleasant symptoms:

Such signs in secondary algodismenorrhea are complicated by symptoms of gynecological pathology that provoked painful menstruation.

Diagnostics: what tests need to be done

If there are unpleasant symptoms that seriously reduce the quality of life, the patient needs to go to an appointment with a gynecologist.

The examination begins with asking the woman:

1. About clinical manifestations (when the malaise appeared, what symptoms are accompanied, how long the discomfort lasts, where the pain is localized).
2. About the menstrual cycle (when did your period start, how long does it last, its abundance, regularity).
3. About gynecological diseases (whether there were previous diseases, whether there were surgical interventions).

Then the patient will undergo the following examinations:

Depending on the results of the tests, consultations with specialized specialists may be required: endocrinologist, urologist, psychologist, surgeon, mammologist, psychiatrist.

Treatment methods

Used for the treatment of algodismenorrhea non-drug methods and drug therapy.

Non-drug methods include:

• dietary ration;
• psychotherapy;
• gymnastics, yoga;
• massage.

Drug therapy is prescribed individually, depending on the detected pathologies in the woman’s body, characteristic symptoms and the severity of dysmenorrhea.

Dietary nutrition: essential vitamins and minerals

The following will help reduce pain:

1. Vegetable juices. They should be started to be consumed a few days before the start of menstruation. Beet juice, carrot juice, and parsley drink are very helpful.
2. Cellulose. It is advisable to introduce bran, rice (unpolished), and vegetables into the diet.
3. Protein and iron. To replenish such substances, it is necessary to diversify the menu with liver and buckwheat.
4. Calcium, magnesium, potassium. These microelements help reduce the tone of the uterus, thereby reducing pain. To enrich the body with such minerals, nutrition should include:
   • green beans;
   • cottage cheese;
   • tomatoes;
   • yogurt;
   • green salad;
   • milk.
5. Vitamin E, especially in the first 3 days of menstruation. The supply of this substance will be ensured by:
   • avocado;
   • corn;
   • olives;
   • beans.
6. Bananas. Delicious product contains big number"hormone of happiness." Therefore, in case of hormonal imbalances, bananas can significantly reduce discomfort.
7. Ginger tea. You can drink it with honey. Mint and chamomile teas also have analgesic properties.

Recommended products for the female body with dysmenorrhea - gallery

Blood juice is useful for dysmenorrhea
Unpolished rice saturates the body with fiber
Beef liver will provide iron and protein
Cottage cheese and milk will enrich the body with calcium, magnesium, potassium
Olives saturate the body with vitamin E
Banana is a real storehouse of the “happiness hormone”
Ginger tea significantly reduces pain due to dysmenorrhea

Massage

Helps cope with unpleasant symptoms:

1. Acupressure. It is necessary to press for 1.5–2 minutes on a point located on the inner surface of the knee.
2. Lumbar massage. You will need 2 small balls (for example, tennis balls). They are placed in a regular sock or a fabric bag so that they do not roll anywhere. People lie on this “simulator” with their back. The balls should be placed on both sides of the spine. You need to roll them with your muscles for a few minutes.

During your period heavy loads contraindicated. They can increase a woman's bleeding. And walking, simple gymnastics, and yoga can bring significant relief.

Research by scientists has confirmed that female athletes are much less likely to suffer from algomenorrhea.

You can practice the following exercises:

Drug therapy: Aspirin, Papaverine, Magne B6 forte, Asparkam and other drugs

Medicines that can help a woman overcome dysmenorrhea are prescribed by a doctor.

Typically therapy includes the following groups of medications:

1. Non-steroidal anti-inflammatory drugs. This is the main group of medications used for algodismenorrhea, which can reduce pain, eliminate inflammation, and relieve swelling. Prescribed:
   • Aspirin;
   • Ibuprofen;
   • Paracetamol;
   • Naproxen;
   • Ortofen;
   • Ibuprofen;
   • Diclofenac;
   • Voltaren;
   • Indomethacin.
     

     The following medications perfectly block the growth of prostaglandin: Ketazone, Surgam, Sulindac, Reopirin, Piroxicam, Ketoprofen, Pirabutol, Nifluril, Butadione, Donalgin. They help cope with pain and relieve fever Tsefekon (suppositories), Nise.

2. Antispasmodics. Sometimes recommended combination medications, which not only eliminate pain, but also relieve muscle spasms. Such medications are:
   • Spasmalgon;
   • Maxigan;
   • Spazgin;
   • Trigan;
   • Minalgan.
     

     Some doctors advise combining NSAIDs with the following antispasmodics: Platiphylline, Papaverine, No-Shpa, Metacin, Sirdalud.

3. Antihistamines in combination with sedatives. This combination is used for severe pain. The drugs are administered intravenously or intramuscularly. Diphenhydramine and Suprastin are used as antihistamines. Among the sedatives chosen are Sibazon and Relanium.
4. Combined contraceptives. These medications can only be prescribed by a doctor, after weighing the woman’s condition and analyzing contraindications. The following can bring benefits:
   • Ovidon;
   • Norkolut;
   • Turinal;
   • Microgynon;
   • Marvelon;
   • Orgametril.
5. Vitamin complexes. To ensure that the body receives minerals and vitamins, the patient is prescribed:
   • Magne B6 forte;
   • Calcium D3 Nycomed;
   • Pentovit;
   • Neuromultivitis.
   • vitamin E;

For teenage girls, the most appropriate medications are ibuprofen-based NSAIDs. For older women and menopausal women, hormone therapy is most often recommended.

Medicines for algodismenorrhea: tablets, suppositories - gallery

Magne B6 forte saturates the body essential magnesium
Papaverine relieves muscle spasms and pain
Asparkam replenishes magnesium and potassium deficiency in the body
Meloxicam is an excellent pain reliever and anti-inflammatory agent
Sirdalud perfectly relieves spasms
Rigevidon is taken to normalize hormonal levels

Physiotherapeutic methods

Hardware physiotherapy is widely used to combat algodismenorrhea. It is carried out on the eve of menstruation or in the second phase of the cycle.

1. Phonophoresis, electrophoresis using solutions: Novocaine, Sodium Bromide, Antipyrine, Trimecaine.
2. Ultrasound in pulsed mode on bottom part belly.
3. Short-wave diathermy is an electrotherapeutic method based on the use of high-frequency alternating electric current.
4. Galvanic collar with nicotinic acid, bromine, calcium (according to A.V. Shcherbak).
5. DDT, SMT - exposure to pulsed currents of low frequencies.
6. Reflexology.

Folk remedies: what herbs are used

For menstrual pain, help will come from recipes from traditional healers:

1. Viburnum bark:
   • crushed raw materials (4 tsp) are poured with water (1 tbsp);
   • boil the composition for half an hour;
   • filter;
   • add regular liquid to the liquid boiled water to get the initial volume;
   • take the decoction three times a day, 1 tsp. before eating.
2. Medicinal infusion:
   • combine lemon balm leaves and chamomile flowers in a 1:1 ratio;
   • the finished collection (1 tbsp.) is poured with boiling water (1 tbsp.);
   • The product is infused for half an hour, then filtered;
   • take 1-2 tbsp three times a day. l. before meals. Treatment should begin a few days before the start of menstruation, and end after it ends.
3. Medicinal teas. Drinks made from raspberry leaves and chamomile flowers can help reduce pain. Teas made from mint, catnip, and strawberry leaves are beneficial. To relieve swelling, drinks made from herbs that have diuretic properties are recommended ( horsetail, bear ears).

Folk remedies for algodismenorrhea - gallery

Melissa in combination with chamomile is used to prepare a medicinal infusion
Horsetail has a diuretic effect

Homeopathy treatment

Homeopathy provides excellent results. Such medications act on the female body gently, but at the same time effectively.

The following homeopathic remedies can be used:

1. Menonorm. Recommended for use during PMS (premenstrual syndrome), algodismenorrhea, and menopause. It has a beneficial effect on the genital area, strengthens the cardiovascular and nervous systems.
2. Tazalok. Used to reduce pain due to dysmenorrhea. Often used during menopause.
3. Ginereg. The drug is intended for the treatment of inflammatory pathologies of the female genital organs, such as colpitis, endometritis, adnexitis.
4. Feminus. Used for menstrual irregularities, chronic inflammation, during menopause. The medicine has a beneficial effect on the autonomic and central nervous systems.
5. Dysmenorm. Prescribed for PMS, dysmenorrhea. The drug eliminates severe bleeding and regulates the cycle.
6. Klimadinon. The medicine is an effective replacement for hormonal medications. Prescribed to eliminate psycho-emotional, vascular disorders in women during menopause, as well as before and after menopause.
7. Gynekoheel. The medicine is intended to improve the functioning of the female reproductive system. The drug has an anti-inflammatory effect. Therefore, it is often recommended for salpingitis and endometritis.

Prognosis and possible complications

The prognosis for algodismenorrhea is quite favorable. Properly selected treatment methods can normalize the condition. In most cases, there is complete relief from pain.

The prognosis of secondary dysmenorrhea depends on the disease underlying the development of pain during menstruation.

Consequences: what can happen if the pathology is not treated

In the absence of adequate treatment, algodismenorrhea can lead to negative complications 2 types:

1. In the reproductive system. If the development of dysmenorrhea is based on gynecological diseases, then ignoring the pathology leads to its progression. To fight with severe forms much more difficult. Many gynecological diseases lead to infertility. And some of them can transform into cancer.
2. IN general health. Psychosomatic disorders may underlie the development of psychosis and depression. In addition, without appropriate therapy during menstruation, a woman’s ability to work will decrease.

Preventive actions

1. Treat all inflammatory infectious diseases genital area correctly and in a timely manner.
2. Maintain personal hygiene.
3. Eliminate bad habits.
4. Adhere to a healthy lifestyle ( good nutrition, corresponding physical exercise).
5. Visit a gynecologist.
6. If you have dysmenorrhea, follow all recommendations prescribed by your doctor to eliminate discomfort.

Painful menstruation - video

Algodismenorrhea is an extremely unpleasant condition that can plague a woman for years. Is it worth it to endure? similar discomfort? Thanks to the rapid development of medicine, modern doctors have many tools in their arsenal that can help every patient cope with painful monthly discomfort.

Algodismenorrhea. What it is? Speaking in simple language, this is a disruption of the usual menstrual cycle, which is accompanied by sharp pain during menstruation. There are not so many causes of algomenorrhea, therefore, if the problem is permanent, you need to consult a doctor to determine and eliminate the factor that provokes a painful menstrual cycle. When diagnosed with algomenorrhea, treatment requires a comprehensive and timely approach, otherwise it is possible that the disease will progress and lead to serious consequences.

What is algodismenorrhea? The disease is widespread among women who have entered reproductive age. Doctors classify the disease into two groups: primary and secondary.

Primary algodismenorrhea is an independent pathology that is most common in girls during adolescence. Secondary, on the contrary, can develop against the background various diseases and is often observed in women after thirty years of age. The disease can occur as a result of severe inflammatory processes, operations and other injuries.

Primary algodismenorrhea develops as a consequence of abnormal development of the uterus, cervical atresia and other diseases in which the outflow of blood is disrupted during menstruation.

In addition, algodismenorrhea can occur against the background of unsatisfactory psychological state women. According to doctors, psychosomatic pathology is determined by a woman’s rejection of her essence, her denial of herself as a mother.

Another reason may be infantilism, mental or physical. Insufficient development of the myometrium greatly affects the ability of the uterus to stretch, reducing it. As a result, pressure on the walls increases, which leads to pain. During this period, nerve fibers become especially sensitive.

Secondary algodismenorrhea can develop against the background of inflammation of the female genital organs, as well as surgical abortions, surgery, etc. There can be many reasons. However, the most common factor in the development of the disease is endometriosis. This process is characterized by the proliferation of endometrial cells outside the uterine cavity.

In addition, uterine fibroids can be a provoking factor. As a result, the normal flow of blood during menstruation is disrupted, and the uterus begins to contract faster than usual. As a result, increased pressure develops in the walls of the organ and the appearance of severe pain.

Sometimes the disease can develop after it has been diagnosed intrauterine device. It stimulates the release of prostaglandins, like all previous causes of the disease.

If the cause of algodismenorrhea is inflammatory processes, then in such cases adhesions form in the damaged area, which, in turn, provoke deformation of the uterus. As a result, the outflow of blood from it is disrupted. Moreover, during inflammatory processes, organ tissues swell. Nerve fibers are compressed, causing pain. Often the pain is aggravated by more intense contractions of the uterus.

Symptoms of the disease

Algodysmenorrhea, the symptoms and treatment of which depend on the general condition of the woman, both physical and mental, requires increased attention from the woman. Common signs of the disease are pain before, during and after menstruation. When menstruation itself occurs, they, as a rule, acquire the strongest character. Constant discomfort lower abdomen is often accompanied by general malaise. Thus, the following manifestations are characteristic of primary algodismenorrhea:

• vascular signs: fainting, headaches, pain in the heart;
• mental signs: bulimia, anorexia, impaired memory function, often vomiting;
• emotional signs: insomnia, depression, drowsiness, frequent changes mood (most characteristic is irritability).

The presence of the disease may also indicate constant belching, dry mouth, vomiting, joint pain, itching (as with skin rashes), swelling in abdominal cavity. Some patients also complain of joint pain.

With secondary algodismenorrhea there is elevated temperature bodies, sharp pains during menstruation, which subside a little after they end, but do not disappear completely. Obvious signs of pathology are menstrual irregularities, prolonged and too heavy menstruation.

Complications of the disease

If algodismenorrhea is not treated properly, it begins to progress and is accompanied by serious complications. For example, the disease can lead to the development of psychosis. If pain during menstruation is left untreated for a long time, it can seriously affect the psyche, causing protracted depressions and more acute forms mental disorders.

Secondary algodismenorrhea is also dangerous because if the causes of pain in the right time, then the underlying disease risks becoming incurable.

Diagnosis and treatment of the disease

If the above symptoms occur, you should immediately consult a doctor. Ignoring the disease can lead not only to its chronic condition, but also deal a severe blow to human health in general.
Algomenorrhea is the most common form of the disease. Unlike algodismenorrhea, which combines painful and irregular periods, it is characterized only by painful sensations during the cycle.

Usually, in order to make a diagnosis of algomenorrhea, the treatment of which differs from algomenorrhea, the gynecologist examines the patient and conducts a survey. Additionally, the woman is given a referral for a general blood test, and can also undergo an ultrasound of the relevant organs, laparoscopy, etc. Based on the results of tests, interviews and examinations, the doctor makes an accurate conclusion.

When diagnosed with algodismenorrhea, treatment includes a number of standard procedures, but an individual approach is used for each patient. As a rule, the doctor draws up diet menu(usually women who have problems with excess weight are more susceptible to menstrual irregularities). In addition, improving the psychological state of a woman is very effective in treating algodismenorrhea. She is usually recommended to get a full eight hours of sleep, avoiding stressful situations, good vacation.

Doctors advise completely giving up alcohol, coffee and smoking. If a woman practices regular physical activity, such as fitness or swimming, their frequency and intensity must be reduced.

At drug treatment Doctors prescribe painkillers. This is (no-spa, spasmoblock, which helps with postcholecystectomy syndrome, algodismenorrhea, spasms, headaches, etc.). Additionally, ibuprofen, paracetamol, antioxidants are prescribed, and the use of oral contraceptives is recommended.

If algomenorrhea is diagnosed, treatment may be more in-depth. So, if the disease is severe, the attending physician prescribes strong drugs, which must be taken during menstruation for several months in a row.

When secondary algomenorrhea is diagnosed, treatment is aimed at eliminating the underlying disease.

Algodismenorrhea is serious illness, which can cause irreparable damage female body. Therefore, if the slightest symptoms appear, you should consult a doctor for accurate diagnosis. When algomenorrhea is detected, treatment must be started immediately. In the absence of therapy, the disease progresses quickly and it will take a lot of effort to even slightly slow down the speed of its progression.

In this article we will talk about such a disease as algodismenorrhea. We will try to consider all aspects of this disease, from symptoms to prevention. When suffering from algodismenorrhea, a disturbance occurs in the menstrual cycle, namely, it begins to pass painfully, disrupting the general condition of the body. The most common manifestations of the symptoms of the disease are states of weakness, nausea, swelling and headaches, all of which we will consider in more detail below.

The occurrence of algodismenorrhea increases significantly due to various lesions of the uterus (abortion or inflammatory processes), increased nervous excitability and others. So let's look at each aspect in more detail.

Most often, algodismenorrhea can be found in girls with a fragile physique, emotional instability and low body weight. The next patients at risk of developing algodismenorrhea are those over the age of 30 years.

Usually they already have such groups of past diseases as:

• Abortion;
• Installation of a spiral into the uterus;
• Birth processes;
• Surgical interventions in the functioning of the pelvic organs;
• Inflammatory processes (for example, cervicitis, adnexitis, salpingitis, endometritis and others);
• Non-inflammatory processes (for example, diseases of the external genital organs, polycystic ovary syndrome and the like).

Patients often begin to complain of severe pain and deterioration in their usual condition. Algodismenorrhea is always accompanied by painful sensations that appear along with the onset of menstruation or a couple of hours before its appearance. Most often the pain is cramping in nature, and in in rare cases the lower abdomen may pull or burst. Sometimes discomfort can spread to the lower back, groin, inner thighs, perineum or rectum. Pain may not affect casual look life and can be easily eliminated with the help of painkillers, but can be very strong and require qualified medical care.

Algodysmenorrhea can also lead to vegetative-vascular disorders, which can be characterized by the following symptoms:

• Belching;
• Hiccups;
• Nausea;
• Vomit;
• Diarrhea;
• Bloating;
• Chills;
• Numbness and coldness of the extremities;
• Fainting and headaches;
• Increased number of urinations

Also, disturbances in the functioning of the body can be indicated by pain in the legs and joints, itching on the skin and a general loss of tone. A few days before the start of “These Days,” those who are ill are especially irritable, nervous, and touchy. There have also been cases of loss or excessive appetite, hypersensitivity to certain odors and changes in tastes.

But the symptoms of algodismenorrhea can be completely different in various diseases of the reproductive system due to the fact that the symptoms of an already diagnosed diagnosis are superimposed on it. In this case, this disease is divided into two types: compensated and decompensated algomenorrhea. For those who have a compensated form of the disease, the symptoms may not change for a large number of years, but in the opposite case, the painful sensations worsen and become stronger as time passes.

Algomenorrhea is detected based on the patient’s complaints, medical history and test results. Then the specialist begins to find out the date of appearance of the first painful sensations, their duration, whether they are accompanied by disturbances in the general condition of the body, whether the patient diagnosed with algodismenorrhea has any other gynecological diseases and whether she has ever undergone childbirth, abortion or surgery on the reproductive organs. During the appointment, the gynecologist will ask about the age of onset of menstruation, its abundance, duration and duration.

After the doctor has collected all the data and conducted a detailed interview, a thorough examination begins, during which smears will be taken in the cervical canal, vagina and urethra. After this, the woman will be sent to additional examinations which consist of ultrasound examination of organs genitourinary system, change general analysis for the presence of infections that can be transmitted through sexual contact, as well as urine and blood, and the study of hormone levels.

Additional procedures for algodismenorrhea

Additional procedures and tests may be prescribed based on the nature of algomenorrhea. For example, if this disease is caused by endometriosis and (or) polyposis, then it is possible to prescribe hysteroscopy and separate diagnostic curettage. In order to clarify the results of ultrasound examination, computed tomography and magnetic resonance imaging can be used. In very rare and advanced situations, laparoscopy may be prescribed, so do not be alarmed. In cases of urgent need, the patient may be referred to a number of other specialists (for example, a psychologist, urologist, psychotherapist and a number of other doctors).

As you can see, there are quite a lot of examinations, but in no case should you neglect going to the hospital, since this disease is dangerous due to a number of possible complications.

Algodismenorrhea can only be treated in a hospital setting. The most proven and effective method of treatment is a combination of pharmacotherapy and physiotherapy. If the history of gynecological diseases is noted, then the treatment tactics will be determined taking into account the already made diagnosis. When treating algodismenorrhea, anti-inflammatory drugs are prescribed that inhibit the synthesis of prostaglandin synthetases. Taking medications for this disease usually needs to start about 2 or 4 days before the start of menstruation and end the same number of days after their end. The most commonly used drugs are aspirin, analgin, ibuprofen and their synonyms.

Algodysmenorrhea allows the use of combined drugs containing analgesics and antispasmodics. If the course of the disease is accompanied by severe pain, then medications must be administered intramuscularly or intravenously over several stages, and sometimes they can be combined with sedatives and antihistamines. If the named medications do not provide the desired positive effect, then patients can be prescribed hormonal agents or in other words methods of oral contraception.

A number of specialists have begun to recognize one of the experimental methods of treatment - reflexology. In case of detection of violations psycho-emotional state, the woman may be referred to see a psychologist or psychotherapist to identify and eliminate existing difficulties. They try in every possible way to provide psychological support to patients, they allow sedatives, they teach calming techniques, there are often conversations about the etiology of this disease and explanations about its safety, naturally in the case of timely treatment and a responsible attitude towards it.

Girls and women who suffer from algodismenorrhea should once and for all forget about the existence of bad habits, stop drinking strong caffeine-containing drinks, normalize their lifestyle and daily routine, try to completely get rid of irritating factors, if any. excess weight– make every effort to get rid of it, monitor compliance balanced diet, do not forget about moderate physical activity.

• Algodismenorrhea, which appears for the first time, as everyone knows, is very quickly and easily treated.
• Algodysmenorrhea, which occurs against the background of existing gynecological diseases, will depend only on you and on the course of the existing diagnosis.

So let's take stock. We found out that algodismenorrhea is, in other words, painful menstruation, which can be caused by a number of the most various reasons. There is no need to be afraid of this disease, because it can be treated, which in turn is carried out in a fairly short time and usually goes away without problems.

From all of the above, we can conclude: it is necessary to monitor your health, and at the first symptoms of algodismenorrhea, be examined by a doctor.

Algodysmenorrhea (in some sources the pathology is called dysmenorrhea) is a disease manifested by a whole complex of symptoms - pain, poor health, nervous discomfort. More than half of women of different ages consult a doctor with similar complaints. In some cases, the cause of this disease is anatomical features, and sometimes algodismenorrhea itself serves as a sign of damage reproductive system. According to international classification ICD pathology codes are assigned N94.4 – N94.6 (primary, secondary and dysmenorrhea of ​​unspecified origin).

Mechanism of disease development

Previously, the cause of algodismenorrhea in women was considered to be functional disorders in the functioning of the genital organs. However, with the development modern methods diagnostics, this theory was revised. Nowadays, the leading role in the appearance of severe symptoms during menstruation is attributed to the excessive secretion of prostaglandins type E and F. They stimulate strong contractions of the muscular layer of the uterus (myometrium), which leads to pain. For expressiveness clinical picture algodismenorrhea affects:

• individual sensitivity of pain receptors to irritation;
• psychological state of the woman;
• prone to hysteria.

Unpleasant sensations intensify due to vasospasm, circulatory disorders and calcium accumulation in tissues. With algodismenorrhea, an imbalance of estrogen and progesterone is noted. These hormones are produced in the ovaries under the control of the hypothalamic-pituitary system located in the brain. Their level is not constant and depends on the phase of the menstrual cycle. Symptoms of dysmenorrhea develop with an excess of estrogen before ovulation and a deficiency of progesterone after it.

Causes of symptoms in girls

In teenage girls, gynecologists often diagnose primary algodismenorrhea. What it is? In some cases, discomfort during menstruation develops without concomitant illness organs of the reproductive system. They usually occur when menstruation appears or after a year to a year and a half and continue for a long time. The causes of primary amenorrhea are:

• anatomical features (narrowing cervical canal, incorrect physiological position of the uterus), which interfere with the normal outflow of blood during menstruation;
• psychogenic, associated with emotional instability;
• hormonal imbalances;
• physiological infantilism, in which the muscle tissue of the uterus is underdeveloped, so its contractions during menstruation cause severe pain.

Typically, girls of thin build who are prone to weight loss suffer from this pathology. It should be noted that primary dysmenorrhea is accompanied by vegetative-vascular disorders, scoliosis or kyphosis. The disease can go away on its own after the onset of sexual activity, pregnancy and childbirth. But if its symptoms bring significant discomfort to the girl, it is necessary to consult a doctor and begin treatment.

Causes of painful menstruation in adulthood

Secondary algodismenorrhea is a consequence of certain changes in the reproductive system. In most cases, it is caused by endometriosis. This is a pathological growth of the functional mucous membrane of the uterus, both inside the organ itself, there and outside it. The disease causes significant changes in the uterine wall, which leads to the development of algomenorrhea. Other factors contributing to its occurrence are:

1. Myoma – benign tumor in the uterus, consisting of muscle and connective tissue. Its growth is provoked by a lack of progesterone. Depending on the location, the neoplasm can interfere with the normal outflow of blood during menstruation, or disrupt the functioning of the uterus.
2. Intrauterine device. According to clinical research, the installation of such a contraceptive increases the level of prostaglandins in the wall of the organ.

Acute and chronic inflammatory processes of the vagina, uterus and ovaries.

Often the causes of algodismenorrhea lie in surgical interventions performed, abortions on later, diagnostic procedures. Painful periods may be the only symptom of concomitant pathologies or be accompanied by other signs. For example, endometriosis is characterized by increased temperature during menstruation, pain during urination and bowel movements. Myoma is accompanied by an increase in the size of the uterus, inflammatory processes are accompanied by specific vaginal discharge, burning and itching.

Pathology detection methods

Diagnosis of algodismenorrhea that occurs in early age, consists of interviewing the patient. This is followed by a gentle examination on a gynecological chair (if the girl is not yet sexually active) and ultrasonography to exclude deviations in the formation of the organs of the reproductive system. The doctor also prescribes tests to determine the concentration of estrogen and progesterone. Blood must be donated at different phases menstrual cycle.

Making a diagnosis of secondary algodismenorrhea is not so easy. To determine its cause, it is necessary to conduct a comprehensive examination of the woman. For this purpose, ultrasound with a transvaginal sensor is used; sometimes, to confirm its results, more informative magnetic resonance imaging (MRI) is indicated. Inspect inner surface the uterine wall can be examined using endoscopic hysteroscopy.

Sometimes laparoscopic surgery is necessary to establish the cause of algodismenorrhea in women. Through small incisions, a thin tube with a camera and instruments are inserted into the pelvic cavity. The resulting image is transmitted to a computer monitor. Accuracy similar method Diagnosis of algodismenorrhea is more than 95%.

Clinical picture

A characteristic symptom of the primary and secondary forms of the disease is periodicity. The main symptom is diffuse pain in the lower abdomen varying intensity. It can occur several hours before the start of menstruation and last the first 1–2 days or until their end. In addition, patients complain of:

• bloating;
• indigestion (nausea, vomiting, diarrhea);
• increased sensitivity to odors;
• lack of appetite;
• severe irritability;
• depression;
• insomnia;
• decreased concentration;
• headaches, dizziness;
• general weakness.

Depending on the severity clinical symptoms determine the severity of dysmenorrhea. With first-degree pathology, mild pain is observed during menstruation, which practically does not affect everyday life. The second degree requires the use of painkillers to alleviate the patient’s condition. The third degree is characterized by sharp, cramping pain that disappears when taking analgesics. This becomes the reason for missing work days or classes.

Principles of drug therapy

Treatment of algodismenorrhea is aimed at alleviating the symptoms of the disease, normalizing the hormonal levels and psychosomatics of the woman. In the case of a secondary form of pathology, it is necessary to eliminate the cause that caused it. To relieve pain, doctors recommend medications containing a combination of antispasmodics and analgesics. These are medications such as:

• Spazgan;
• Spasmalgon;
• Novigan;
• Spasmoveralgin Neo.

These medications should be taken 1–2 days before the start of menstruation in a dosage of 1 tablet 2–3 times a day, regardless of meal times. In case of severe pain, it is indicated intramuscular injection analgesics and antispasmodics. Nonsteroidal anti-inflammatory drugs are used to reduce prostaglandin levels. However, they are dangerous for diseases digestive system, accompanied increased acidity, to reduce the risk of side effects, it is possible to use such drugs in the form of suppositories. Treatment with the following medications is usually prescribed:

• Indomethacin (Metindol);
• Diclofenac (Voltaren, Ortofen, Artrosan);
• Meloxicam (Movalis, Movasin, Amelotex);
• Ibuprofen (Nurofen, Ibufen).

To increase effectiveness, anti-inflammatory drugs for algodismenorrhea are prescribed 4 - 5 days before the start of menstruation and continue for about 1 - 2 days after its end. The dosage is 1 suppository (or tablet) 1 – 2 times a day. While taking the medicine, the symptoms of the disease are much easier. Some drugs, for example, Baralgin, have a combined anti-inflammatory and analgesic effect.

If hormonal imbalance occurs, treatment with progesterone preparations or monophasic oral contraceptives with a predominance of gestagens is necessary. These are medications such as Logest, Janine, Rigevidon, Lindinet, Regulon. Their intake begins on the first day of menstruation and continues for three weeks. After 3–4 days, menstruation appears, occurring without pronounced symptoms.

Prevention measures

After making a diagnosis, the doctor explains to the patient what algomenorrhea is and gives recommendations for alleviating the symptoms of the disease. So, you should give up smoking, excessive consumption of sweets, and carbonated drinks. If you are obese, you need to get rid of excess weight through sports and a properly selected diet. A few days before and during menstruation, it is advised to limit coffee. In the second phase of the cycle, preference should be given to vegetables, fruits, cereals, and bran bread.

To normalize the psychological state, medications containing magnesium and B vitamins (Neurovitan, Magnicum, Magne-B6) are needed. Doctors recommend decoctions of lemon balm, motherwort, calamus root, and yarrow herb for dysmenorrhea. Relieves pain with a mixture of bees royal jelly with honey. It must be kept in the mouth until completely dissolved.

For the treatment of secondary algodismenorrhea great importance has a struggle with its cause. And to eliminate pain during menstruation, anti-inflammatory and painkillers are used. Prognosis depends on concomitant pathology. If it is treatable, the symptoms of dysmenorrhea will also disappear over time.

Quite a lot of women and girls are faced with such a diagnosis as algodismenorrhea. This disease manifests itself as spasmodic or monotonous nagging pain during menstruation.

Algodismenorrhea - the appearance during menstruation of sharp cramping or aching pain lower abdomen, lumbar and sacral areas spine, accompanied by general malaise and decreased ability to work. They are caused by various reasons. Timely determination of the root cause of the pathology and high-quality therapy will allow the woman to avoid even more serious health problems in the future.

Primary algodismenorrhea is associated with the accumulation of prostaglandins in the uterus, leading to the development of ischemia and pain. Often observed with sexual infantilism or pathological bending of the uterine body. The causes of secondary algodismenorrhea are inflammatory diseases of the genital organs, uterine tumors, endometriosis, partial occlusion of the cervical canal, etc.

ICD-10 code

N94.6 Dysmenorrhea, unspecified

Causes of algodismenorrhea

If a woman has painful periods, there is no point in brushing off such a problem. Pain is a signal from the body that there is a problem in its functioning that needs to be corrected immediately. Otherwise, further progression of the disease can lead to complex pathology with the impossibility of regression.

The causes of algodismenorrhea can be quite varied:

• Endometriosis is a disease that mainly affects women reproductive age. With this pathology, the cells of the inner layer of the uterine walls grow outside their layer.
• Myoma - formation benign neoplasm in the muscle layer of the female organ.
• Adenomyosis is quite complex inflammatory process, as a result of which focal fusion of two layers of tissue of the uterine walls occurs: myometrium ( muscle tissue uterine wall) and endometrium (inner lining of the uterus).
• Hyperretroflexia is an increase in segmental reflexes, which become more frequent due to a decrease in the inhibitory effect of the cerebral cortex on the segmental reflex apparatus.
• Uterine hypoplasia is a condition in which the size of the female organ is significantly smaller than normal due to its underdevelopment.
• The uterus is incorrectly located in the pelvic cavity, which entails a malfunction in the mechanism for the drainage of menstrual blood from the uterine area.
• Violation of the integrity of the inner layer caused by injury, abortion, difficult childbirth, or surgery.
• The cause of algodismenorrhea may also lie in an infectious-inflammatory disease that affects one or more organs of the reproductive system. These include, for example, salpingoophoritis (inflammation of the uterine appendages, fallopian tubes and ovaries), both acute and chronic forms.
• Physical inactivity and lack of physical activity can also cause pain symptoms.
• The development of pathology can be provoked by psychological diseases caused by increased excitability of the patient’s central nervous system: a tendency to hysterics and hypochondria.

Symptoms of algodismenorrhea

This pathology is predominantly observed in women of childbearing age, quite often in cases of infertility. The disease can be either congenital or acquired. Depending on the type of disease, the symptoms that appear vary somewhat.

In the case of congenital pathology, pain symptoms begin to appear during the girl’s puberty, while acquired ones are a consequence of surgery, an infectious-inflammatory disease and other factors.

Symptoms of algodismenorrhea are as follows:

• Sleep disturbance.
• Often, the pain begins to bother a woman a few days before the start of menstruation and stops after the bleeding begins or completely ends. The pain can be nagging or cramping. Their appearance can be expected in the lower abdomen, in the lumbar region and sacrum. Irradiation of pain may gradually develop. The woman begins to feel that the pain begins to “radiate” into the intestines, in the perineum, and affect the inner thighs.
• Failures in metabolic processes.
• Dry mouth.
• Flatulence.
• Headaches, sometimes quite severe.
• Temporary disability.
• There may be increased secretion of fluid from the sweat-producing glands.
• Nausea, sometimes turning into a vomiting reflex.
• Very low vitality.
• Symptoms of diarrhea may appear.
• Dizziness, possible fainting.
• Quite rare, but bulimia and anorexia can be observed.
• Increase in body temperature to 37ºС.
• Exhaustion of the nervous system, which can occur against a background of severe pain.

Primary algodismenorrhea

Doctors distinguish between the primary and secondary forms of the disease. Primary algodismenorrhea - it is still diagnosed as a functional pathology, does not affect the violation of the anatomical structure of the female organs. It begins to appear in young girls during puberty or a year and a half after the onset of menarche (menstrual cycle).

While secondary algodismenorrhea develops on the basis anatomical changes, the cause of which was injury or one of the diseases of the internal genital organs. With this pathology, a woman’s body temperature can be significant and be accompanied by pathological discharge from the vagina, which have a characteristic bad smell. In this case, the menstrual cycle may be disrupted, and the time of bleeding will lengthen.

The pathology under consideration is divided into three types according to functionality:

• Spasmogenic algodismenorrhea, accompanied by spasms of fairly high intensity (intense contraction of the smooth muscles of the uterus occurs).
• Essential algodismenorrhea. Mostly this congenital pathology associated with very low threshold sensitivity in a woman.
• Psychogenic algodysmenorrhea is diagnosed in most cases in an adult representative of the fair sex, if she suffers from any mental illness, or in a girl during puberty - this may be due to the fear of her first menstruation.

The symptoms of primary algodismenoria are similar to those listed above. Their complex is individual for each woman suffering from this pathology. You can add to the existing list:

• Hiccups.
• Drowsiness.
• Cotton leg syndrome.
• Possible swelling.
• Aversion to certain odors.
• Aversion to certain foods.
• Numbness of the lower and/or upper extremities.
• Skin itching.

The pain in primary algodismenorrhea is cramping in nature. The predominant localization is down the abdomen and lumbar region, you can feel it much less often in groin area and in the area of ​​the external genitalia.

If a woman or girl is bothered by these symptoms, accompanied by pain in the designated areas, do not put off visiting a gynecologist. It is he who is able to establish a diagnosis, classifying it as a primary or secondary pathology. But only by making a correct diagnosis can you count on a positive treatment outcome.

Can contribute to the development of algodismenoria early date the beginning of the menstrual cycle, disruptions in its course (long period of bleeding). Not the least important factor in the appearance of this pathology is the presence of bad habits in a woman: smoking, alcohol, physical inactivity. As sad as it sounds, today most girls who have not yet given birth suffer from primary algodismenorrhea, to one degree or another. This fact is very frightening for doctors, since subsequently, if appropriate therapeutic measures are not taken in a timely manner, the progression of this pathology may become an obstacle to the young woman’s desire to become a mother.

Diagnosis of algodismenorrhea

Staging correct diagnosis- this is probably one of the key points in treatment. After all, how accurately the cause of the disease is determined depends on the prescribed therapy. An incorrect diagnosis, therefore, an incorrect approach to treatment and, as a result, the patient, in best case scenario, what awaits is not a solution to his problem, but, at worst, a complication from incorrectly prescribed medications.

Diagnosis of algodismenorrhea includes the following studies:

• Questioning the patient about her complaints, how long they have bothered her, and what symptoms accompany pain during menstruation. Already at this stage qualified specialist is able to make an assumption about the presence of a pathology of a certain direction.
• Examination by a gynecologist.
• Revealing gynecological history: Availability specific diseases, hereditary predisposition. The doctor is trying to get information whether the patient’s mother or grandmother suffered from this disease. How early the first menstruation passed, the presence of surgical interventions affecting the genitals and other pelvic organs. Knowledge about the abundance of discharge during menstruation and the nature of pain symptoms is also essential.
• Ultrasound examination of the pelvic organs.
• Calposcopy or hysteroscopy is a diagnostic procedure that allows you to visually examine the condition of the vaginal opening, the mucous membrane of its walls and the cervix close to the vagina. The examination is carried out using a colposcope or, accordingly, a hysteroscope - a special medical device consisting of a binocular and a backlight lamp.
• Polymerase chain reaction(PCR) is a high-precision information method of molecular genetic research. It makes it possible to identify various infectious and hereditary diseases in the examined patient (both in the acute and chronic stages).
• Taking a smear from the vagina, cervical canal and urethra. Microbiological examination of its flora.
• Establishing the level of hormones in a woman’s blood during the first and second phases of a woman’s physiological cycle.
• Laparoscopy - method endoscopic surgery allowing examination of the abdominal organs.
• A consultation with a psychotherapist or psychologist is required.

Primary, the specialist’s research is aimed at identifying secondary pathology, and only if the diagnosis of algodismenorrhea makes it possible to exclude it, the patient is diagnosed with primary algodismenorrhea, which is essential for determining treatment methods.

It is unlikely that anyone will argue that timely and professional diagnostics- this is a pledge effective therapy, and the basis of any treatment course.

Treatment of algodismenorrhea

Treatment of secondary algodismenorrhea is aimed, at the first stage, at eliminating the identified organic changes in the uterine and pelvic cavity using hysteroscopy and laparoscopy (separation of adhesions, removal of foci of endometriosis, correction incorrect position uterus, etc.), which can significantly reduce pain syndrome. At the second stage, if necessary, the use of methods is shown conservative therapy used in the treatment of primary algodismenorrhea (inhibitors of prostaglandin synthesis, progestin or combined estrogen-progestogen drugs, antispasmodics, analgesics).

The diagnosis has been made and treatment can begin. If the disease is determined to be a primary pathology, then treatment of algodismenorrhea begins with the attending physician - a gynecologist, usually with antispasmodics and hormonal drugs. For example, it can be buscopan, flexen, no-shpa, oki and many others.

An anesthetic drug that effectively relieves muscle spasms - Buscopan is prescribed for oral administration (orally). The recommended dosage for adult patients and children over six years of age is three doses throughout the day, one to three tablets.

If the gynecologist has prescribed another method of administering the medicine - rectally, in this case this medicine is used in the form of suppositories, which are used by the same age category three times a day. Before use, the rectal suppository is removed from the sealed shell and inserted with the beveled edge inward. The duration of the course of treatment is controlled by the attending physician and, if necessary, can extend it.

Refusal to use this drug may be: the patient has been diagnosed with angle-closure glaucoma, pulmonary edema, myasthenia gravis ( autoimmune disease manifested by weakness and pathological fatigue skeletal muscles). This is atherosclerosis affecting the capillaries of the brain, megacolon (a developmental defect described as an anatomical increase in the size of the colon), as well as individual intolerance to hyoscine-N-butyl bromides or other components in the drug.

No-spa is prescribed to the patient in the form of tablets or a solution for subcutaneous or intramuscular injection.

In the form of tablets, the medicine is used by the patient two to three times a day, 40 to 80 mg after the main meal. And in the form of injections of 2%, the drug is administered quite slowly two to three times throughout the day in an amount of 2 to 4 ml (per injection).

Medicine It also has its contraindications. This:

• Arterial hypertension.
• Stable increase blood pressure just before the start of menstruation.
• Bronchial asthma.
• Pylorospasm is a spastic contraction of the muscles of the pyloric part of the stomach, causing difficulty in emptying it.
• Angina pectoris.
• Ulcerative manifestations on the mucous membrane of the digestive tract.
• Colitis, including spastic nature.
• Cholelithiasis.

If a young girl does not have regular sexual activity, NSAIDs (non-steroidal anti-inflammatory drugs) are usually prescribed, mainly selective inhibitors COX-2. These include: Celebrex, celecoxib.

The highly selective cyclooxygenase-2 inhibitor Celebrex is prescribed for use by a doctor twice a day at a dosage of 0.2 g.

It is recommended to take Celebrex twice a day, 0.2 g of the drug. In case it is enough high activity muscle spasms, the attending physician may prescribe the patient a single dose in an amount of 0.4 to 0.6 g of the drug. After removal acute pain, it is advisable to return to the recommended dosage of 0.2 g.

If a woman has a history of problems with kidney function, the daily amount of the drug taken should be halved. At liver failure There is no need to adjust the recommended dosage of the medication.

Contraindications to Celebrex include a tendency to allergic manifestations, hypersensitivity or complete intolerance to the components of this drug or sulfonamides. And also if a woman or girl has undergone surgery to install a coronary bypass or a representative of the fair sex is in the third trimester of pregnancy.

To non-selective drugs NSAIDs, used in the treatment of algodismenorrhea, include Faspik, ibuprofen, Buran, Nurofen, which show pronounced anti-inflammatory and analgesic characteristics.

The dosage of Ibuprofen is prescribed purely individually and depends on the level of pain symptoms. Mostly for adult patients and girls who are already 12 years old, the doctor prescribes one or two tablets, administered three to four times a day immediately after meals. In case of acute pain or a complex course of the disease, the attending physician may decide to increase the dosage: three tablets taken three to four times a day, which corresponds to the daily intake of ibuprofen ( active substance drug) in an amount of 1.8 - 2.4 g. The maximum daily dosage should not be higher than 2.4 g.

Should not be taken this drug, if a woman is sick with one of the following pathologies:

• Ulcerative and erosive lesion mucous membrane of the digestive tract.
• Bronchial asthma.
• Ulcerative colitis of a nonspecific form of manifestation.
• Leukopenia is a reduced number of leukocytes contained in a woman’s blood (less than 4000 in 1 μl of peripheral blood).
• Thrombocytopenia.
• Severe kidney and/or liver dysfunction.
• Hypertension.
• Cardiac muscle dysfunction.
• A disease that affects the optic nerve.
• Pregnancy and lactation period.
• Hypersensitivity to non-steroidal anti-inflammatory drugs or other components of the drug.

Hormonal drugs are prescribed by a gynecologist depending on the patient’s age and whether she has a permanent sexual partner. If a woman is regularly sexually active, then she is mainly prescribed hormonal drugs, which have the status of contraceptives. The modern pharmacological market is presented wide range products in this category, but in the treatment of algodismenorrhea, the advantage of prescription belongs to low-dose oral contraceptives.

The drugs used in such a situation, which belong to the third generation of drugs, include Mercilon, Femodene, Zhanine and others.

Method and schedule for taking microdose ethinyl estradiol in combination with a progestin chemical element can be found in any instructions included with the hormonal contraceptive prescribed by the gynecologist.

For example, Janine is administered orally, washing down the tablets with a sufficient volume of water. The reception is carried out once a day at a certain time, which must be strictly adhered to. The duration of the treatment course is 21 days, after which it is maintained for seven days without injection. You should not skip appointments - this significantly reduces the effectiveness of treatment.

Janine is not prescribed to women with severe liver pathology, hypersensitivity to any of the components of the drug, if the patient has thrombophlebitis or a tendency to thrombosis, diabetes mellitus, arterial hypertension, pancreatitis, malignant neoplasm, affecting the liver, bleeding affecting the female reproductive system. Janine is not taken during pregnancy or when a young mother is breastfeeding her newborn baby.

In addition to the therapy described above, a woman suffering from algodismenorrhea receives restorative therapy. This term hides the intake of vitamins (especially their group belonging to B6 and E), as well as minerals and trace elements. In this situation, the presence of magnesium ions is especially necessary.

If secondary algodismenorrhea is diagnosed, then, depending on the primary source, it may be necessary to include in therapy surgical intervention carried out on the organs of the woman’s reproductive system. The operation makes it possible to eliminate an anomaly in the structural structure of one of the reproductive organs. If the operation is performed, then immediately after its completion, the obstetrician-gynecologist prescribes antibiotics, and then other medications described above.

To obtain the fastest possible effect, a number of physical procedures are also included in the complex therapy protocol. In this situation, electrophoresis performed on a woman in the second half of the menstrual cycle works great.

Drugs for algodismenorrhea

The essence of any therapy is to eliminate the cause of the pathology or, in extreme cases, its symptomatic manifestation. To relieve or reduce the intensity of pain, drugs for algodismenorrhea are prescribed from the group of analgesics. For example, it could be sedal-M, pentalgin, ketonal, spasmol, efferalgan, baralgin M, analgin, panadol. For severe pain symptoms, complex medications are suitable, for example, baralgetas, took, spazgan or pasmalgon.

If the cause of pathological pain in a woman is one of the diseases affecting the psychological area of ​​a woman’s health, which is caused by increased excitability of the central nervous system (tendency to hysterics and hypochondria), such a patient is prescribed tranquilizers. This category of medicines is designed to stabilize a woman’s mental state. These drugs include: Valium, chlordiazepoxide, Xanax, hydroxyzine, diazepam, clobazam, triazolam, lorazepam, alprazolam, Librium, Frisium, Elenium, phenazepam, bromazepam, seduxen, atarax, Relium, oxylidine.

The dosage of Diazepamum is prescribed to patients individually and based on the severity of the diagnosed disease. The medicine is taken twice a day. A single dose of the drug administered can be prescribed in the range from 4 to 15 mg. In this case, the maximum permissible daily volume of administered medication should not exceed 60 mg (and this dose is prescribed by the attending doctor only if the woman is in a hospital setting, so that it is possible to constantly monitor her condition).

If necessary, intramuscular or intravenous administration, the doctor prescribes injections or injections of 10–20 mg of the drug.

It is strictly forbidden to introduce this drug into the treatment protocol if a woman is diagnosed with myasthenia gravis, liver and/or kidney dysfunction, closed-angle glaucoma, as well as if the body shows increased intolerance to the constituent components of diazepam or the patient is pregnant.

If the person seeking advice adult woman has regular sexual relations, then in order to relieve the spasmodic pain that bothers her and the accompanying symptoms, hormonal drugs classified as low-dose contraceptives are prescribed. This could be microgynon, yarina, novinet, logest, marvelon, belara, miranova, regulon, silest, triregol.

Yarina is administered orally in the form of a pill, which is washed down with a sufficient volume of water. The reception is carried out once a day at a certain time, which must be strictly adhered to. The duration of the treatment course is 21 days, after which it is maintained for seven days without injection. You should not skip appointments - this significantly reduces the effectiveness of treatment.

This contraceptive is not prescribed to women with severe liver pathology, with hypersensitivity to any of the components of the drug, in the case of arterial hypertension, diabetes mellitus, the patient has thrombophlebitis or a tendency to thrombosis, pancreatitis, malignant neoplasms affecting the liver, bleeding affecting the female reproductive system . Yarina should not be taken during pregnancy or when a young mother is breastfeeding her newborn baby.

But still, the preferred method of therapy is to take inhibitors of prostaglandin synthetase production two to three days before the expected monthly period, which in medicine are combined into the group of non-steroidal anti-inflammatory drugs. This group includes: nifluril, caxulindac, ortofen, ketazone, indomethacin, voltaren, ketoprofen, donalgin, revodin, mefenamic acid, methindol, butadione, surgam, reopirin, pyrabutol, piroxicam.

For mostly adult patients and girls over 14 years of age, the doctor prescribes a single dosage falling in the range of 0.25 to 0.5 g, taken three to four times throughout the day. The maximum daily dosage should not be higher than 3.0 g. If the expected effect is achieved, then to maintain it at the required therapeutic level it is enough to reduce daily intake, bringing to 1.0 g.

If premenstrual pain torments a girl under 14 years of age who has already had her period, then mefenamic acid is taken 0.25 g three to four times throughout the day. The recommended duration of treatment is from 20 to 45 days, and if medical indications and longer.

Women with a history of peptic ulcer stomach and duodenum, renal pathology, problems with hematopoiesis, diseases caused by inflammation in one of the organs of the digestive tract, as well as in the case of individual intolerance components of the drug in question.

The main principle of such therapy is to prevent the occurrence of pain symptoms. And if pain is still felt upon the onset of menstruation, then, while taking inhibitors of prostaglandin reproduction, its intensity is significantly lower than without the introduction of such drugs.

For severe pain, drugs from the same group will be more effective, but combined action. These include veralgin, baralgin, spazgin, trigan, spasmalgin, maxigan, spasmalgon, minalgan.

Baralgin does not depend on the time of meals and is prescribed one or two tablets two to three times during the day. For very severe spasmodic pain, baralgin in the form of injections or invasions is administered slowly in an amount of 2 - 5 ml intravenously or intramuscularly. Treatment course usually lasts three to four menstrual cycles.

Monogestagens have also shown high effectiveness: norcolut, acetomepregenol, dydrogesterone, norethisterone, turinal, organametril and duphaston. Drugs in this group are usually prescribed for use from days 14–16 of the menstrual cycle to day 25. In this case, the drug is administered once a day, at the same time, with a dosage of 5 to 15 mg.

Remove from your diet foods that contain stabilizers, dyes, preservatives and other chemicals.

Avoiding bad habits and eating at fast food outlets.

Compliance with personal hygiene rules.

Moderate physical activity, interspersed with proper rest.

Minimize the amount of strong coffee and tea you consume.

For fun to practice morning exercises, light jogging.

It is advisable to visit the pool and/or fitness center.

If unpleasant symptoms appear, do not delay visiting a specialist. Timely diagnosis and careful implementation of doctor’s recommendations during treatment.

Avoid infectious inflammatory diseases, affecting organs small pelvis.

Watch your weight.

It is advisable to go twice a year preventive examination at the gynecologist.

Inattention to your health is simply a crime against nature. After all, such a seemingly harmless algomenorrhea, if ignored, can ultimately lead to infertility and deprive a woman of the chance to become a mother.

Forecast of algodismenorrhea

If the patient is diagnosed with a disease that belongs to the primary form of pathology, the prognosis of algodismenorrhea is quite favorable. You just need to slightly adjust your lifestyle, diet and, if necessary, undergo a little therapy.

The situation with the treatment of secondary pathology is somewhat more complicated. If the patient contacted the local obstetrician-gynecologist on time, underwent a complete examination and adequate treatment, then we can expect a complete cure or at least a decrease in intensity pain manifestations. The final result in this case significantly depends on the level of severity of the disease that causes such symptoms.

The main omen for a woman is the birth of a child. And if the symptoms described above begin to bother her, she should not delay going to the doctor. Pain can indicate development in the patient’s body quite serious illness. There is only one conclusion. If a woman carefully fulfills all the requirements of her attending physician, then there is a high chance of getting rid of such a disease as algomenorrhea once and for all, as well as fulfilling the mission given to her by nature - the birth of a new person.

The main thing is to contact a specialist in time and in any case not to give up; your health, first of all, is in your hands.

It is important to know!

Hypermenstrual syndrome is an increase in the volume and duration of menstruation up to constant bleeding. The development of hypermenstrual syndrome can be associated both with delayed rejection of the thickened uterine mucosa against the background of a relative or absolute excess of estrogen, and with its delayed regeneration at the end of the next menstruation.