Dysmenorrheoa and its management | Sapana Subedi

Dysmenorrhoea refers to pain occurring before or during menstruation. It is also commonly referred to as period pain or menstrual cramps. It...

Dysmenorrhoea refers to pain occurring before or during menstruation. It is also commonly referred to as period pain or menstrual cramps. It can occur at any age but most commonly observed in women 20-45 years of age. Primary dysmenorrhoea occurs when pelvic anatomy and ovarian function are normal and no exact cause can be found for pain. Secondary dysmenorrhoea describes pain due to pelvic pathology. Lower abdominal pain, pain radiating to back or thighs varying from minor to severe cramping pain are general symptoms. Prostaglandin is synthesized from the cyclooxygenase pathway in which the precursor is fatty acid so high fat intake during menstruation can produce high prostaglandin and cause more pain. To some women, thyroid disorder is also related to menstrual pain. During menstruation, prostaglandin synthesis occurs from the endometrium, which briefly cuts off the supply of oxygen to the uterus causing pain and cramping. Nausea, vomiting, and diarrhea can also occur during menstruation. Management is focused on treating the symptoms mostly and surgical treatment is limited due to associated complications and the recurrence of symptoms. In the case of mild menstrual cramps, taking over the counter medicines such as; aspirin, acetaminophen, ibuprofen, or naproxen could provide relief. A heating pad or hot water bottle on the lower back or pelvic region can be placed. Taking a warm bath may also provide some relief. Foods that contain caffeine, tobacco, and alcohol should be avoided. Women who exercise regularly often have less menstrual pain. To help prevent cramps, exercise should be made a part of our weekly routine. There are many home remedies to relieve pain. Walking is effective in reducing menstrual pain because it improves blood circulation in the pelvic area. Swimming is also very effective in reducing menstrual pain as it releases endorphins, the body’s natural painkiller which is an effective home remedy for menstrual pain. The decoction made by mixing one or all of the following ingredients is effective in addressing a variety of menstrual problems; Sesame seeds, ginger coriander seeds, marigold, mango bark, banana flowers, lemongrass, etc. Their intake during the menstrual period or days before the start of the menstrual cycle is effective in the treatment of menstrual pain and irregular menstrual cycle.

REFERENCES
Dutta DC (2008) Dutta’s Textbook of Gynecology (6th Ed.) New Central Book Agency (P) Ltd, Kolkata, p171.
URL-1: http://wwxw.medicalnewstoday.com/articles/240513.php (Accessed on May 13, 2020)
URL-2: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3791249/ (Accessed on May 12, 2020)
URL-3: https://home-cure.net/best-home-remedies-for-menstrual-pain-natural-cures/ (Accessed on May 30, 2020)

Sapana Subedi
B.Pharm, Sixth Semester
SHAS, Pokhara University


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PUSPA: Dysmenorrheoa and its management | Sapana Subedi
Dysmenorrheoa and its management | Sapana Subedi
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