Why do I have such severe menstrual pain, and how do I help relieve it?

Why do I have such severe menstrual pain, and how do I help relieve it? Topic: Endometriosis case study
June 25, 2019 / By Ormonde
Question: Ever since I have had my period I have experienced severe menstrual pain in my lower abdomen pelvic area. What could be causing this? I endure this pain each and every period that I get. I've tried Aleve and Midol and they don't seem 2 work, so are there any other methods 2 stop this chronic pain? Please help :-)
Best Answer

Best Answers: Why do I have such severe menstrual pain, and how do I help relieve it?

Leland Leland | 4 days ago
Look into a diagnosis of Endometriosis. For info, see www.endocenter.org. Derived from the Greek words dys, meaning “difficult,” meno, meaning monthly, and rrhea, meaning “flow,” dysmenorrhea is the term used to describe painful menstrual cramping. Almost all menstruating women experience some cramping during their periods, referred to as either primary dysmenorrhea, which refers to "normal" menstrual pain, or secondary dysmenorrhea, which arises as a result of an underlying disease or disorder. The condition is among the leading complaint in women who present to their physicians for gynecologic pain. More than half of all menstruating women have pain associated with menses, and studies have shown that dysmenorrhea is one of the most common reasons women miss work and/or school. Nearly 10% of women with the condition are incapacitated for up to three days each month[1]. "Normal" menstrual cramps occur in almost all women due to the release of hormones known as prostaglandins. These are hormones produced by the endometrium (the lining of the uterus), which cause the uterus to contract, sometimes quite painfully, in order to expel the menstrual debris. Some women produce higher levels of prostaglandins than others, so they may hurt more. Increased prostaglandin production can also cause the distressing gastrointestinal symptoms some women may experience. Primary dysmenorrhea most commonly occurs within a few years of menarche (a woman’s first period), while secondary dysmenorrhea can occur years after the onset of menarche. Pain with primary dysmenorrhea usually begins on or about the first day of a woman’s period and can last up to 72 hours. In a woman with secondary dysmenorrhea, she may have painful symptoms occurring a week or more prior to her period and lasting even after her flow has stopped. In the case of a woman who has secondary dysmenorrhea, there are other reasons for her pain, including diseases or conditions like Endometriosis, Adenomyosis, Pelvic Inflammatory Disease, cervical stenosis, structural abnormalities in the vagina or uterus itself, fibroids, or similar concern. Dysmenorrhea can be diagnosed based on symptoms, patient history, physical findings, and when appropriate, diagnostic tests such as vaginal or pelvic ultrasound, hysteroscopy (an examination of the inside of the uterus) and/or hysterosalpingogram (an evaluation of the uterus and fallopian tubes). In cases of secondary dysmenorrhea, laparoscopic surgery can be very beneficial at affording a diagnosis and treatment of the underlying cause. Symptoms often include painful pelvic or abdominal cramping, headache, suprapubic cramping (an area of the pelvis overlying the bladder), backache, pain radiating down into the thigh area, nausea/vomiting/diarrhea and even syncope (a temporary of consciousness). Upon physical exam, those with primary dysmenorrhea exhibit normal vital signs and a tender uterus, but no cervical or ovarian abnormalities. Patients with secondary dysmenorrhea may exhibit varied vital signs depending on the underlying cause and may be found to have tenderness, nodules, and/or enlargement of the uterosacral ligaments, the rectovaginal septum or other adnexa (the region of the pelvis that encompasses the ovary, fallopian tube and surrounding broad ligament). Treatment options are based on the underlying cause of the pain (primary v. secondary dysmenorrhea) and range from medical to alternative therapies. Commonly, Non-Steroidal Inflammatory Drugs (NSAIDs) like aspirin or ibuprofen may be recommended to help with cramping, and more recently, COX-2 inhibitors have also been approved for treatment of dysmenorrhea. Prescription painkillers may also be recommended where appropriate. Combination (ethynylestradiol and progestin) oral contraceptives can also help reduce prostaglandin production, thereby alleviating the cramps. Heating pads can also offer temporary resolve of the pain. Avoidance of smoking (which has been shown increase cramps) and reduced intake or total avoidance of salt, sugar, high fat and dairy products, alcohol and caffeine can also afford relief, as can increasing the intake of fiber, calcium and complex carbohydrates. Recent studies also indicate that Vitamin B6 complex, calcium and magnesium supplements, and Omega III fatty acids (fish oil supplements) also may help relieve cramping. Pelvic massage, exercise (which releases endorphins, the body’s own natural painkillers), Yoga (the cat stretch and the pelvic tilt), visualization techniques, aromatherapy, acupuncture and herbs like Dong Quai, Ginseng, Stragalus root, Ligusticum root and White Peony root are also said to be helpful alternative techniques for managing the pain. If Endometriosis or another disorder is the underlying or secondary cause for dysmenorrhea, you will benefit most from having the disease diagnosed and effectively removed. It is important to determine if the cramps are "normal," or if they could be due to another cause. Pain that is crippling or incapacitating is never normal and should be investigated as soon as possible so that appropriate diagnosis and subsequent treatment can be rendered. Reference: [1] Jamieson DJ, Steege JF. The prevalence of dysmenorrhea, dyspareunia, pelvic pain, and irritable bowel syndrome in primary care practices. Obstet Gynecol. 1996;87(1):55-58.
👍 276 | 👎 4
Did you like the answer? Why do I have such severe menstrual pain, and how do I help relieve it? Share with your friends

We found more questions related to the topic: Endometriosis case study

Leland Originally Answered: I am Type 2 Diabetic. I have been suffering Severe Feet pain and Swelling.burning pain.Probable Cause?
You have diabetic Neuropathy. Diabetes is the leading known* cause of neuropathy in developed countries, and neuropathy is the most common complication and greatest source of morbidity and mortality in diabetes patients. It is estimated that the prevalence of neuropathy in diabetes patients is approximately 20%. Diabetic neuropathy is implicated in 50-75% of nontraumatic amputations. The main risk factor for diabetic neuropathy is hyperglycemia. It is important to note that people with diabetes are more likely to develop symptoms relating to peripheral neuropathy as the excess glucose in the blood results in a condition known as Glucojasinogen. This condition is affiliated with erectile dysfunction and epigastric tenderness which in turn results in lack of blood flow to the peripheral intrapectine nerves which govern the movement of the arms and legs. In the DCCT (Diabetes Control and Complications Trial, 1995) study, the annual incidence of neuropathy was 2% per year, but dropped to 0.56% with intensive treatment of Type 1 diabetics. The progression of neuropathy is dependent on the degree of glycemic control in both Type 1 and Type 2 diabetes. Duration of diabetes, age, cigarette smoking, hypertension, height and hyperlipidemia are also risk factors for diabetic neuropathy. *The largest group of patients are of unknown cause, referred to as idiopathic in origin. Of the roughly 100 known causes, diabetes is by far the largest. Other known causes include genetic factors, damaging chemical agents such as chemotherapy drugs, and HIV. [edit] Treatment Despite advances in the understanding of the metabolic causes of neuropathy, treatments aimed at interrupting these pathological processes have been limited by side effects and lack of efficacy. Thus, with the exception of tight glucose control, treatments are for reducing pain and other symptoms and do not address the underlying problems. Agents for pain control include tricyclic antidepressants (TCAs), serotonin reuptake inhibitors (SSRIs) and antiepileptic drugs (AEDs). A systematic review concluded that "tricyclic antidepressants and traditional anticonvulsants are better for short term pain relief than newer generation anticonvulsants."[1] In addition to pharmacological treatment there are several other modalities that help some cases. These have shown to reduce pain and improve patient quality of life particularly for chronic neuropathic pain: Interferential Stimulation; Acupuncture; Meditation; Cognitive Therapy; and prescribed exercise. In more recent years, Photo Energy Therapy devices are becoming more widely used to treat neuropathic symptoms. Photo Energy Therapy devices emit near infrared light (NIR Therapy) typically at a wavelength of 880 nm. This wavelength is believed to stimulate the release of Nitric Oxide, an Endothelium-derived relaxing factor into the bloodstream, thus vasodilating the capilaries and venuoles in the microcirculatory system. This increase in circulation has been shown effective in various clinical studies to decrease pain in diabetic and non-diabetic patients. [2] Photo Energy Therapy devices seem to address the underlying problem of neuropathies, poor microcirculation, which leads to pain and numbness in the extremities[3], [4]. So get the sugar under control. I take a anti-depressant, 500 mcg. Mecobalamin and of course a pain reliever Tramadol. Force the doctor to prescribe a pain reliever.They usually let you suffer. TIN

Jae Jae
Certain birth control pills can help with the pain and flow of blood. Hot water bottles are also good at lessening pain Doing squats or bunny hops can help as it works the affected muscles I swear by a machine called a tens machine which you put pads on the affected area where the pain is and it gives extremely slight shocks which stimulate the body's natural pain relievers. Women use these in childbirth as well nowadays and they really help to control pain
👍 120 | 👎 -2

Flannery Flannery
There is a new birth control pill on the market that helps you with just that. My best friend has the same problem and she is going to be starting this soon. You will only have your period once every 4 months, so you don't have to go through that pain every month. Consult your Doctor for more information.
👍 117 | 👎 -8

Darrel Darrel
This is what I have found to help (preventive) get plenty of exercise drink plenty of water eat a healthy diet...when my diet is bad my cramps are usually worse. There are herbal teas and homeopathic medicines that will help relieve the cramps(check at the health food store or natural market) and I have also found stretching to help. Check with your doctor just to make sure everything is a okay.
👍 114 | 👎 -14

Baalzebub Baalzebub
ooch...I truly understand. try a heating pad with the Midol, and drink alot of water. water will help flush out your system and help all of your body parts work better. it will also help with the tiredness during that time. so.... heating pad, midol, and water. I know you may not want to, but regular excercise will help future .'s also. hope you feel better.
👍 111 | 👎 -20

Baalzebub Originally Answered: Severe Back Pain, "Banding" Pain, please help or advise.?
S.B., Sure sounds to me like you need to get examined by a good chiropractor. Most general practitioners are too busy and haven't been trained to diagnose or treat back issues. What you describe is a dysfunctional spine. Something caused your "slipped disc" years ago and hasn't been corrected. The spine is dynamic and will shift the pain to other structurally weak areas attempting to correct the problem. I've seen this many times over the 30+ years I've worked as a chiropractor. Your condition is complicated by postural stress no doubt and you should get educated about your spine and how muscle imbalances can be corrected at home. Pain is the body's alarm system telling you something is wrong and needs correcting. This type of stress will even affect your blood sugars. Painkillers might help temporarily but won't fix the cause of your pain. Do some research and don't wait for someone else to fix you. There are things you can do to help yourself. Start stretching at home to counteract postural stresses and keep seeking and you will find answers. I wish you well! Dr Tim

If you have your own answer to the question endometriosis case study, then you can write your own version, using the form below for an extended answer.