“The rule need not hurt. If there is pain, there is a hidden pathology”


Endometriosis, fibroids, polyps in the ovaries or adenomyosis are four diseases that hide behind painful periods and with profuse bleeding

Menstrual pain is not normal: they may hide a pathologyWorld
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problems in menstruation They are signs of something “wrong” or wrong with the female reproductive system. “many times pain in the human body is interpreted as normal and is not“Juan Luis Alcazar Zambrano, co-director of the Department of Gynecology and Obstetrics of the University Clinic of Navarra (CUN). In this sense, specifically “In women we should give relevance to this problem because it is something that drives us to find an underlying pathology, women who have severe, disabling pain Rule One should see a doctor,” Alcazar Zambrano insists.

What are the main problems with the rule?

Menstrual pain affects one in three young womenthey explain from the Spanish Society of Gynecology and Obstetrics (SEGO). dysmenorrhea It is a sharp pain in the lower abdomen or pelvic floor area. it Pain It can spread to the lower back (kidneys) and legs.

this box severe restlessness may appear earlier menstrual bleeding Or in its early days.

las Features of this pain are diverse, sometimes it’s one sharp, cramping painWhereas on other occasions it may be present in a continuous and monotonous form.

sometimes you’re with me Other symptoms such as nausea and vomiting, headache, diarrhea, dizziness and irritability, “All of this leads us to differentiate different degrees of dysmenorrhea: mild, moderate, and severe,” says Alcazar Zambrano.

CUN spokesperson says there is a great variability in diffusion rates “Some go from 10 to 90%”, but the most reliable assumption is “the most realistic figure is 75%”. In this sense, it is clear that “Between 20-25% of women who suffer from menstrual pain will be reported to have the most severe and disabling degree,

What is the profile of women with a higher tendency to suffer from menstrual pain?

There is no fixed stereotype, All eligible women during the reproductive phase until they reach menopause, I know there are many factors that increase the risk: smokers, being overweight, drinking alcohol during menstruation, or having your first period before the age of 11.

“In some cases, when a woman has children, her patterns menstruation

How does dysmenorrhea affect women’s lives?

Sometimes, in the most severe cases, it is the object of medical consultation and causes absence of work, This disease condition assumes a deterioration of physical condition The woman who suffers from it from time to time, also there is a deterioration in her mental and mental state.

What are the types of menstrual cramps?

From SEGO they point to two typologies according to the woman’s age, classified as primary and secondary.

  • primary, It appears between 6 and 12 months after menarche or the first period. And it occurs in women aged 17 to 25 who have not yet become a mother. There is no disease behind. This is due to the spasmodic action of prostaglandin substances in the uterus. it is presented as cramping pain that goes away 24 to 48 hours after bleeding begins,
  • High School, It affects people over the age of 30, who may already be a mother. Here we must rule out that it is due to a hidden disease. in many cases it is endometriosisFibroids, genital malformations, pelvic inflammatory disease, ovarian cysts or endometrial polyps. Here, Pain is constant, appears a week before menstruation and lasts for several days of the menstrual cycle,

What are the treatments to prevent or reduce menstrual pain?

The first thing they recommend to SEGO is Visit a specialist to find out if menstrual pain hides another disease, Experts say that painful periods are not normal. Any discomfort that does not subside with anti-inflammatory drugs should be studied by a gynecologist.

in between testing Performances include ultrasound, hysteroscopy and laparoscopy. Everything to avoid hidden pathology or disease of the stomach, urinary tract, digestive or psychosomatic.

Treatment according to the type of pain:

  • main, Regular physical exercise is recommended while reducing the consumption of tobacco, alcohol and caffeine. rest the nightA balanced diet rich in fruits and vegetables and without saturated fat.
  • constant pain. Taking anti-inflammatory or hormonal contraceptive treatment will be prescribed to help ease symptoms.

“It should be emphasized that Except for 10% of those who suffer from the most severe degree of dysmenorrhea, for the rest there are medical solutions that work., In this small percentage we say they are refractory to treatment”, says Alcázar Zambrano. Furthermore, in these cases, “we already recommend rest during these days for this female population group. It is that, for comparison, it is as if we let a person with acute renal colic go to work. And it doesn’t happen. The discharge is given according to the pathology and the inability to work that produces it”.

How are diseases hiding menstrual pain?

is one of the most persistent endometriosis, Early diagnosis is not efficient because acute pelvic pain caused by endometriosis can be confused with essential dysmenorrhea. It affects 10% of women of reproductive age.

loss fibroidsSince they do not cause specific symptoms, they hide behind menstrual pain and heavy bleeding.

It is also mentioned by Alcázar Zambrano. adenomyosis And this polyps on the ovaries, “When regulations change, these four diseases occur most often. Therefore, undergoing counseling is the key to early detection.”

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