I have personally met lots of ladies complaining about experiencing painful monthly periods, most of the women say that this occurs during the first day and they usually wonder is this normal? A misconception about this condition is that ladies who experience painful periods are likely to be barren. So what is the truth about painful periods?
Painful periods are a common complaint especially among young women. The problem usually starts 2 -3 years after the first menses, and may persist till marriage and childbirth or with use of oral contraceptive pills. In such a setting id is referred to as primary dysmenorrhea, since the cause is unknown. It is thought to be related to hormonal influences as it coincides with onset of ovulatory periods (in the initial 2-3 instances of menstruation there may be no ovulation). If the pain stops with the use of contraceptive pills that suppress ovulation, then this suggests the cause was hormonal. In its primary form dysmenorohoea is not associated with infertility. What your peers tell you is related to a similar situation occurring under different circumstances.
Pain typically starts 16-12 hours before the onset of menstrual flow and subsides once the flow is fully established. The condition is common and a strong psychic influence with positive outlook helps many to cope. However, if the condition disrupts normal activity, the use of the non steroidal anti inflammatory analgesics (including the ubiquitous aspirin) and a drug to relieve the spasms (such as buscopan) helps to improve the symptoms.
Secondary dysmenorohoea occurs in a person with a background of pelvic inflammatory disease, where the ovaries, fallopian tubes and uterus may have a smoldering low grade infection. This type is often seen in sexually experienced individuals who have had normal periods before developing dysmenorohoea . The pain characteristics are just the same except that in secondary dysmenorohoea the pain tends to be persistent and may be accompanied by low grade fever, lower abdominal discomfort and low backache pains. In the primary form the pains tend to be colicky (coming in spasms) forcing you to literally double up.
In …Read More
One morning, about 10 years ago, I woke up with a sort of dull ache in my stomach. I didn’t feel like I needed to throw up or use the restroom; it just ached. I got ready for my work day as usual, thinking it would just go away, but instead, the ache got increasingly worse as time passed. I ended up leaving work sick shortly after arriving and found that nothing I did was making me any more comfortable. I was filled with an overwhelming sensation that something needed to come out of me, yet I still could not throw up nor use the restroom. Sitting hurt, standing hurt and I ended up just pacing my apartment trying to find some kind of position that would ease the pain.
Since nothing seemed to be working and the pain was only getting stronger, I went in to the Urgent Care clinic where I was told that they suspected appendicitis and that I needed to head over to the hospital immediately. After checking in, I was sent for blood work and an ultrasound. When I finally made it back to the Emergency Room I was in so much pain I could barely walk, was freezing cold, puking bile and could hardly focus enough to answer any questions. The nurse took one look at me and offered a gurney in the hallway where I finally laid down and slept for about an hour before being able to see a doctor.
I was given two options. I could either have my appendix removed or they could give me some medication to help fight the infection but that I could potentially end up going through the same ordeal all over again. Up until that point in my life, I had never felt anything so painful and could not imagine going through it again. Needless to say, I had surgery shortly thereafter and was released the next afternoon. After three days of rest, I was back to work and within two weeks was pretty much back to normal.
Looking back on this experience, I would …Read More