What is Dysmenorrhoea?
Dysmenorrhoea (menstrual pain) is a gynaecological disorder in females.
The dysmenorrhoea is defined as the pain before the onset of menstruation and that interferes with daily routine activities.
Pains of dysmenorrhoea are of different types such as:
-Sharp pain,
-Throbbing pain,
-Dull pain,
-Nauseating,
-Burning pain,
-Shooting pain.
Dysmenorrhoea precedes menstruation by several days or accompanying it and it is gone by the stoppage of menstruation or on the 1st day of menstruation as the flow starts.
During the menstruation cycle of the woman, the endometrium (inner layer of the uterus) gets thickened and prepared for the potential pregnancy.
After the release of the ovum if it is not fertilized and if there is no pregnancy then this thickly built-up uterine inner wall is shed off.
Who is affected due to Dysmenorrhoea?
Dysmenorrhoea is a female disorder that does not occur in males.
Dysmenorrhoea affecting women between the age group of 17-25 years is primary dysmenorrhoea.
Dysmenorrhoea above the age of 30 years is related to the underlying disease of the reproductive system, especially the uterus.
What are the causes of Dysmenorrhoea?
• Menarche (appearance of menses) at an early age.
• Heavy menses flow.
• Smoking.
• Positive history of the family with dysmenorrhoea.
• Long menstrual period.
The causes of secondary dysmenorrhoea are as follows:
• Adenomyosis.
• Uterine tumour
• Pelvic inflammatory disease.
• Intrauterine contraceptive devices.
• Endometriosis.
• Adhesions.
• Uterine polyps.
• Pelvic congestion syndrome.
• Ovarian cysts.
• Congenital malformation of the Mullerian system.
What are the signs and symptoms of dysmenorrhoea?
Pain in the lower abdomen.
Lower back pain.
The feeling of pressure in the lower abdomen.
Pain in hips and inner thighs.
In some cases, the stomach is upset.
Nausea
Vomiting
Loose stools
Headache
Discomfort
Lethargic
How to treat Dysmenorrhoea?
In acute cases of pain, analgesics are given to relieve the pain.
In cases where dysmenorrhoea is due to secondary causes like pelvic inflammatory disease, endometriosis treatment is done according to the underlying disease.
What is the differential diagnosis of Dysmenorrhoea?
• Abortion
• Irritable bowel syndrome
• Inflammatory bowel disease
• Ovarian cysts
• Urinary tract infection in females
• Pelvic inflammatory disease
• Adrenal insufficiency
• Ectopic pregnancy
Is dysmenorrhoea curable or not?
The prognosis of dysmenorrhoea is excellent.
What are the indicated homoeopathic medicines for Dysmenorrhoea?
• Mag – Phos
• Belladonna
• Cimicifuga racemosa
• Coffea cruda
• Colocynthis
• Caulophyllum thalictroides
