It can be defined as pain which is in
relation to menses that is troublesome so as to disable a woman from
performing her routine chores.
Dysmenorrhea can be classified into primary dysmenorrhea where no
underlying pathology can be demonstrated and secondary dysmenorrhea
which has a definitive underlying causative
On the basis of the character, dysmenorrhea can also be classified into
spasmodic and membranous type.
As the names suggest, the spasmodic type of dysmenorrhea involves severe
pain which waxes and wanes in intensity with the contraction and
relaxation of the uterus while the membranous variety has actual
shedding of chunks of meaty portions of the innermost wall of the uterus
called the endometrium. Very often dysmenorrhea is accompanied by a
whole lot of symptoms such as giddiness, nausea, vomiting, muscle
cramps, fever, etc.
Excessive production of prostaglandins is one of the major causes for
most signs and symptoms of dysmenorrhea. Primary dysmenorrhea is almost
wholly due to this and may be due to a tight
cervix, the mouth of the uterus. Such cases improve totally
after a normal child birth due to stretching of the uterine
musculature. Secondary dysmenorrhea, however, needs proper
investigating into in order to know the causative pathology.
The underlying pathology needs to be treated to control
painful menses. Pain-killers can only offer temporary
relief. The common causes of secondary dysmenorrhea are
pelvic infections, congestive or inflammatory conditions
within the pelvis like endometriosis, uterine tumors such as
polyps or fibroids, and the presence of a foreign body such
as an intrauterine contraceptive device [IUCD].
Suggestion about homoeopathic treatment:
Homoeopathy has a promising role to play in cases of dysmenorrhea. The medicines are known to reduce the severity
of the pain as well as to treat the cause, whenever
possible. Every patient with dysmenorrhea may present with a
different set of individual symptoms, which are carefully
noted while deciding the homoeopathic line of treatment.
Homoeopathic treatment is strongly suggested.