Algo - Latin root meaning "pain», dys - a prefix meaning "disorder" and menorrhoea - is it the most, monthly.
When I grew up and became a great gynecologist, it appeared that the International Classification of Diseases (diagnosis and should be considered only as) a disease called simply - dysmenorrhea . And there dysmenorrhea, primary and secondary.
Let's start with the secondary, it's easier. Secondary dysmenorrhea - This is when the pain during menstruation are associated with some cause - inflammation, cysts, endometriosis, abnormal development of reproductive organs, etc. - There is a chance to find and neutralize the enemy.
Primary dysmenorrhea - This is when the doctor can not find some intelligible reason and starts talking in an incomprehensible language. But this is exactly the situation when no important question: "Doctor, why is that? "And the question" Doctor, what to do? "
There is a simple and very clear protocol for managing these patients.
The first - to exclude secondary dysmenorrhea. Most ordinary conversation + examination + ultrasonography allow dot put in place. Sometimes it is necessary to think and sweat. But if the cause is found, then - the second - set the correct diagnosis and to try to eliminate this cause.
No - perform a test with NSAIDs (nonsteroidal anti-inflammatory drugs). This can be Nurofen, diclofenac, indomethacin, Celebrex - everything like your doctor.
Miracle! It helps! And if you start taking the drug at least a day before the expected menstrual period, or 2-3 days - it does not matter, then very good! A reduction in pain with each successive cycle, we generally regard as a positive sample, and is proud to make the diagnosis: primary dysmenorrhea .
If the patient is living a regular sexual life is a constant partner and is not interested in pregnancy, another miracle - combined oral contraceptives (COCs) - and menstruation will not be painful.
If the number 2 is not a miracle happened, and while taking birth control pills are stored pain during menstrualnopodobnoe bleeding, the WHO (World Health Organization) recommends combined COCs with an NSAID. Ie point 3+ paragraph 4. It did not help, see point 1.
In my opinion, to this point it is more or less clear and logical. Everything else - beyond comprehension and logic.
"These pills do not help me, and those I will not drink, because they are" strong. "
Wow, I will suffer, and let me feel sorry. Indeed, why take pills that help, if you can take pills that do not help.
"I, too, before the birth was painful, then passed itself."
Well, wait until your 14-year-old daughter will be married, pregnant and will give birth. In the meantime, let something like this, little by little ...
"So it's all true! "
No, not at all. I do not have.
"So it's all the time necessary to drink these pills ?! "
No, not all the time. Only when it hurts. You want, that would not hurt?
And finally, who taught Russian women drink Nospanum? Why Nospanum in Russia is the drug of first choice for dysmenorrhea? No, I do not mind, antispasmodics are used in combination therapy, but ...
"Menstruation is very painful. What I accept? Nospanum. Helps? No, it does not help. "
Why do you continue to drink Nospanum ?!
I do not know whether to continue
Let's try to take advantage of scale that would assess the severity dysmenorrhea .
| Severity | Intensity of dysmenorrhoea | Serviceability | Systemic symptoms | Necessity admission analgesics |
| 0 | No | Not broken | No | No |
| I | Mild pain | Violated rarely | No | Rarely needed |
| II | Strong pain | Violated significantly | Some have | Need |
| III | Excessive pain | Excluded | Headache, nausea, vomiting, diarrhea, weakness | Ineffective |
Combination therapy is usually used only when the III degree. Everyone else just help.
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