Every woman in the world has a varying intensity of pain during menstruation. Painful periods were called “algodysmenorrhea” and are pathologies, as long-term pain significantly affects the quality of life of a woman and requires medical intervention. Pain management pills for menstruation should be prescribed by a doctor (family doctor, and even better an obstetrician-gynecologist), since the pain syndrome is quite individual and consists of several components.
The nature of pain during menstruation
Depending on the severity of the actual pain syndrome and the presence (absence) of changes in the general condition, there are 3 degrees of severity of algomenorrhea.
For a moderate degree such signs are characteristic:
- pain only in the lower abdomen,
- pain has a piercing, baking, but more often aching character,
- on a 10-point scale, the intensity of pain does not exceed 5 points,
- the general condition of the woman does not change
- quality of life does not significantly suffer, preserved the usual physical activity.
The following manifestations are typical for moderate severity of algomenorrhea:
- pain intensity ranges from 5-7 points,
- the nature of pain is piercing, cutting, baking,
- pain can cover the entire abdominal cavity, radiating to the lower back and back,
- a woman notes weakness, dizziness, chills,
- not only physical, but also emotional state deteriorates,
- such pain during menstruation requires the use of painkillers, otherwise the woman will not be able to maintain her usual lifestyle.
With severe (that is, the most severe) algomenorrhea, the following clinical picture appears:
- the presence of sharp pain in the range of 9-10 points,
- painful sensations encompass the entire lower half of the body (both the abdomen and the back),
- severe weakness, chills, sometimes fever, fainting,
- some women complain of pain in the heart area, rapid heartbeat,
- the pain is so strong that a woman cannot attend work, school, that is, lead a normal life,
- Traditional remedies practically do not remove such a strong pain.
The intervention of a qualified professional is required for moderate and severe algomenorrhea. It is important not only the prescription of drugs against pain, but the search for its causes, as well as the creation of conditions for reducing the intensity of discomfort in the future.
Why pain during menstruation
The mechanism of formation of pain in menstruation bleeding consists of several components:
- contractions of the muscles of the uterus, that is, the presence of smooth muscle spasm,
- rejection of the mucous membrane, irritation of pain receptors as a result of endometrial integrity problems,
- fluctuations in hormonal levels,
- gynecological pathology,
- reduction of pain threshold.
The last component is quite individual. In some women, the pain threshold is initially high, that is, even a strong pain stimulus is perceived quite tolerantly. For others, on the contrary, a minor impact acts as a provocateur of severe pain.
Significant changes in hormonal levels in themselves can cause painful menstruation, as the concentration of female sex hormones determines the strength of uterine contractions. Most often, hormonal "storms" are observed in young women who have not given birth to women and girls. This condition is called primary algodysmenorrhea.
Often, after childbirth, the painful sensations during menstrual bleeding significantly decrease or disappear altogether.
Sometimes the opposite is true: women of reproductive age after the birth of their first child have rather strong pains during menstrual bleeding. This condition is called "secondary algodysmenorrhea."
Pathology of the development of the uterus
Changing the shape and location of the reproductive organs, for example, bending of the uterus (retroversion, retroposia) is an additional provocateur of menstrual pain. In most cases, there is no need to take any drastic measures to remove this birth defect. It is necessary to take into account this individual feature when selecting the dose of anesthetic.
Inflammatory diseases of the reproductive sphere, such as endometritis, salpingo-oophoritis, and others, are characterized by pain syndrome of varying intensity. This feature is one of the main clinical manifestations. Menstruation pain in a woman with concomitant gynecological pathology will be more pronounced, which must be considered when choosing a dose of anesthetic.
How to prevent menstrual cramps
A woman suffering from painful menstruation is looking for the answer to the question of how to remove such an uncomfortable state or at least reduce its severity. In most cases, a specialist will recommend pain pills for menstruation. To supplement their effect in the following ways:
- refrain from significant emotional and physical stress,
- stick to a vegetarian diet, refusing for a while from meat and dairy food,
- use local heating procedures (heating pad, bottle of warm water),
- play sports to the best of my abilities
- Take B vitamins, as well as a combination of calcium and magnesium.
A woman can fulfill all these simple rules independently. If you need pain from monthly pills, then you need to consult a doctor.
What to do with pain
First of all, with menstrual pain, you should evaluate your own condition. If pain is tolerated, it is better to refrain from taking pills. When it is impossible to tolerate, it is allowed to take the usual pain pill.
If the episode of painful menstruation is a one-time, do not panic. However, when such states recur, that is, algodimenorrhea becomes habitual, this is a reason to contact an obstetrician-gynecologist.
Medicines for pain during menstruation
In modern gynecological practice, several drug groups are used to relieve menstrual pain: NSAIDs, antispasmodics, narcotic analgesics, in rare cases hormones. The duration of administration, dosage and the possibility of a combination of several active substances should be recommended by a doctor.
Nonsteroidal anti-inflammatory drugs
This is one of the most common, affordable and well-deserved drugs. The following active ingredients are known:
All of these funds belong to the group of NSAIDs, that is, they have analgesic and anti-inflammatory effects. Depending on the severity of pain, you can drink the required number of tablets, but not exceed the maximum daily dose. It must be remembered that all the above mentioned NSAIDs have an irritating effect on the stomach and intestinal mucosa. They should not be taken by women with gastritis and peptic ulcer disease.
For patients with comorbidities, the so-called selective COX-2 inhibitors are more suitable:
These pills are perfectly safe for women with peptic ulcer. The anesthetic effect is somewhat slower, but its duration can last even 2 hours with a single dose.
Among the representatives of this group of medicines, no-shpa (drotaverine) and papaverine are the most popular. Antispasmodics help relieve or reduce pain in those women who have a more pronounced spastic component, that is, smooth muscle spasm prevails. Accepted drug is valid for several hours, can be combined with NSAIDs.
You should not abuse and drink large doses, as any medicine from this group has the property to reduce pressure. You can reduce the pain in the lower abdomen, but at the same time overdo it and faint. Antispasmodics are contraindicated in women with low blood pressure.
This is a backup group of drugs. With monthly tablets containing narcotic analgesics, it can be taken only when absolutely necessary, when all other ways to reduce pain are ineffective. The doctor can write a prescription for tramadol or ketanov. You need to refrain from taking more than 1-2 tablets per day.
If the pain is so severe that taking a narcotic analgesic does not help much, you should immediately contact the nearest surgical hospital. Narcotic analgesics are contraindicated in women with individual intolerance.
Hormonal pain remedies
Many gynecologists recommend oral contraceptives (“Diane 35”, “Yarin”, “Ovidon”) to their patients with algodimenorrhea. These drugs need to drink for several months. As a result, hormones are normalized, and pain decreases during menstrual bleeding. It is strictly impossible to drink contraceptives without a prescription - this can significantly worsen the hormonal balance. In addition, you should not remove them from the course of treatment or change the prescribed dosage, as this can cause severe bleeding.
Medicinal herbs for menstrual pain
Many women prefer natural products to traditional medicines. There is a mass of herbal, which contain nettle, oregano, viburnum bark. A definite positive effect from the decoctions prepared from them is observed only with prolonged (2-3 months) intake.
A woman should understand what pills can and should be used for painful periods, but you should always consult a doctor.
Personally, I always buy spazmalgon. I do not know how anyone, but personally he helps me a lot. The first two days I take them on demand. In general, if it hurts, then I take one pill. All walk in 10-15 minutes. After 5-6 hours, the pain comes back, so I take another pill. And so I was going through the first two days! Then the pain stops. Like this.
In my youth, I drank analgin. Then he was banned, they said that he was very harmful, because it changes the composition of blood. I have always had very strong pains. Even after childbirth, their intensity has not changed, although it is believed that they should have decreased or even passed.
Only nimesulide saves me. I drink it one or two days (twice a day). And the main thing is to drink it at the very beginning. If the moment is missed and the pain is already severe, then nimesulide may not help.