Get know about Painful menstruation (Dysmenorrhoea)


Dysmenorrhoea is a pain that occurs in the abdomen before and during menstruation. This is a normal condition that women have to experience. For some women, this can be a little stress full, but some women are unable to do their day to day activities for a few days every month. Some times painful menstruation can cause due to endometriosis or by identifying causes such as fibroid tumors.

Secondary dysmenorrhoea means painful menstruation due to identifiable internal causes. Proper treatment for such identifiable conditions can end painful menstruation conditions. If it is not happening due to such identifiable conditions it can gradually diminish with age and can cure completely after childbirth.

Symptoms of Dysmenorrhoea

  • Feeling the pain as rolling flesh in the body. This can cause severe pain.
  • The pain may continue the same way.
  • Pain may spread to the lower back and thighs.

Some women can have the following symptoms also.

  • Nausea.
  • Dissolving stools.
  • Headache
  • Dizziness.

The lining of your uterus breaks through the vagina and leaving parts of it with blood is menstruation. The uterine muscle contracts from time to time to facilitate that process. Chemicals called prostaglandins that stimulate the contractions. It is the hormone that causes pain and inflammation. When the concentration of these chemicals becomes high the uterine muscle contracts tightly, This causes Dysmenorrhoea.

Secondary painful menstruation may occur in the following internal conditions:

  • Endometriosis – Here, the innermost tissues of the uterus, fallopian tubes, ovaries, and pelvic floor tissues grow on the outside of the uterus, and the menstrual tissue is bleeding during menstruation.
  • Fibroids – A type of fibroid that grows in the uterine wall is called a fibroid. These are not cancer fibroids
  • Adenomyosis – In this condition, the uterine lining tissue develops into the muscles of the uterine wall.
  • Pelvic inflammatory disease or PID – An infection of the female reproductive system. The infection can cause due to germs that are caused by sexually transmitted diseases (STDs) as well as other germs.
  • Cervical stenosis – Here, the menstrual blood and ruptured tissue are blocked by the uterus, it causes to increase the pressure inside it and due to that, it causes pain.

Who is at greater risk for painful menstruation?

  1. For women under 30 years.
  2. Women who reached puberty at age 11 or earlier.
  3. Women who have excessive bleeding during menstruation. (Menorrhagia)
  4. Women who have irregular menstruation (Metrorrhagia).
  5. For women who have not given birth.
  6. Women who have family members who have painful menstruation.
  7. For women who smoke.

Complications due to painful menstruation

Generally, painful menstruation does not cause complications. However, it can interfere with school activities, official duties and day to day activities. Some internal conditions that cause painful menstruation can result in complications. Endometriosis can cause neurology, and the risk of fallopian tubes due to pelvic inflammatory disease increases the risk of ectopic pregnancies.


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