What is dysmenorrhea, or painful menstruation that occurs in the groin, abdomen, and sometimes severe enough to limit daily activities during or just before the menstrual period? What is painful menstruation (dysmenorrhea)? You can find what you need to know about the causes, symptoms and treatment of painful menstruation in our news …


Dysmenorrhea is the medical term for menstrual bleeding. There are two types of dysmenorrhea: “primary” and “secondary”.

Primary dysmenorrhea is common menstrual cramps that are recurrent (reversible) and are not caused by other diseases. The pain usually begins 1 or 2 days before or when menstrual bleeding begins and is felt in the lower abdomen, back or thighs. Pain can range from mild to severe, typically last 12 to 72 hours, and may be accompanied by nausea and vomiting, weakness, and even diarrhea. Common menstrual cramps usually become less painful as a woman ages, and can stop completely if the woman has a baby.

Secondary dysmenorrhea is pain in a woman’s reproductive organs caused by a condition such as endometriosis, adenomyosis, uterine fibroids, or infection. Secondary dysmenorrhea pain usually begins earlier in the menstrual cycle and lasts longer than common menstrual cramps. The pain is not usually accompanied by nausea, vomiting, weakness or diarrhea.

Causes of painful menstrual vision

Menstrual cramps are caused by the contraction (squeezing) of a chemical in the uterus called prostaglandin. The uterus from which a baby grows contracts during a woman’s menstrual cycle. During menstruation, the uterus contracts more strongly. If the uterus contracts too strongly, it can cut off the oxygen supply to the uterine muscle tissue by pressing against nearby blood vessels. Pain occurs when part of the muscle briefly loses its oxygen supply.

 How does secondary dysmenorrhea cause menstrual cramps?

Menstrual pain, which is the cause of secondary dysmenorrhea, is caused by a disease in the woman’s reproductive organs. Conditions that can cause secondary dysmenorrhea:

Endometriosis: A condition in which the tissue lining the uterus (endometrium) is outside of the uterus.

Adenomyosis: A condition in which the lining of the uterus grows towards the muscle of the uterus.

Pelvic inflammatory disease: An infection caused by bacteria that starts in the womb and can spread to other reproductive organs.

Cervical stenosis: Narrowing of the opening opening to the uterus.

Fibroids (benign tumors) – They grow on the inner wall of the uterus.


Pain or cramps in the lower abdomen

– Headache

– Nausea – vomiting

– Dizziness


Home treatments

Home care treatments can be successful in relieving painful menstrual periods and may include:

– Hot water bag application to the pelvic area and back

– Massaging the abdominal area

– Warm baths

– Regular physical exercise

– Light and nourishing meals

– Relaxation techniques or yoga practices

– Using anti-inflammatory drugs a few days before the expected time

– Vitamin B-6, B Taking vitamin-1, vitamin E, omega-3 fatty acids, calcium, and magnesium supplements and reducing salt, alcohol, caffeine, and sugar intake to prevent bloating

– Lying with legs raised or knees bent

Medical treatment

If home treatment doesn’t relieve your menstrual pain, there are some medical treatment options. Treatment will depend on the severity of your pain and the underlying cause. If PID or sexually transmitted infections are causing pain, your doctor will prescribe antibiotics to clear the infections. These:

Nonsteroidal anti-inflammatory drugs (NSAIDs)

Pain relievers



It can treat endometriosis or uterine fibroids. This is an option if other treatment options have not been successful. Surgery removes endometriosis implants, uterine fibroids (fibroids) or cysts.

In rare cases, if other treatments have not worked and the pain is severe, a hysterectomy (surgical removal of the uterus) is an option. You should know that once you have a hysterectomy, you can no longer have children. This option is used for women who do not plan to have children or are at the end of their childbearing years.