Painful periods are common in teenagers
and young adults.
Most women have some pain during
periods. The pain is often mild but, in about
5 in 10 women, the pain is severe enough to
affect day-to-day activities. The pain can be
so severe that they are unable to go to
school or work.
Period pain generally falls into two
categories: primary dysmenorrhea and
secondary dysmenorrhea.
Primary dysmenorrhoea has no specific
cause yet is the most common type of
painful periods affecting 9 out of 10 women.
It occurs where there is no underlying
problem of the womb (uterus) or pelvis. The
main symptom is a cramping type of pain in
the lower tummy (abdomen); it may in some
cases spread to the lower back, or to the top
of the legs. Pains are generally worst in the
first few years after starting your period, with
symptoms tending to improve with age or
after childbirth.
Secondary dysmenorrhoea is less common,
and is more likely to occur in women in their
30s and 40s. It is caused by a specific
underlying condition such as endometriosis
(when cells that normally line the uterus are
found at other sites in the body – usually the
ovaries and fallopian tubes). Again, the main
symptom is cramping pain in the lower tummy
during your periods. In some women with
secondary dysmenorrhoea the pain starts
several days before the period begins, and
lasts all the way through the period. (This is
uncommon with primary dysmenorrhoea). With
secondary dysmenorrhoea it is likely to have
other symptoms - forexample:
• Irregular periods.
• Bleeding between periods.
• Pains between periods.
• The bleeding becomes heavier than
previously.
• Vaginal discharge.
• Pain during sex.
• Pain in your backpassage(rectum).
Secondary dysmenorrhoea may occur as a
result of:
• Endometriosis/adenomyosis.
• Pelvic inflammatory disease.
3. PERIOD PAIN
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