Dysmenorrhoea
is the term used for painful menstruation.
Around 50 to 60 % of females suffer from pain in relation
to menses. The extent of pain may vary from a mere discomfort
to sever pain incapacitating the patient from her normal
daily activities. The pain is usually experienced in
lower abdomen but may extend to back and thighs.
TYPES OF DYSMENORRHOEA
- Primary Dysmenorrhoea: It usually
occurs in girls and young females and tends to improve
with increasing age. The patients have complaints of
pain ever since the periods started. The pain is usually
spasmodic or colicky in character and is worse on first
2, 3 days of menses and eases as the flow establishes.
There is usually no underlying medical problem.
Causes: The
pain is due to the spasm of uterine muscle caused
by excessive secretion of prostaglandins. Prostaglandins
are the hormones secreted by the cells in the
uterus. Patients suffering from primary Dysmenorrhoea
have high levels of prostaglandins.
Stressful events in life, anxieties, fears, grief etc leave an impression
on human mind and are often the culprit behind the physical diseases.
- Secondary Dysmenorrhoea: The secondary
Dysmenorrhoea is due to some underlying pelvic disease.
Symptoms of Dysmenorrhoea usually appear after few
years of painless menstruation. The pain experienced
is very variable but is usually dull aching pain.
Causes: The
common causes of secondary Dysmenorrhoea are:
- Endometriosis: It is
a common condition in which the tissue
similar to the lining of uterus (endometrium)
is present outside the uterus.
- Pelvic inflammatory disease
- Uterine Fibroids
- Ovarian Cysts
- Abnormal positioning of uterus e.g.
retroverted uterus or adhesions of uterus.
- Intra uterine contraceptive devices can
also cause painful menses in some females.
SYMPTOMS OF DYSMENORRHOEA
Pain: is the leading symptom of Dysmenorrhoea.It
is usually felt in lower abdomen and may extend to thighs
and back. Pain is spasmodic, colicky or dull in character.
Other concomitant symptoms like headache, vertigo, nausea, vomiting, fatigue,
irritability can also be associated. In secondary Dysmenorrhoea the symptoms
of underlying medical problem are also present.
TREATMENT
Most of the conventional modes of treatment aim to palliate the pain rather than
curing the cause behind it.
HOMEOPATHIC APPROACH
Homeopathy being an individualistic science tries to find an individual remedy
for each case. Different females suffering from Dysmenorrhoea present with
different symptoms regarding the character, localization, extension and severity
of pain. Also varying are the accompanying symptoms like nausea, vomiting,
headache, vertigo, diarrhea, constipation etc. Some females will have complaints
much before menses while others are worse only during it. The character of
blood, its color, presence or absence of clots, the underlying cause like
fibroids, cysts, endometriosis etc differentiate one case from another.
Most importantly the disposition and mental state of ech person is different.
A female reproductive system releases various hormones for its normal functioning
which are further controlled by hormones released by brain. Any past or prevailing
stress, grief, anxiety, fear etc lead to an imbalance in normal hormonal regulation.
Hence a Homeopathic remedy is selected by considering the physical, mental
and emotional state of each person in order to cure safely and effectively.
A case of Dysmennorhoea
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