Painful menstruation of sufficient magnitude so as to incapacitate day to day activities.
Types of dysmenorrhoea
1) Primary dysmenorrhoea– there is no identifiable pelvic pathology
Cause
1) Abdominal anatomical and functional aspect of uterus
2) Anxiety and tension
Symptoms
1) Primary dysmenorrhoea is dominantly confined to adolescent girls
2) Pain begins a few hours before or just with the onset of menstruation. Pain may last for few hours to 24 hours
3) Nausea, vomiting, fatigue, diarrhea and headache may be present, low back pain, thigh pain
Investigations
1) Ultrasonography of abdomen and pelvis
2) Routine blood test
3) Urine routine test
2) Secondary dysmenorrhoea
It is menstruation associated pain occurring in the presence of pelvic pathology
Causes
1) Chronic pelvic infection
2) Pelvic endometriosis
3) Adenomyosis
4) Uterine fibroid
5) Endometrial polyp
6) IUCD (intra uterine contraceptive device)
Symptoms
1) Pain is dull in nature
2) Pain appears 3-5 days prior to the period and relieves with the start of bleeding
Investigations
1) Ultrasonography of abdomen and pelvis
Therapeutic consideration
1) Relaxation techniques – to reduce anxiety because anxiety is also a very common cause
2) Hot fomentation helps
Ayurveda approach
According to ayurveda, this disease occurs due to PITTA dosha. If medicines are taken with a strict diet control, can cure this disease completely and hysterectomy surgery can be avoided. Therefore, for this disease ayurvedic treatment is strongly recommended.
Contact - Dr. Rahul Saraf at rahsaraf@gmail.com, +919422309088 to discuss your health problem or ayurvedic guidance on the same.
Types of dysmenorrhoea
1) Primary dysmenorrhoea– there is no identifiable pelvic pathology
Cause
1) Abdominal anatomical and functional aspect of uterus
2) Anxiety and tension
Symptoms
1) Primary dysmenorrhoea is dominantly confined to adolescent girls
2) Pain begins a few hours before or just with the onset of menstruation. Pain may last for few hours to 24 hours
3) Nausea, vomiting, fatigue, diarrhea and headache may be present, low back pain, thigh pain
Investigations
1) Ultrasonography of abdomen and pelvis
2) Routine blood test
3) Urine routine test
2) Secondary dysmenorrhoea
It is menstruation associated pain occurring in the presence of pelvic pathology
Causes
1) Chronic pelvic infection
2) Pelvic endometriosis
3) Adenomyosis
4) Uterine fibroid
5) Endometrial polyp
6) IUCD (intra uterine contraceptive device)
Symptoms
1) Pain is dull in nature
2) Pain appears 3-5 days prior to the period and relieves with the start of bleeding
Investigations
1) Ultrasonography of abdomen and pelvis
Therapeutic consideration
1) Relaxation techniques – to reduce anxiety because anxiety is also a very common cause
2) Hot fomentation helps
Ayurveda approach
According to ayurveda, this disease occurs due to PITTA dosha. If medicines are taken with a strict diet control, can cure this disease completely and hysterectomy surgery can be avoided. Therefore, for this disease ayurvedic treatment is strongly recommended.
Contact - Dr. Rahul Saraf at rahsaraf@gmail.com, +919422309088 to discuss your health problem or ayurvedic guidance on the same.
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