The painful rules or dysmenerrha

Pain during menstruation is called dysmendorrha.

Primary dysmendorrha appears from the first period in adolescents and is not serious most often.

It is secondary when it occurs in the young woman at a distance from pubert. In the latter case, a disease involved is sought.


The Dysmresult Is the medical term given to the abdominopelvian pains that precede or accompany the rules ( Menstrual pain ). These pains usually last one or two days: they start with bleeding and are maximum when the bleeding is most important. They can already be felt a little before menstruation and sometimes continue a little after them. They are cyclical and come back with each menstruation. Menstrual pain Are usually felt in the lower stomach, but can extend to the back and thighs. Their intensity is variable: the person may experience simple discomfort, moderate or severe pain in the type of Cramps , From spasms in the lower belly. Pain during menstruation can be accompanied by:

  • A premenstrual syndrome starting a few days before menstruation and associating with the flare, swelling and pain of the breasts, abdominal bloating, edema of the ends, irritability;
  • Nausea, vomiting;
  • A migraine;
  • Of diarrhea;
  • Fatigue;
  • Feeling unwell.
Menstrual pain (related to the rules) can:
  • Appear as early as adolescence (primary dysmendorrha) and be generally not serious;
  • Occur later, in adulthood (secondary dysmendorrha) and be related to a pathology.

Primary dysmthen or painful periods from adolescence
Primary dysmendorrha appears in adolescence, in the months following the first period. It is very common and, most often, not serious. It is a phenomenon linked to an excess of secretion of Prostaglandins By the uterine mucosa (endometer) at the time of menstruation. The Prostaglandins Are substances that cause uterine contractions and facilitate the expulsion of the mucosa Uterine.
An excess of Prostaglandins Causes an abdominal increase in contractility and tone of the uterine muscle. These abnormally frequent contractions deprive the uterine muscle of oxygen (hypoxy) by compression of the small vessels and this hypoxy causes pain.
Primary dysménorrha is favored by the early occurrence of menstruation, by the existence of a family history of dysmthen, and the fact of not having had a pregnancy (nulliparity). Tobacco smoking would have an aggravate role.
In the majority of cases, menstrual pain (during menstruation) spontaneously subside or disappears after a few years or as a result of a first pregnancy. If dysmenerrha gets severe and the pain is stronger over time, an underlying cause is sought:
  • A malformation of the vagina or uterus,
  • An endometriosis of the teenager.
Secondary dysmenerrha of the adult woman
Secondary dysmenerrha appears later, in a woman who, until then, had little or no painful periods. Pain may be accompanied by other symptoms (bleeding between periods, abnormally heavy periods, pain during sexual intercourse, etc.) In these cases, a cause is always sought; it may be:
  • Endometriosis;
  • Adenonyosis: presence of fragments of the uterine mucosa (endometer) in the muscle of the uterus (myometer);
  • A uterine fibroma;
  • Polyps of the uterine endometer;
  • A copper intrauterine device (IUD) especially if it is displaced;
  • A change in hormonal contraception.