Primary dysmenorrhoea usually coincides with the start of menstruation. The initial onset is usually shortly after first menses.
Secondary dysmenorrhoea is associated with a later age of onset, after years of pain free menses and the patient is usually over 30 years of age. The pain begins as a dull pelvic ache 3 – 4 days before the menses and becomes more severe during menstruation. Other symptoms that may be associated with secondary dysmenorrhoea include: pain during sex, irregular cycles, heavy bleeding, bleeding in between cycles or after sex. It should be noted that all these symptoms can also be caused by other gynecological conditions.
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Symptoms experienced may vary in different individuals and these include:
• Low midline abdominal or pelvic pain
• Pain may radiate to back or thighs
• Pain varying from a dull dragging to severe cramping
• Maximum pain at beginning of the period
• Pain may commence up to 12 hours before the menses appear
• Pain usually lasts 24 hours but may persist for 2 – 3 days
• Pain may be associated with nausea and vomiting ,headache, syncope or flushing
• No abnormal findings on examination
• Pain also associated with psychological distress – anxiety, depression or both.
How Clinically Dysmenorrhoea (Painful period,Menstrual Cramps) is detected?
Physical examination will include a pelvic examination (an abdominal and internal examination) in order to determine the underlying cause. This will allow differentiation between primary dysmenorrhoea and other causes of pain associated with a medical condition. It may not entirely differentiate primary form secondary dysmenorrhoea.
There are no specific tests to diagnose primary dysmenorrhoea. Specific investigations are ordered based on history, examination findings and severity of pain or other associated symptoms.
Investigations are only important if a secondary cause is suspected in refractory cases of primary dysmenorrhoea. For patients with secondary dysmenorrhoea, investigations are directed to the most likely cause.
Common causes of secondary dysmennorrhoea include endometriosis, uterine fibroids, pelvic adhesions,pelvic inflammatory disease, ovarian cysts, gastrointestinal disturbances and very rare causes such as malignant tumors of the uterus, ovary, bowel or bladder. Investigations should be directed to the most likely after history and examination.
Specific investigations that are recommended include:
• Trans-vagina pelvic ultrasound to detect ovarian cysts, uterine fibroids.
• Endo-cervical swabs (similar to a PAP smear test) to exclude sexually transmitted infections.
• Blood tests looking for markers of infection and to check haemoglobin levels to exclude anemia which may be associated with heavy bleeding.
• Other investigations such as laparoscopy and assessment of the uterine cavity by dilation and curettage under anaesthesia in theatre. These may be necessary to determine underlying pathology if severe symptoms, but they are rarely done.
• In the absence of any pathological findings following these special investigations, referral to urological, gastroenterological or surgical specialists is indicated.
Prognosis of Dysmenorrhoea (Painful period,Menstrual Cramps)
Successful treatment with Mensule capsule and Mensulix syrup is reported in 60-100% of cases.
How is Dysmenorrhoea (Period Pain, Menstrual Cramps) Treated?
Non-medical therapies that have been recommended to relieve pain include:
*Regular exercise
*Avoiding smoking and excessive alcohol
*Recommending relaxation techniques such as yoga
*Avoid exposure to extreme cold
*Placing a hot water bottle over the painful area and curling the knees onto the chest
1. lying on your back, supporting your knees with a pillow
2. holding a heating pad or hot water bottle on your abdomen or lower back
3. taking a warm bath
4. gently massaging your abdomen
5. doing mild exercises like stretching, walking, or biking – exercise may improve blood flow and reduce pelvic pain
6. getting plenty of rest and avoiding stressful situations as your period approaches
7. having an orgasm
The management with medical and surgical interventions depends on the severity of pain and impact on daily activities.
Medical
Pharmacotherapy is still the most reliable and effective treatment for relieving dysmenorrhoea.
What is the best medical treatment for Dysmenorrhoea?
Medical options include: Mensule capsule and Mensulix syrup prepared by GMP licensed manufacturers Yamuna Pharmacy, collectively or singularly are the remedies for Dysmenorrhoea.
Mensule capsule is a poly herbal-mineral compound of herbs and minerals in appropriate dosage strength.
How does Mensule capsule benefit?
Mensule capsule causes and hastens ovario-uterine-vulvular rhythmic peristaltic activities so as to expel the menstrual secretion
Mensule capsule is functionally a menstrual regulator that generates and ejects the mucoid -secretions from inner lining of uterus.
Mensule capsule imparts preventive and curative relief in:
* Amenorrhoeas and Dysmenorrhoea
*Oligomenorrhoea
*Pre-menstrual syndrome and accompanying tension
*Associated gaseous distension in abdomen in women
What is the composition of Mensule capsule?
Mensule capsule comprises Hingu,Kasees,Krishna marich,Bacha,Gaajar beej Tankan,Yamani and Elua etc.
What is the dose of Mensule capsule?
2 capsules twice or thrice a day from two days before the onset of menstruation up to three days after the end of period for dysmenorrhoea and pre-menstrual syndrome. This dosage schedule may be repeated every month for at least 3 to 4 cycles to streamline the comfortful menstruation.Simultaneous use of Mensulix syrup can be helpful and advantageous.
In between the two menstrual periods Gynaelix syrup is advised during proliferative phase of ovario-uterine activity for 20 to25 days every month for 3 to 4 cycles.
Who is behind the concept of formulation of Mensule capsule?
Mensule capsule is conceived and formulated by expert team of GAMS,B.Pharm (Ay)and MSc (Med.Botany) and BAMS personnels
What is Mensulix syrup?
Mensulix syrup is a sweet herbal liquid for oral ingestion.
How does Mensulix syrup benefit?
Mensulix syrup improves the tone of uterine musculature and eradicates uterine muscle laxity and sluggishness for boosting ovario-uterine-vulvular peristaltic activity.
What are other functions of Mensulix syrup?
Mensulix syrup wards off pre-menstrual syndrome, stress & tension and
(i) has promotional effect for smooth sailing of ovum during next ovulation time (fertility window i.e.12 to 14 day) from last day of menstruation thus helping fertility
(ii) eases away dysmenorrhoea and promotes comfortful menstruation
(iii) helps start menstruation in girls of primary amenorrhoea without uterine structural defects
What is the composition of Mensulix syrup?
Mensulixsyrup comprises Mishreya, Hapusha, Harmal ,Kalajaji Jatamansi ,Moolibeej ,Annamaya, Manjishtha, Karpas mool twaq ,Gaajar beej Ulat kambal and Sitaab etc.
What is the dose of Mensulix syrup?
Mensulix syrup is taken in the dose of 3 to 4 teaspoonful three times a day with potable water from two days before the onset of menstruation up to three days after the period for dysmenorrhoea & pre-menstrual syndrome.
For delayed menarche (delayed start of first menstrual cycle) and amenorrhoea Mensulix syrup should be taken in the dose of 4 teaspoonful thrice a day for 25 to 30 days.
The dosage regimen and course may be repeated in case of lesser results. Simultaneous use of Mensule capsule is advantageous and recommended in such cases .
Who is behind the concept and formulation of Mensulix syrup?
Mensulix syrup is conceived and formulated by expert team of GAMS,B.Pharm (Ay)and MSc (Med.Botany) and BAMS personnels
