painful menstrual periods…

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female reproductive anatomy, painful periods, dysmenorrhea, relieving pms, uterus, menstrual periods, painful, menstruation, painful, dysmenorrhea, periods, painful, cramps, menstrual, menstrual cramps, painful menstruation, menstrual periods, accompanied by either sharp, intermittent pain, dull, aching pain, in the pelvis, lower abdomen, painful menstruation affects many women, small number of women, such discomfort makes it next to impossible to perform normal household, job, school-related activities, each menstrual cycle, painful menstruation, leading cause of lost time from school, work among women in teens, 20's, pain, several days, start of period, generally subsides, menstrual bleeding tapers off, some pain, menstruation is normal, excessive pain, dysmenorrhea, menstrual pain severe enough to limit normal activities, require medication, two general types of dysmenorrhea, primary dysmenorrhea, menstrual pain that occurs in otherwise healthy women, type of pain is not related to any specific problems, the uterus, pelvic organs, secondary dysmenorrhea is menstrual pain that is attributed to some underlying disease process, structural abnormality either, outside the uterus, the hormone prostaglandin, produced, in the uterus, thought to be a factor in primary dysmenorrhea, hormone causes, contraction, the uterus, levels tend to be much higher in women, severe menstrual pain than in women who experience mild, no menstrual pain, premenstrual syndrome, pms, stress, anxiety, endometriosis, pelvic inflammatory disease, multiple sexual partners, history of sexual, physical abuse, fibroids, ovarian cysts, intrauterine device, iud, only, the first three months after insertion, allow to avoid prescription medications, apply a heating pad to lower abdomen, below navel, careful not to fall asleep, it on, take warm showers, baths, drink warm beverages, light circular massage, fingertips around lower abdomen, walk, exercise regularly, pelvic rocking exercises, follow a diet rich in complex carbohydrates, whole grains, fruits, vegetables, low in salt, sugar, alcohol, caffeine, eat light but frequent meals, try over-the-counter anti-inflammatory medicine, ibuprofen, practice relaxation techniques, meditation, yoga, try vitamin b6, calcium, magnesium supplements, pain is from pms, keep legs elevated lying down, lie on side, knees bent, self-care measures, not work, prescribe medications, cox-2 inhibitors celecoxib, celebrex, stronger anti-inflammatories, diclofenac, cataflam, antidepressants, birth control pills, antibiotics, stronger pain relievers, narcotics, codeine, brief periods, call doctor right away, fever, vaginal discharge is increased in amount, foul-smelling, pain is significant, period is over one week late, have been sexually active, pain is severe, sudden, self-care measures don't relieve pain after 3 months, pass blood clots, have other symptoms, the pain, pain occurs at times other than menstruation, begins more than 5 days, prior to period, continues after period is over, have an iud that was placed more than 3 months ago, health care provider, obtain medical history, perform a physical examination, paying close attention to pelvis, abdomen, how old were, periods started, have they always been painful, did the pain begin, in menstrual cycle, experience the pain, the pain sharp, dull, intermittent, constant, aching, cramping, sexually active, use birth control, was last menstrual period, was the flow of last menstrual period a normal amount, periods tend to be heavy, prolonged, lasting longer than 5 days, have passed blood clots, periods generally regular, predictable, use tampons, menstruation, what have, try to relieve the discomfort, how effective was it, does make the pain worse, have any other symptoms, diagnostic tests, blood tests, cbc, ultrasound, dilation, the cervix, laparoscopy, cultures, rule out sexually transmitted diseases gonorrhea, primary syphilis, chlamydia infections, birth control pills, prescribed to alleviate menstrual pain, not needed, birth control, discontinued after 6 to 12 months, many women note continued freedom from symptoms despite stopping the medication, surgery necessary, unable, obtain adequate pain relief, pain control, range from removal of cysts, polyps, adhesions, fibroids to complete hysterectomy in cases of extreme endometriosis, prescription medications used, endometriosis, pain, an iud, removal, the iud, alternative birth control methods needed, antibiotics, pelvic inflammatory disease mahutte ng, medical management of endometriosis-associated pain, obstet gynecol clin north am, 30(1), 133-150, french l, dysmenorrhea, am fam physician, 71(2), 285-291.