How does endometriosis cause secondary dysmenorrhea?
For example, the chemical prostaglandin control the contractions of the uterus. Secondary dysmenorrhea is caused by other medical conditions, most often endometriosis. This is a condition in which endometrial tissue implants outside the uterus. Endometriosis often causes internal bleeding, infection, and pelvic pain.
Is endometriosis primary or secondary dysmenorrhea?
Endometriosis is the most common cause of secondary dysmenorrhea. Symptoms and signs of adenomyosis include dysmenorrhea, menorrhagia, and a uniformly enlarged uterus. Management options for primary dysmenorrhea include nonsteroidal anti-inflammatory drugs and hormonal contraceptives.
What happens Secondary dysmenorrhea?
Secondary dysmenorrhea is caused by a disorder in the reproductive organs. The pain tends to get worse over time and it often lasts longer than normal menstrual cramps. For example, the pain may begin a few days before a period starts. The pain may get worse as the period continues and may not go away after it ends.
How long does secondary dysmenorrhea last?
You may feel pain ranging from mild to severe in the lower abdomen, back or thighs. Pain can typically last 12 to 72 hours, and you might have other symptoms, such as nausea and vomiting, fatigue, and even diarrhea.
How is secondary dysmenorrhea treated?
Nonsteroidal anti-inflammatory drugs. NSAIDs are the most common treatment for both primary and secondary dysmenorrhea. They decrease menstrual pain by decreasing intrauterine pressure and lowering prostaglandin F2α (PGF2α) levels in menstrual fluid.
What is the most common cause of secondary dysmenorrhea?
The most common cause of secondary dysmenorrhea is endometriosis. Most adolescents who present with dysmenorrhea have primary dysmenorrhea and will respond well to empiric treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) or hormonal suppression, or both.
What are the risk factors of secondary dysmenorrhea?
Risk factors for secondary dysmenorrhea include the following : Leiomyomata (fibroids) PID. Tubo-ovarian abscess….Risk factors for primary dysmenorrhea include the following:
- Early age at menarche (< 12 years)
- Heavy or prolonged menstrual flow.
- Positive family history.
How do you treat secondary dysmenorrhea?
Treatment options for dysmenorrhoea can include:
- pain-relieving medication, such as paracetamol.
- medication that inhibits prostaglandins, such as ibuprofen or other anti-inflammatory medication.
- regular exercise and attention to overall physical fitness.
- applying heat, such as a hot water bottle, to the abdomen.
How is secondary dysmenorrhea diagnosed?
If any of the following conditions are present then secondary dysmenorrhoea may be indicated: dysmenorrhoea during the first one or two cycles after menarche; first occurrence of dysmenorrhoea after age 25; late onset of dysmenorrhoea after no history of pain with menstruation; pelvic abnormality on physical …
Can secondary dysmenorrhea cause infertility?
This type of dysmenorrhea is not associated with fertility. One in four women with dysmenorrhea, however, has secondary dysmenorrhea, which means the pain and cramping is due to an underlying gynecological cause. Some of these causes, such as pelvic inflammatory disease and ovarian cysts, may lead to infertility.
What is the difference between primary dysmenorrhea and secondary dysmenorrhea?
Primary dysmenorrhea characteristically begins when adolescents attain ovulatory cycles, usually within 6–12 months of menarche. Secondary dysmenorrhea refers to painful menses due to pelvic pathology or a recognized medical condition. The most common cause of secondary dysmenorrhea is endometriosis.
Can dysmenorrhea cause infertility?
While dysmenorrhea does not affect fertility, it may be symptomatic of a fertility issue. Most women with dysmenorrhea have primary dysmenorrhea, which is caused by natural pelvic pain during menstruation. This type of dysmenorrhea is not associated with fertility.