Is it normal to double the rule?

María has been pregnant for 16 years and has been receiving emergency care from her health center for abdominal pain. It’s subject to the rule and can no longer. Since one has hours vomited all, has diarrhea and is fatal.

The guardian doctor will find an injectable and a powder in the case. Pero María has just been repaired by Haber decided to go “alone” for the rule. There is a lot of time that is given to your family and the medicine of cabecera of the strong forces that are. But all the diction that is “normal”, without any significant importance.

This situation is not uncommon and it is certain that many women are identified with it in the middle or lower middle class. What are the causes of menstrual cramps? When should we consider normal pathology and how should we treat it?

The origin of the dysmenorrhea

Menstruation is produced by endometriosis reduction, the cape of moco that covers the interior of the uterus. The chain of female hormone levels, above all estrogen, is responsible.

When the pain of menstruation is accompanied by dysmenorrhea or menstrual pain. It is a colic dollar type contraction or a dollar south located on the bay next to the woman, which irradiates the vulva or the cleft palate. Accompanied on occasions by digestive, urinary, alteration and mood swings. And all of them were tried by the woman just before the onset of menstruation.

The ultimate culprits of these molestations are prostaglandins, all over the PGF2alfawhich is produced in the endometrium by the effect of progesterone, the other female hormone.

Only in cycles with ovulation does progesterone production and, consequently, prostaglandins. PGF2alpha is a potent contractor of the endometrial arteries and uterine muscles, provoking menstrual pain. And its effects on the lice muscle of the digestive tract and urinary tract explain the rest of accompanying sinuses.

Therefore, in this sense, menstrual pain or dysmenorrhea should be considered “normal” or “not pathological”. Although it does not need to be treated.

The rule dollar predisposes to the chronic dollar

Recent investigations have shown a strong quality of life with menstrual pain, and a greater predisposition to have chronic pain. Sufrir este dolor agudo de forma repetida parece que predispone a desarrollar a central hypersensitivity to pain, which increases chronic pain. And the treatment must avoid this situation.

Menstrual cramps fundamentally affect young women in the final stages of adolescence and early twentieth century. And usually better with the edad.

Its frequency is variable, increasing in some groups up to 90%. If, then, of the most frequent gynecological condition. Without embarrassment, it is difficult to know its real prevalence and that it is subject to subjective molestation referenced by the female property. And for this very reason, for the subject, it is influenced by the emotions.

When women are tired, sad or stressed, pain is perpetrated with increased intensity, including menstruation. And vice versa: if we suffer, we will feel sad, anxious and poor because we also despise peor.

When is pathology?

In any case, hay some aspects that should be considered before treatment as “normal”. To evaluate its intensity it has to take into account that the incapacity which lasts for less than 24 hours, or as much as 48 hours. It is also known that it is associated with the habitual media: it is fast, local and analgesic.

A greater intensity of pain, greater duration or incapacitation, as long as the need to respond to habitual analgesics, deben alerts. It should also be noted that the presence of pathology is present from the first menstrual period or if it has progressed during the period of menstruation or during the menstrual cycle. In both situations it is advisable to evaluate the female by a specialist. While the women with a typical menstrual pain pillow can receive treatment without the need for more testing.

Asi treats las reglas dolorosas

Attending to its causes, the main treatment consists in the field of analgesia, fundamentally anti-inflammatory in asteroids (AINES), for its effect on prostaglandins. I recommend it from the beginning of the day when it comes to menstruation and during the first two days.

Among the AINES most employed are the Indomethacin, Naproxeno, Ibuprofeno and the Mefenámico Acid, which he demonstrated in many ways to reduce the pain and the amount of blood. Exit tax rates around 65-100%, no differences between them.

A second line of treatment is hormonal contraceptives. These acts inhibit ovulation and impede both the hormonal mechanism underlying the production of prostaglandins, thereby reducing pain. The effectiveness of contraceptives to alleviate menstrual pain ronda el 70-80%.

But as in many other cases, menstrual pain also increases with regular moderate ejaculation. It seems that physical activity is increasing the release of endorphins. These substances, produced by our organism, increase the sensation of being and produce analgesia to act on the brain.

A balanced diet, rich in antioxidants and low in grass, while simultaneously avoiding the consumption of tobacco or alcohol, together with the employment of yoga relaxation techniques, can you make the rest.

Maribel AciénProfessor of Health Sciences, Obstetrics and Gynecology, Miguel Hernández University

This article was originally published in The Conversation. Lea el original.