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Suggest Remedy For Severe Abdominal Pain
I am a 48 year old woman who has not had a period for 7 months so am going thru the change as they say. My problem is that each month I have severe adominal pain, this month so severe I had to stay home from work and in bed for the day. Only Alleve would take some of the pain away. I have had various medicines prescribed for me, however, after a while they all had no effect on the pain. What can I do to help me thru this time. .
Tue, 24 Jan 2023
Hello,
Your pain is called dysmenorrhea. It is of 2 types primary and secondary. Primary is caused during normal menstrual periods without any pathology underlying. Secondary dysmenorrhea is causes due endometriosis, adenomyosis, uterine fibroid, pelvic inflammatory disease, and uterine polyps.
Yours seems to be primary dysmenorrhea. Treatment options are tab Meftal Spas one tablet twice daily during menstruation, NSAIDs and paracetamol are the first drugs of choice for pain relief. Begin NSAID therapy just prior to the start of menses and to continue dosing on a scheduled basis for 2 to 3 days following the onset of each cycle.
When NSAIDs fail, hormonal contraception is a viable and effective method for treating primary dysmenorrhea. Combined oral contraceptive (COC) pill is the preferred one. Other methods, including the contraceptive patch, contraceptive ring, medroxyprogesterone injection, and levonorgestrel-releasing intrauterine system, are also endorsed by practice guidelines because of their similar mechanisms of action.
If hormonal contraception fails, transcutaneous electric nerve stimulation or GnRH agonist therapy are prescribed. Please do contact a gynecologist for hormonal contraception.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Richa Agarwal, OBGYN
Your pain is called dysmenorrhea. It is of 2 types primary and secondary. Primary is caused during normal menstrual periods without any pathology underlying. Secondary dysmenorrhea is causes due endometriosis, adenomyosis, uterine fibroid, pelvic inflammatory disease, and uterine polyps.
Yours seems to be primary dysmenorrhea. Treatment options are tab Meftal Spas one tablet twice daily during menstruation, NSAIDs and paracetamol are the first drugs of choice for pain relief. Begin NSAID therapy just prior to the start of menses and to continue dosing on a scheduled basis for 2 to 3 days following the onset of each cycle.
When NSAIDs fail, hormonal contraception is a viable and effective method for treating primary dysmenorrhea. Combined oral contraceptive (COC) pill is the preferred one. Other methods, including the contraceptive patch, contraceptive ring, medroxyprogesterone injection, and levonorgestrel-releasing intrauterine system, are also endorsed by practice guidelines because of their similar mechanisms of action.
If hormonal contraception fails, transcutaneous electric nerve stimulation or GnRH agonist therapy are prescribed. Please do contact a gynecologist for hormonal contraception.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Richa Agarwal, OBGYN
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