Is Severe Menstrual Pain Normal?

Severe pain during menstruation is defined as “dysmenorrhea”. These pains can be mild or severe enough to impair the person’s quality of life. In cases of increased severity, you should be alarmed and see a specialist for the underlying disease.

There are two types of dysmenorrhea, primary and secondary.

primary dysmenorrhea

Primary dysmenorrhea is pelvic pain caused by the natural production of prostaglandins. It begins during the first menstrual cycles in young girls, and in most cases the pain attacks become less painful with advancing age. Pain due to primary dysmenorrhea may decrease after delivery.

Secondary dysmenorrhea

Secondary dysmenorrhea is pain other than pain caused by natural prostaglandin release. It starts at a later age than primary dysmenorrhea. In the first menstrual period, patients do not have a history of dysmenorrhea. It is usually formed later. Secondary dysmenorrhea pains last longer than normal cramps. Pain may begin before menstruation begins and may become more severe during the period and continue after it is over. The most common causes of secondary dysmenorrhea are endometriosis and fibroids.

Is severe menstrual cramps normal?

Severe menstrual cramps can have different causes. Since there may be more serious medical conditions underlying periodic pain, it is a condition that a specialist should be consulted. This condition is called secondary dysmenorrhea in medical language. Menstrual pain, which has different causes, mostly affects women between the ages of 30-45. These pains can be caused by endometriosis, fibroids, pelvic inflammatory disease.

Fibroids: These are benign tumors that can cause women’s menstrual periods to be heavy and painful.

Pelvic inflammatory disease: A broad definition used for infections of the upper reproductive organs such as the fallopian tubes and ovaries. In case of widespread infection, severe pain occurs.

Relationship between menstrual pain and endometriosis: Endometriosis is the presence of tissue that should be inside the uterus in extrauterine tissues such as the ovaries and fallopian tubes. These tissues bleed and shed in response to monthly hormonal changes where they are located. Where they are seen, they cause bleeding and pain like menstrual bleeding along with the menstrual period. Persistent pain during menstruation may indicate endometriosis.

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