DYSMENORRHEA
TREATMENTS |
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Secondary dysmenorrhea is controlled by
treating the underlying disorder.
Several drugs can lessen or completely eliminate the pain of primary
dysmenorrhea. The most popular choice are the nonsteroidal anti-inflammatory
drugs (NSAIDs), which prevent or decrease the formation of
prostaglandins. These include aspirin, ibuprofen (Advil), and
naproxen (Aleve). For more severe pain, prescription strength
ibuprofen (Motrin) is available. These drugs are usually begun at
the first sign of the period and taken for a day or two. There are
many different types of NSAIDs, and women may find that one works
better for them than the others.
If an NSAID is not available, acetaminophen (Tylenol) may also help
ease the pain. Heat applied to the painful area may bring relief,
and a warm bath twice a day also may help. While birth control pills
will ease the pain of dysmenorrhea because they lead to lower
hormone levels, they are not usually prescribed just for pain
management unless the woman also wants to use them as a birth
control method. This is because these pills may carry other more
significant side effects and risks.
New studies of a drug patch containing glyceryl trinitrate to treat
dysmenorrhea suggest that it also may help ease pain. This drug has
been used in the past to ease preterm contractions in pregnant women.
Alternative treatment
Simply changing the position of the body can help ease cramps. The
simplest technique is assuming the fetal position, with knees pulled
up to the chest while hugging a heating pad or pillow to the
abdomen. Likewise, several yoga positions are popular ways to ease
menstrual pain. In the "cat stretch," position, the woman rests on
her hands and knees, slowly arching the back. The pelvic tilt is
another popular yoga position, in which the woman lies with knees
bent, and then lifts the pelvis and buttocks.
Dietary recommendations to ease cramps include increasing fiber,
calcium and complex carbohydrates, cutting fat, red meat, dairy
products, caffeine, salt, and sugar. Smoking also has been found to
worsen cramps. Recent research suggests that vitamin B supplements,
primarily vitamin B6 in a complex, magnesium, and fish oil
supplements (omega-3 fatty acids) also may help relieve cramps.
Other women find relief through visualization, concentrating on the
pain as a particular color and gaining control of the sensations.
Aromatherapy and massage may ease pain for some women. Others find
that imagining a white light hovering over the painful area can
actually lessen the pain for brief periods.
Exercise may be a way to reduce the pain of menstrual cramps through
the brain's production of endorphins, the body's own painkillers.
And orgasm can make a woman feel more comfortable by releasing
tension in the pelvic muscles.
Acupuncture and Chinese herbs are another popular alternative
treatments for cramps. |
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