Although many times the menstrual pain you can assign anti-inflammatory, it can sometimes be a symptom of illnesses that require study and specific treatment.
Expert: Ignacio De la Torre, gyn Clinic City of the Sea
The dysmenorrhea, also known as painful menstruation, is a disease that affects 1 out of every 10 women of childbearing age, changing both the physical as the mental. So what explains the ob / gyn Clinic City of the Sea, Ignacio De la Torre Chamy, who accurate that there are 2 types of dysmenorrhea:
- primary: does not have a cause to explain
- secondary: can be attributed to diseases such as endometriosis.
Each one of these types of endometriosis can be present in different degrees of severity:
- mild: it is that which is manifest with pain during menstruation and is relieved with analgesics, without altering the daily life.
- dysmenorrhea severe: affects the quality of life, because it causes intense pain throughout the month, which can be accompanied by nausea, vomiting, and fainting. This type of endometriosis is not relieved with analgesics traditional, and should even use derivatives of morphine and, many times, is associated with school absenteeism and labour.
“In the case of patients with mild to moderate pain, is carried out a treatment with anti-inflammatory and to control the evolution between 3 to 6 months. In some occasions also using oral contraceptives, since the regularize, and shorten the menstrual period, can reduce the discomfort associated,” says the doctor Of the Tower.
What to do to identify its causes? “In severe cases, where we suspect endometriosis, it is recommended to perform a transvaginal ultrasound with bowel preparation, which has demonstrated better results diagnostics the magnetic resonance imaging. This test allows you to identify nodules of deep endometriosis, which can be located in the vaginal wall and rectal” Currently this test is performed in a few centers of Chile.
A last alternative for severe cases of pelvic pain is the videolaparoscopía. This procedure is performed with general anesthesia and consists of introducing a video camera into the pelvis and take samples of suspected areas of disease, additionally, it allows to resect the tissue pathological and correct any changes that may affect fertility.