My Symptoms

Painful rules: the causes

The causes of the painful rules are still unknown, they most often affect teenagers and girls.

In teenage girls and girls, primary dysmenorrhea pain occurs during the very first period.

The symptoms can be very violent, with:

  • cramps in the lower back and inner thighs,
  • nausea and / or vomiting,
  • diarrhea,
  • headaches,
  • dizziness.

We still do not know the cause. We know that there are families with "painful rules". Genetics may be involved, but it's not proven.

Gynecologists also mention the possibility of an insufficiently open cervix. The menstrual flow would mechanically have difficulties to evacuate. The collar, too strong, would cause pain and sometimes discomfort. A hypothesis supported by the fact that these primary dysmenorrhea, disappear most of the time after the first delivery. The gynecologist will have to reassure his young patient: it disappears with time and with the first baby.

In older women, secondary dysmenorrhea should always be taken seriously. They appear at any age after a period of normal menstruation. They may be related to a gynecological disease.

Painful menstruation can be caused by endometriosis (small fragments of the mucosa that covers the inside of the uterus migrate and are found in other parts of the abdomen, causing cyclical pain).

Another possibility that the doctor will think of: it can also be a fibroid (a benign tumor of the uterine muscle, very common, which affects one in two women after 40 years).

The causes of these secondary dysmenorrhea can also come from polyps, or from an infection.

You want to react, to give your testimony or to ask a question? See you in our FORUMS Gynecology or A doctor answers you !

Read also :

> Ovarian cyst
> Premenstrual syndrome
> Bleeding between the rules
> Abundant rules: what to do?

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