What is it about?
According to the American Academy of Family Physicians, up to 20% of women suffer from menstrual cramping severe enough to interfere with daily activities. If prostaglandin levels are higher, more pain is often associated with the cramps. Cycle length, blood loss, period-related symptoms, fluid color, and consistency are all highly variable, even for just one person. However, severe menstrual pain is likely to be caused by a health issue such as PMS, fibroids, or endometriosis and requires medical support. When researchers analyzed frequency and duration of exercise and compared it to reports of period pain, they found exercise did little to reduce discomfort, and in fact this persisted even when a range of other factors-including weight, ethnicity, smoking and use of the birth control pill-were taken into consideration. Some women may also prefer not to use hormonal contraceptives, as they can bring unwanted side-effects such as fluctuations in weight and mood. Some methods can also slightly raise the risk of certain cancers, including breast cancer (although they reduce the risk of others, including womb cancer).
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Why is it important?
Menstruation can exacerbate incapacitating physical or mental health problems including endometriosis and depression; it can also be distressing or problematic for people with gender dysphoria. The prevalence of dysmenorrhea (DM) varies from 50% to 90% globally, a range of more than 50% to 85% in Europe and America and 60% to 85% in Asia. Approximately 75% of people experience PMS. Total annual healthcare costs were 2–3 times higher in patients with DM compared to women without the condition. Endometriosis, one of the main causes of secondary DM, estimated health care expenditures $70 billion per year in the US, $7.4 billion in Australia, 380 billion JPY Japan. There is a strong relationship between depression, anxiety, stress, alcohol abuse, somatic disorders and DM. It is higher in girls who were consistently eating fast food. Because junk foods are rich in saturated fatty acids that affect the metabolism of progesterone in the menstrual cycle. Skipping breakfast leads to obesity and DM, specifically the hormonal changes. Studies revealed advantage of several plant medicines. Medicinal plants, drugs, and acupressure seem to suppress pain by reducing the level of PGs, mediating nitric oxide, increasing beta-endorphin levels, calcium channel blocking, enhancing circulatory flow through the uterine pathway. Balanced nutrition, low-fat, herbal teas, reducing salt intake, fish oil, Mg, Zn, Vitamins B, E and protein intake that were found to be effective.
Read the Original
This page is a summary of: Getting Rid of Bomb Pushing the Womb : Dysmenorrhea Management, Journal of Gynecology and Womens Health, May 2019, Juniper Publishers,
DOI: 10.19080/jgwh.2019.14.555929.
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Resources
Menstruation
Exhausted with doctors not taking periods seriously, a new wave of authors is asking whether menstruation can ever be tolerable – even enjoyable
Systematic review of menstrual hygiene management requirements, its barriers and strategies for disabled people
One quarter of the global population is of menstruating age, yet menstruation is shrouded in discrimination and taboos. Disability also carries stigma, so disabled people may face layers of discrimination when they are menstruating.
Menstrual abnormalities and their association with lifestyle pattern in adolescent girls of Garhwal, India
Adolescence is a high-risk group because during this stage major physical and mental change occurs. Menarche is a hallmark biological process of puberty in adolescence girls and it leads to reproductive capacity. Menstrual abnormalities are common in adolescent and can lead to stressful conditions.
Dysmenorrhoea among students aged 18–45 years attending University in Uganda: A cross‐sectional multicenter study of three Universities in Uganda
Dysmenorrhoea presents as pain associated with menstruation. It is often an issue discussed privately, yet it continues to affect girls and women with grave impact on their education, social activities and work. This study sought to assess the factors associated with dysmenorrhoea among female students aged 18–45 years in three selected universities in Kampala Capital city, Uganda.
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