Menstruation is normal vaginal bleeding that occurs as part of a woman's monthly cycle. Every month, woman body prepares for pregnancy. If no pregnancy occurs, the uterus, or womb, sheds its lining. The menstrual blood is partly blood and partly tissue from inside the uterus.
Some women experience minimal pain during menstruation, but other suffers severe pain. Period pain happens when the muscles in the uterus contract or tighten. Pain can include cramping and heaviness in the pelvic area, as well as pain in the lower back, stomach or even legs. Period pain is only considered normal if the pain is there only on the first one or two days of your period.
There are two types of Dysmenorrhea:
Primary dysmenorrhea is the most common kind of period pain. It is period pain that is not caused by another condition. The cause is usually having too many chemicals which make the muscles of your uterus tighten and relax, and this causes the cramps. The pain can start a day or two before your period. It normally lasts for a few days, though in some women it can last longer.
Women usually have period pain when they are younger, just after you begin getting periods. Often, as you get older, you have less pain. The pain may also get better after delivery.
Secondary dysmenorrhea often starts later in life. It is caused by conditions that affect your uterus or other reproductive organs, such as endometriosis and uterine fibroids. This kind of pain often gets worse over time. It may begin before your period starts and continue after your period ends.
Treatment of severe pain during menstruation:
Treatment will depend on the severity and underlying cause of your pain. If PID or sexually transmitted infections are causing your pain, your doctor will prescribe antibiotics to clear the infection.
Surgery can treat endometriosis or uterine fibroids. This is an option if other treatments haven’t been successful. The surgery removes any endometriosis implants, uterine fibroids, or cysts.
Hysterectomy means surgical removal of the uterus is an option if other treatments haven’t worked and pain is severe. If you have a hysterectomy you will no longer be able to have children. This option is usually only used if someone isn’t planning on having children or is at the end of their childbearing years.