Secondary Dysmenorrhoea

Secondary Dysmenorrhoea is a period-associated pain hardly ever occurs before the age of 30. More often it is seen in women past 35 years. As the name implies, the pain is -often secondary to some other precipitating cause. Sometimes the pain is associated with actual diseases of the pelvis.

The most notorious is a condition called endometriosis. This means that small pieces of tissue, much the same as that forming the lining of the womb have started to grow on other pelvic organs – perhaps the outside of the uterus, or the ovaries or tubes.

Often severe pelvic pain sets in two to three days before a period starts. It will persist right throughout the menstrual flow and stops only when the period itself finishes.

Sometimes there are other infections M the pelvic organs, which may be short- , term or long-term. A similar picture results. These symptoms invariably require proper medical investigation. Medication 46 is usually required, and the results of this are often very valuable. But the correct therapy can be given only after the physician. or more likely the gynaecologist, has made a full and thorough pelvic examination and has pinpointed the diagnosis. The actual treatment will depend on the diagnosis made.

Another type of secondary dysmenorrhoea is commonly called the “pelvic congestion syndrome.” This is more common in women who have a heavy menstrual flow. The pain similarly comes on a few days before the actual flow (usually two to three days). Generally, as soon as the period commences and the blood can escape. The discomfort tends to wane. Sometimes the pain may persist until the end of the menstrual flow.

Often there is a tremendous psychological overlay to this type of problem. It is more common in women who are normally tense, anxious or uptight.

Sometimes it is related to general ill health, vague aches and pains, backaches and pelvic disorders in general. Wry frequently it is associated with the next condition to be discussed, premenstrual syndrome. Often the personality types are identical. The treatment is the same as it is for premenstrual syndrome.