Dysmenorrhea Decoded: Understanding and Supporting Painful Periods

What is Dysmenorrhea?

Dysmenorrhea is the medical term for painful menstruation and is the most common gynecological condition amongst women of the reproductive age. It is estimated to affect between 50-90% those who menstruate, with many experiencing pain for one to two days each month. Symptoms can range from mild discomfort to severe cramping that significantly impacts daily activities, work, school, and overall quality of life. 

Types of Dysmenorrhea 

Dysmenorrhea can be broken down into two types: primary and secondary.

Primary dysmenorrhea (PD) is defined as having spasmodic pain that originates from the uterus in absence of underlying pelvic pathology, whereas secondary dysmenorrhea (SD) is painful menstruation as a result of an underlying pathology such as endometriosis, infection or pelvic anatomic abnormalities. 

Symptoms 

The main symptom of dysmenorrhea is cramping pain originating from the uterus or the low abdomen beginning 1-2 days prior and/or during menstruation. Other associated symptoms include pain that radiates to the thighs and low back, vomiting, diarrhea, dizziness, nausea and fatigue. 

Treatment 

First line therapies emphasize the use of non-steroidal anti-inflammatory drugs (NSAIDS) and hormonal contraceptives. These therapies are effective; however, they are not well suited for every case and can pose health risks and adverse effects. 

Naturopathic Medicine provides a wide array of evidence-based modalities for pain relief that are non-invasive. Adding a Naturopathic Doctor to your healthcare team to help support your cycle and reduce menstrual pain holistically can improve health outcomes. Some efficacious naturopathic therapies include but are not limited to herbs, heat therapy/hydrotherapy, acupuncture and acupressure, clinical nutrition, mindfulness and relaxation techniques, exercise and tailored supplementation. 

It is important to note that treatment strategies are not a one size fits all – those with dysmenorrhea deserve a unique treatment plan that reflects their individual needs and health goals. A collaboration between alternative and conventional care provides a blend of treatment strategies that can be immensely beneficial for those with dysmenorrhea.

Despite the high prevalence and commonality of dysmenorrhea, it is often disregarded by health professionals, researchers, and women themselves, as it is often accepted as a normal aspect of a menstrual cycle.

If you are experiencing painful periods and would like to learn more and receive the support you deserve, book a complimentary 15-minute meet-and-greet with our Naturopathic Doctor, Domenique.

Written by: dr. domenique barbaro, ND

Disclaimer

The advice provided in this article is for information purposes only. It is meant to augment and not replace consultation with a licensed healthcare provider. Consultation with a naturopathic doctor or other primary care provider is recommended for anyone suffering from a health problem.

Crystal Draper