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Algomenorrhea - etiology, symptoms, diagnosis and treatment

With the deterioration of health and pain in the lower abdomen during menstruation and a few days before its occurrence, many girls and women face.

Cyclic processes occurring in the body, can provoke sleep problems, nervousness and other unpleasant symptoms. What is algodysmenorrhea, how to cope with the problem and what is the reason for its occurrence, is described in this publication.

What it is?


Algomenorrhea is a painful course of menstruation, accompanied by a violation of general well-being. The main symptom in the form of spastic or aching pain in the lower abdomen is accompanied by general weakness, nausea, sweating, swelling and other manifestations.

Algomenorrhea can develop against the background of hormonal disruptions, diseases of the uterus and appendages, as a result of abortions and complicated births. The choice of treatment depends on the factors that provoked the appearance of the problem.


Etiology of algomenorrhea

The occurrence of algomenorrhea is associated with increased production of prostaglandins and their release into the uterine cavity. It happens in the premenstrual period and during menstruation. As a result, spastic contractions of the uterus begin due to an increase in its activity. At the same time, the nerve endings of the organ become more sensitive, and painful sensations appear.

In the etiology of algomenorrhea, the causes depend on its variety, which may be primary or secondary. In the first case, there are four groups of factors:

  1. Endocrine, when pain is directly related to impaired prostaglandin production.
  2. Mechanical, in which the outflow of blood from the uterus is difficult due to abnormal position or abnormal organ development.
  3. Constitutional due to hypoplasia of the uterus or insufficient development of its muscular elements.
  4. Neuropsychogenic, when the threshold sensitivity of the nervous system is reduced.

The cause of secondary algodysmenorrhea are hormonal problems or gynecological diseases:

  • Uterine fibroids;
  • inflammatory diseases;
  • Endometriosis;
  • Malformations of the internal genital organs.

Less commonly, this type of dysmenorrhea is caused by the presence of an intrauterine device, after removal of which the problem of painful menstruation disappears. Algodysmenorrhea often affects women exposed to frequent stress or high physical exertion.

Primary Algomenorrhea

Primary Algomenorrhea Pain and other symptoms of primary algomenorrhea are not caused by pathologies of the genital or other organs. Doctors associate it with a violation of the neurohumoral regulation, the mental state of the woman.

For example, the psychogenic type of dysmenorrhea is often found among adolescent girls with a sensitive or hysteroid type of personality. Algodysmenorea primary type is caused by a feeling of anxiety and fear, appearing shortly before the onset of menstruation.

Symptoms of Algomenorrhea

Symptoms of Algomenorrhea

The main symptom of algomenorrhea is pain that occurs in the lower abdomen. It can spread to the groin and sacrum, accompanied by aching pain in the lower back.

With dysmenorrhea, not related to gynecological or other pathologies, pain syndrome occurs 1-2 days before the onset of menstruation and continues for the first two days of bleeding. The intensity of the pain may vary from mild to severe and back.

Other symptoms of algomenorrhea of ​​both its varieties are:

  • general weakness and decreased performance;
  • anxiety, mood swings;
  • dizziness;
  • diarrhea or constipation;
  • headaches, sometimes resembling a migraine;
  • dorsalgia (back pain);
  • swelling of the face and limbs;
  • excessive sweating.

In gynecological diseases, the symptoms of algodimenorrhea may become more pronounced over time as the underlying disease progresses.


In the diagnosis of algomenorrhea, it is important to identify or eliminate the pathology that could provoke the pain of menstruation. To do this, use the following diagnostic methods:

  • General and gynecological examinations - outwardly, a woman can look exhausted, pale, irritable and tired. With secondary dysmenorrhea, palpation on the chair reveals an increase in the uterus, infiltrates, and inflamed areas; with primary, there are no such changes.
  • Laboratory tests of blood and urine in the case of secondary algomenorrhea show increased white blood cells, changes in the level of hormones or other indicators characteristic of infectious-inflammatory or other pathologies.
  • Ultrasound can detect pathological changes in the internal genital organs, for example, the presence of a tumor, cysts, myomas, inflammation of the appendages.
  • MRI detects tumors, with primary dysmenorrhea, this method is not informative.
  • Diagnostic laparoscopy is rarely performed and is indicated when the treatment has failed.
  • Hysteroscopy is performed in case of suspected adhesions in the uterus.
  • Encephalography is prescribed if during the month there are severe headaches and allows you to identify diseases of the central nervous system.

Treatment of Algomenorrhea

Treatment of Algomenorrhea

With algomenorrhea treatment depends on the root cause of the problem. If it is endometriosis, inflammation of the ovaries, or other pathologies, then the attending physician selects the appropriate drugs and medical procedures - antibiotics, anti-aspirating agents, vitamins, necessary physiotherapeutic methods.

After elimination of the underlying disease, the symptoms of dysmenorrhea, as a rule, disappear.

In the treatment of painful menstruation, nonsteroidal anti-inflammatory drugs are used, the action of which is aimed not only at relieving inflammation, but also at suppressing the production of prostaglandins, and hence at overcoming painful sensations.

They begin to take for 3-4 days before the onset of menstruation and end 2-3 days later. Examples of remedies are Ibuprofen, Diclofenac, Piroxicam, Naproxen.

For the relief of pain, effective and means, which combine an antispasmodic and analgesic - Trigan, Spazmalgon, Baralgin.

In the medical treatment of algomenorrhea also used:

  • oral contraceptives (Ovidon, Marvelon, etc.) with the ineffectiveness of NSAIDs and analgesics;
  • progestin (progesterone, testosterone derivatives);
  • sedatives;
  • vitamins;
  • antioxidants;
  • tranquilizers are indicated for psychogenic algomenorrhea.

In the case of severe pain syndrome, pain relievers are administered intramuscularly or intravenously, complementing the treatment with antihistamines and sedatives.

Non-drug methods:

  • electrophoresis with novocaine, magnesium sulfate, trimecain;
  • phonophoresis;
  • breathing exercises;
  • acupuncture;
  • shortwave diathermy;
  • ultrasound;
  • massage, manual therapy;
  • diadynamic currents.

A tangible contribution to the struggle with painful periods is made by healthy eating, normalization of work and rest, elimination of stressful situations, moderate exercise, giving up bad habits, including coffee and smoking addiction.

Code algomenorrhea ICD10

In the international classification of diseases, each disease is assigned a number. Algomenorrhea in ICD10 has three codes:

  • 94.4 - primary;
  • 94.5 - secondary;
  • 94.6 - unspecified.

Long-term regular pain and feeling unwell before and during menstruation is a reason to be examined by a gynecologist.

Timely diagnosis and treatment will not only alleviate the condition on critical days, but also allow curing an existing and possibly serious illness.


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