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Pain During Menstruation: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Menstrual cramps are actually painful sensations that affect a woman before and during the period of menstruation. Menstrual pain is also known as period pain or dysmenorrheal, which ranges from severe and extreme to dull and annoying. Usually, menstrual cramps begin after ovulation, which is the eggs being released from the ovaries and travelling down the fallopian tube. Pain generally occurs in the lower abdomen or lower back. It begins a day or two before menstruation and lasts for about 2 to 4 days.

Over-the-counter medication is known to treat several cases of menstrual cramps. Anti-prostaglandins reduce the cramps in uterus, lighten blood flow, and relieve discomfort. These medications consist of pain killers, such as naproxen or ibuprofen. These are a type of nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs can be used alone for the treatment of menstrual cramps. In case, a woman is strong and healthy, a physician may prescribe certain hormonal birth control medicines to prevent ovulation and reduce the extremity of menstrual cramps. These work by thinning the uterus lining, the area where the prostaglandins form. As a result, this decreases the pain and cramps. Birth control pills can be taken continuously in some cases, without the 4 to 7-day break every month which is normally adhered to. In this case, there might not be any bleeding at all. In some cases the cramping is due to an underlying medical condition. Such cases may require immediate surgical treatment.

How is the treatment done?

Some of the menstrual cramps such as endometriosis, fibroids, ovarian cysts, or polyps can be treated via surgery. D & C is procedure known to remove uterine polyps. Laparoscopy is used for the treatment of pelvic endometriosis or ovarian cysts. Endometrial ablation is a procedure used to destroy the lining of the uterus. There is another surgical process known as hysterectomy which completely removes the uterus.

There are three options of surgery for the treatment of endometriosis. These are conservative surgery, radical surgery and complex surgery. The point of a conservative surgery is to remove or destroy the properties of endometriosis and it is usually done through a laparoscopy (keyhole surgery). In this surgery, the surgeon can either destroy the endometriosis using laser or heat, or cut it out (excision). Although surgery provides relief from the pain, it can even reoccur in time. A radical surgery is considered only when a woman has not responded to a conservative surgery, drug treatments, or is not planning to start a family. Radical surgery points toward a hysterectomy. Hysterectomy is performed under general anaesthetic and is associated with removal of the womb. Lastly, a complex surgery includes endometriosis, depending upon the severity of the patient’s condition. This surgery requires an experienced team of colorectal surgeons, and is usually performed via laparoscopy.

Who is eligible for the treatment? (When is the treatment done?)

A woman who is not thinking of starting a family in mere future is eligible for the surgical treatment of removing the uterus. Moreover, a woman who has not yet been able to respond to medications fulfills the eligibility criteria.

Who is not eligible for the treatment?

A woman who is expecting to start a family in future is precluded from receiving the treatment. Underlying medical conditions which are still not treated, make a woman an ineligible candidate. Patients with anemia and thalassemia cannot undergo the treatment.

Are there any side effects?

Common side effects of the medications involved in menstrual pain relief include, a growth in the thickness of lung secretions, stomach cramps and drowsiness. There have been seen a lot of rare side effects also. These are acute liver failure, decreased blood platelets, decreased white blood cells, acute pustular eruption on the body, blood disorder, blurred vision, vocal cord swelling, hepatitis caused by drugs, dizziness, nervousness, confusion and many more.

What are the post-treatment guidelines?

Patients need to follow up on a routine consultation with their gynecologist, in case of pelvic pain. Exceptions include some infectious entities such as endometriosis or abscesses. If the patients do not undergo a regular medical care, a primary doctor appointment is also suitable. A vegetarian diet with low fat is advised by the doctor after surgery. This diet comprises of food items induced with vitamin E, pyridoxine and magnesium. In addition, acupressure, acupuncture, agonists, beta-adrenergic, antileukotrienes and isometric exercise have been advised for therapeutic use in this particular setting. Continuous topical application of low-level heat has been proven beneficial for most patients.

How long does it take to recover?

It takes 4 days to recover from the medicinal dosages. In case a woman has undergone surgery, it will take her 2 to 3 days to be released from the hospital and about 6 to 8 weeks for full recovery.

What is the price of the treatment in India?

Surgical treatment ranges between Rs. 80,000 to Rs. 90,000. On the other hand, cost of medications is not that high. It ranges between Rs. 200 to Rs. 5,000. Over-the-counter medications are prescribed by doctors in case the condition has not worsened.

Are the results of the treatment permanent?

The results of treating menstrual pain can never be permanent as it will occur simultaneously every month. It can only be prevented or reduced. Herb and vitamin intake may help in this case. A proper diet may also prevent menstrual cramps to a great extent. In case the uterus is permanently removed under a surgery, only then is the treatment of menstrual pains permanent.

What are the alternatives to the treatment?

There are various home remedial measures to treat menstrual cramps. For instance, soaking in a hot bath provides a great deal of relief and relaxes you immensely. Applying heat to the lower abdomen with a hot water bottle is another alternative treatment method. Transcutaneous electric nerve stimulation (TENS) is a recommended remedy to treat menstrual pains.

Safety: High Effectiveness: Medium Timeliness: High Relative Risk: Low Side Effects: Low Time For Recovery: Low Price Range: Rs 200 - Rs 90,000

Popular Health Tips

Menstruation And Problems Associated!

MD - Bio-Chemistry, MF Homeo (London), DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Kolkata
Menstruation And Problems Associated!
Menstruation Related Diseases
1. Menses remit a day or two then return - ferrum m. 
2. Menses late for several months - kali carb. 
3. Menses ceases on laying - cactus. 
4. Menses cease suddenly - cocc ind. 
5. Menses ceases after walking - lilium tel.
6. Menses scanty lasting only one our - euphrasia, psorinum. 
7. Menses profuse in young women - kali b
8. Menses early profuse like muddy water - nit ac.
9. Menses bright red if early and dark if late - calc phos. 
10. Menses offensive like semen - stramonium, sulph. 
11. Menses very dark stain difficult to wash off - med. 
12. Menses with joint pains - sabina 
13. Menses with neuralgic pain in the body - kalm. 
14. Menses suppressed with asthma - pulsatilla, spongia. 
15. Menses with rectal symptoms - erig. 
16. Menstrual bleeding from hard stool - ambr, lycopodium.
17. Menses ceases while sitting - kreos. 
18. Menses only when urinating - m aust 
19. Menstrual flow aggravated from lifting - kreos. 
20. Menses suppressed with jaundice - chion. 
21. Menses suppressed from weakness - nux m. 
22. Menses suppressed from fever - cimic. 
23. Menses suppressed from warm bathing - aeth. 
24. Menses suppressed from grief - ign, nat m. 
25. Menses suppressed during diabetes - uran n. 
26. Menses suppressed by putting hands in cold water - conium, lac d. 
27. Menses suppressed by drinking milk - lac d. 
28. Menses from fright - opium. 
29. Menses bring toothache - ant cr. 
30. Menses only lying down - mag c, kreos. 
31. Menses lingering - sabina 
32. Menses scanty - graph. 
33. Headache during menses - nat m 
34. Spasms during menses - caulo, cimis, mag phos. 
35. All ailments disappeared during menses - lach, zinc. 

Popular Questions & Answers

Why there is pain after and before menstruation? Is there any way to overcome that?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
First of all you should follow some basic thing 1.avoid=hot and cold at time 2.less the sugar as much as possible if you want to eat sweet take juggery which is black not drink water after meal drink at the time of meal sip by sip up to 150 ml 4.avoid late night sleep 5.chandraprabha vati 1 tab before lunch and dinner 6.dashamularishta 4 tsp before lunch and dinner.

I have a problem of irregular menstruation. In a year I get only 3/4 times menstruation but I don't feel any pain during menstruation time. How can I get my menstruation regular? Can you suggest me?

Advanced Aesthetics
Ayurveda, Gulbarga
1. m2tone syrup 5ml 2times after food 2. ashokarista 3spoon 3times a day its helpfull to regulate ur periods take for minimum 3monthd...
2 people found this helpful

The cyst which I have is 3 mm I think so and it causes pain during my menstruation.

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
take sepia 200 one dose puls 30 one dos per dy for wk kali br 12c one dos a day for 10 days aur mur na. 12c sam abov apis 12c sam abov conium 3c 3tims aday for 5 days diet for u cruciferous vegetables, such as broccoli, cauliflower, and Brussels sprouts • greens, including red leaf lettuce and arugula • green and red peppers • beans and lentils • almonds • berries • sweet potatoes • winter squash • pumpkin inform me progres

Hi, My last menstruation was on 17th of April which lasted 5 days but as at today 28th May which makes 42 days of last menstruation there isn't any sign of menstruation and am feeling fine. The only issue is that something seems to stuck in my throat occasionally. Please help.

MD - Homeopathy, BHMS
Homeopath, Pune
If it is happening for the first time you need not worry especially if there has been some kind of stress like pain/lack of sleep/ irregular diet/ emotional turmoil. Correct all these and wait for a few days. If it happens repeatedly consult in private for investigation and medication.
1 person found this helpful

What is the homeopathic treatment to remove the stomach pain during menstruation?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
You can take homoeo medicine Magnesia phos 200 daily one dose commencing from 3 days before expected date of menses.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Heavy Bleeding At Menstruation

I am Dr. Dimpy Irani. I am a gynecologist practicing in South Bombay. I am affiliated with all the major hospitals- Saifee Hospital, Breach Candy Hospital and Wockhardt Hospital. I have done my basic obstetrics and gynaecology course from KM h hospital after which I did my robotic registration from France and also did gynae aesthetic course through London, UK. I would like to talk about the recent advances in obstetrics and gynaecology. With the invention of drug delivery system, new endoscopic types of equipment, the introduction of robotics worldwide and many scientific innovations have changed obstetrics and gynae practice. Today we talk about major symptoms which Gynae patient comes about is Menorrhagia. Once upon a time it was all surgical intervention but now we have drug modulators for even fibroids. We have short surgical procedures like an introduction of IUD loops, TCRE which is like a day procedure and even if a patient requires surgical interventions we also have endoscopic surgeries. But now endoscopic surgery has moved on to robotics. Worldwide all major hospitals do robotic surgery.

I have been trained for the robotic surgery. We have a big robotic instrumentation at Saifee hospital where I do all my robotic surgeries. The big advantage of robotic surgery is- much decrease in the pain level of the patient, post-op the patient is totally pain-free ready to get discharged, very fewer complications, easy surgery, easy accessibility, 3D vision. So robotic surgery is here to stay. We also talk about current advancement which has come into gynaecology. We also have laparoscopic instruments. We have cancellations. We have new instruments like resection of the endometrium which was like not there before. Today we have the wide area of patients who come from adolescence to menopausal. All have their own problems. Adoloscents have their own issues cosmetic issues and polycystic ovaries and menopausal women, they are looking at their own benefits and avoiding any postmenopausal complication like osteoporosis and genitourinary problems.

We also have new machines for genitourinary complaints. So it is better to talk to your doctor rather than suffer with pain of menopausal and genitourinary complaints like urge incontinence when you are cannot control your urine. Let's move on to the Obstetric practice. Once upon a time when the patient was pregnant she was all into pregnancy, she would eat, she would forget about the cosmetic part and post-delivery she would realise that her body has taken a big toll. Right now No! Right now woman wants everything. Anti natally she wants to exercise, she wants to keep her cosmetics, skin, hair, dental everything in control. So we do have a full package where will look into the patient cosmetic physical health and also after delivery we also have a mummy makeup program. Today the major chunk of our consultations comes from infertile patients. Because of the pollution, stress, complications to late marriages, with women being educated and want to pursue their own career.

We have many options where we need to talk to your doctor- we have ovarian preservation, egg preservation, IVF where we look into older women we tell them not to waste time and go into an earlier treatment for infertility. So it is for patients to come to the doctor and talk with them and take early intervention and early treatment whether it is gynaecology, obstetrics or infertility treatment. And today we don't even treat patient by looking at the medical problems but we also take in total- what cosmetics they want? what are the issues they have? So it's a complete holistic approach which we today believe in obstetrics and gynaecology which would help wide area of patients from adolescents to young adolescents to women to menopausal women. All my wide area of patients from adolescence to menopause to young women, if you would like to consult me for all these problems, I am available at my private clinic and also available at Saifee Hospital and Wockhardt hospital and I am an honorary consultant in Breach Candy Hospital. All these appointments you can take through . I hope I can solve all your problems and look forward to a healthy life.
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Menstruation Related Problem
Menstrual cycles often bring about a variety of uncomfortable symptoms leading up to your period. Menstruation that is too heavy or too light, or the complete absence of a cycle, may suggest that there are other issues that are contributing to an abnormal menstrual cycle.
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