Also known as Menstrual cramps, Pain in legs and back with menstruation, Dysmenorrhea, Menorrhalgia, and Painful Period
Dysmenorrhea (dysmenorrhoea or painful periods) is a medical condition of pain during menstruation that interferes with daily activities, as defined by ACOG and others. Still, dysmenorrhea is often defined simply as menstrual pain, or at least menstrual pain that is excessive. This article uses the dysmenorrhea definition of menstrual pain that interferes with daily activities, and uses the term menstrual pain as any pain during menstruation whether it is normal or abnormal.Source: Wikipedia
The most common causes of painful menstruation are idiopathic painful menstruation, idiopathic excessive menstruation, and ovarian cyst. Other possible causes, such as vaginal cyst, are more rare.
Within all the people who go to their doctor with painful menstruation, 70% report having heavy menstrual flow, 42% report having unpredictable menstruation, and 36% report having long menstrual periods.
Patients with painful menstruation often receive pelvis exam, urinalysis, complete blood count, examination of breast, standard pregnancy test, ultrasonography, pap smear and chlamydia test .
The most commonly prescribed drugs for patients with painful menstruation include ortho cyclen, portia, modicon, mefenamic acid, drospirenone / ethinyl estradiol, human papillomavirus vaccine (hpv), propofol, benzoyl peroxide topical, desogestrel / ethinyl estradiol, ethinyl estradiol / norgestrel, ethinyl estradiol / norelgestromin, sevoflurane and nitrous oxide .
Groups of people at highest risk for painful menstruation include age 30-44 years, sex == female and age 15-29 years. On the other hand, sex == male, age 60-74 years, age 1-4 years, and age < 1 years almost never get painful menstruation.