Dr. Nilanchali Singh, Dr. Swati Rai



he first essence of adolescence in a female is the onset of menarche. But as the plight of women is it is associated with number of problems and the most common among them is dysmenorrhoea. Primary dysmenorrhoea is by far the most common gynaecological problem in menstrua ng women. Being a very common disorder that we come across in our day to day prac ce but s ll it is under-diagnosed and under-treated.

Dysmenorrhea is defined as cyclical lower abdominal / pelvic pain during menstrua on which radiates to the back or the thigh. Dysmenorrhea is derived from greek words "dys" meaning difficult, "meno" meaning flow. It is of two types primary and secondary. Primary being the most common and ill understood is defined as cramping pain in the lower abdomen that occurs at the onset of menstrua on in the absence of any iden fiable disease. The most well accepted theory is that of increased level of prostaglandin (PG) F2α that causes intense uterine contractions, reduced uterine blood flow, and increased peripheral nerve hypersensi vity resulng in severe pain. There is a wide spectrum of clinical presenta on comprising of colicky supra pubic pain, lumbosacral backache radiating to anterior thigh, nausea, vomting, diarrhoea and rarely syncopal attack etc.

Being a very common disorder that we come across in our day to day practice but still it is under-diagnosed and under-treated. Thus we need to keep this gynaecological problem in mind while dealing with young pa ents so that it gets diagnosed and treated in every case that we come across.

Keywords: Prostaglandin; Transvaginal sonography; Menstruation; Cervical obstruction

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