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[quote][i]PAINFUL PERIODS[/i]-Medical jargon refers to as dysmennorhea. Usually pain starts at the beginning of menstruation or few days before and often settles when bleeding ceases. Causes are numerous and include: Endometriosis([i]will try to explain this condition in more deatail at afuture date)[/i], adenomyosis [i](another form of endometriosis) [/i] pelvic inflammatory disease, retrograde mensturation ([i]where some of the menstural blood flows back through the fallopian tubes into the abdomen[/i]) and in many cases the cause is not clear. Treatment depends on individual patient and her personal circumstances, however I will briefly outline the possible options:- If pain is tolerable then no treatment is necessary. Intolerable pain initially simple analgesics, next step hormonal treatment such as progestogens only or in combination with oestrogen as a combined pill, more potent agents such as Danazol and GnHRh analogues are not recommende for more than a brief period and should only be undertaken under strict specialist supervision-as have serious side effects. If medical treatment fails then if symptoms are intolerable then may have to consider surgical option of hysterectomy-ENDOMETRIAL ABLATION(mentioned for heavy periods)IS NOT RECOMMENDED IF PERIODS ARE PAINFUL. N.B. I forgot mention in the earlier article that Heavy Periods can also be self induced by treatment such as NON-HORMONAL CONTRACEPTIVE DEVICE and often the removal of this device corrects the problem, although do not forget to use an alternative contraceptive. salaam[/quote]
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