HEAVY PERIODS (DYSMENORRHOEA)

Notes

• Dysmenorrhoea in young females - many young women suffer from having heavy periods - often this problem lessens with the start of use of hormonal contraception or pregnancy.
• Dysmenorrhoea can also occur in older women. Usually these painful periods are sirnply occurring Iin ovulating cycles. If there are any of the associated "danger signs" then seek a medical opinion.

Danger signs

• Dysmenorrhoea associated with:
  Irregular menstrual cycle.
  Discharge.
  Bleeding after intercourse.
• Endometriosis: may present with severe dysmenorrhoea. The ectopic endometrial tissue may result in pain in almost any area.
• Pelvic inflammatory disease: may present with dysmenorrhoea.
• Ectopic pregnancy: may present as a late painful period - if suspected progesterone only pill user, IUCD user - Contact GP urgently.

Notes for children

• Contraception: School age children are frequently sexually active. Presentation with dysmenorrhoea may mask a wish to discuss contraception or a wish for a pregnancy test. Contact GP or Family Planning Clinic.

General advice

• Assess impact on life.
• Look for associated problems.
• Consider non-hormonal therapy NSAIDs - or refer for hormonal therapy.

Therapy

• Non steroidal anti-inflammatory drugs.

Dictionary

Dysmenorrhoea: painful menstruation.
Ectopic pregnancy: pregnancy occurring elsewhere than in the cavity of the uterus.
Endometriosis: ectopic occurrence of endometrial tissue, frequently forming cyst containing altered blood.

More Information