DYSMENORRHEA (PAINFUL MENSTRUAL CRAMPS OR PERIODS)
PROBLEM
Painful menstrual cramps, or dysmenorrhea, can cause occasional diarrhea, nausea or vomiting, and headache with periods.
CAUSE
A substance called prostaglandin causes most painful menstrual cramps. This substance is made in the uterus and causes the uterus to contract. Most menstrual cramps are normal and are not a sign of anything wrong. However, menstrual cramps may cause you to feel badly enough that you are unable to go to school or work. If that is the case, your healthcare provider can suggest medication to decrease the painful periods.
TREATMENT PLAN/CARE
A.Your healthcare provider may suggest a medicine such as a prostaglandin inhibitor. This medication helps decrease or eliminate the most likely substance that is causing the cramping of your uterus. The medications most often suggested are ibuprofen (Motrin, Advil) and naproxen (Aleve). Generic options for either of these are acceptable:
1.These are available at your local drug store, grocery store, or convenience store.
2.Take any of these with a snack or meal to protect your stomach lining and prevent nausea.
3.If you usually have very painful menstrual cramps, begin your medication as soon as your period begins or even the day before your period.
B.If your cramps are not better using over-the-counter (OTC) medications, your healthcare provider may write a prescription for a stronger medicine.
C.Many women take birth control pills to relieve menstrual cramps. A prescription is necessary.
D.Some women find that exercise such as walking helps ease the cramps.
E.Another idea is a warm bath, shower, or a warm heating pad on your abdomen.
F.General health practices, such as regular exercise, yoga, routine sleep habits, and regular sexual activity, are beneficial.
Activity: Try to continue your usual activity. Try taking a walk, swimming, or doing yoga. Try a warm bath or shower.
Diet: Eat your normal diet. If you are nauseated, drink a clear carbonated soda (7UP or Sprite).
Medication:
You Have Been Prescribed: ___________________________________________________________
You Need to Take: ___________________________________________________________
You Need to Notify the Office If You Have:
A.Any questions concerning your condition.
B.Problems taking the medicine.
C.No relief when taking the medicine, and other measures do not help.
D.Any signs of infection, such as fever, chills, bad-smelling vaginal discharge, or burning sensation when you urinate.
Phone: ____________________________
PATIENT TEACHING GUIDE