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Tuesday, 19 November 2013

Menstrual Disorders -Dysmenorrhea - Treatments in Conventional Medicine Perspective

Dysmenorrhea (painful menstruation) is defined as a condition of severe uterine pain during menstruation. Some women may experience periodic pains during or prior to, or after menstrual periods in the lower abdomen as resulting of over production of certain hormones in the prostaglandins family. In traditional Chinese medicine, dysmenorrhea is defined as a pain in the lower abdomen, appearing with menstrual cycle that can spread over to the whole abdomen and lumbosacral region, depending to diagnosis.

Treatments A. In conventional medicine
A.1. NSAIDs non steroid anti inflammation
1. In a study of Nonsteroidal anti-inflammatory drugs for dysmenorrhoea. Marjoribanks J, Proctor M, Farquhar C, Derks RS., researchers found that NSAIDs are an effective treatment for dysmenorrhoea, though women using them need to be aware of the significant risk of adverse effects. There is insufficient evidence to determine which (if any) individual NSAID is the safest and most effective for the treatment of dysmenorrhoea.
2. Risks and side effects
a. Stomach bleeding
b. Heart failure
c. Toxicity to the kidneys, ears, and stomach
d. Heart diseases
e. Some researchers advised that Taking more than one NSAID is risky.
f. Etc.

A.2. Birth control pill
1. Contraceptive pill
a. Low-dose combination birth control pills which contains low-dose synthetic forms of the hormones estrogen and progesterone may be use to treat amenorrhea by controlling the menstrual cycle or bring the period back.
b. Risks and side effects
b.1. Growth of fibrosis Growth of fibroid is caused high level of estrogen and progesterone. The intake of the pill increase the level of both hormones resulting in increase the risk of growth of fibroid.
b.2. Recurrent of menstrual symptoms Some women stop taking the pill may see all the menstrual symptoms coming back.
b3. Blood clots Estrogen in the pill may cause blood clots in the small vessels in the leg and the lung.
b.4. Stroke and heart diseases Study shows that women who have higher natural estrogen levels may have a higher risk of stroke and heart diseases.
b.5. Depression and mood swing At the beginning, it may cause abnormal fluctuations in estrogen and progesterone elevate both physical and psychological stress, eventually resulting in both depression and mood swing
b.6. Bleeding and spotting Bleeding and spotting is normal for the first six months for women who begin with any oral contraceptive combination pill treatment.
b.7. Lost interest in sex Some women may experience lower sexual desire
b.8. Nutritional deficiency Oral contraceptive pill causes vitamin and mineral imbalances or deficiencies.
b.9. Etc.

2. Progestogen-only contraceptive (Implanon)
a. According to the article of Impannon posted in chemeuro.com, the author stated that The 4 cm by 2 mm Implanon rod contains 68 milligrams of the gonane progestin etonogestrel which is released over a three year period..... Ovulation was not observed in studies of Implanon in the first two years of use and only rarely in the third year with no pregnancies. Study showed that imphanon decrease the symptoms of dysmenorrhea from 59% to 21% after treatment.
b. Risks and Side effects
b.1. Irregular periods,
b.2. Headaches,
b.3. Acne,
b.4. Weight gain
b.5. Excessive menstrual bleeding. Some women may have
b.6. No menstrual period
b.7. Broken or damaged implant
b.8. Slight migration of the implant
b.9. Fibrosis.
b. 10. Etc.

3. Contraceptive coil (Mirena)
a. It is a soft, flexible T-shaped (birth control) device placed inside the uterus by your doctor within 7 days after the start of your period with medication Mirena continuous release over a period of 5 years to prevent pregnancy and reduce symptoms of dysmenorrhea.
b. Risks and side effects
b.1.Spotting between periods
b.2. Complete absence of menstrual flow
b.3. Decreased bleeding during periods
b.4. Prolonged bleeding during periods
b.5. Breast pain and tenderness
b.6. Etc.

4. Etc. 
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