For years women have been told to accept Dysmenorrhea or menstrual pain as a part of being women. It’s nothing but a MYTH. Dysmenorrhea can cause up to 24 to 30 days of work loss days in a year. 24 days in a month you lose all the productivity, fun and happiness just because you believe it is normal? Do not do that, Homeopathy has answer to this simple but troublesome health concern.1
So, if you are looking for pain relief from a severe form of dysmenorrhea or a nagging menstrual discomfort, choose homeopathy. A rightly chosen homeopathic remedy can completely remove the menstrual pain and let you live your dreams for those 5 days like rest of the month without hold you back.1
Dysmenorrhoea, or painful menstruation, is one of the most frequent gynecological complaints but also a most ignored one. Although dysmenorrhoea should not be regarded as a serious affection, its treatment is of great importance to the practicing physician in view of the interruption in the patient’s economic and social life, not to mention the important psychological effects.1
The usual method of classifying the different types of dysmenorrhea is to identify three groups1
Starts before the menses is the keynote indicator.
This takes the form of premenstrual pain situated either in the back or lower abdomen, occurring between three and five days and sometimes even longer before the onset of menstruation; it is always relieved by the menstrual flow. Inflammatory disease such as salpingo oophoritis, parametritis and pelvic adhesions almost always produce the symptoms of congestive dysmenorrhoea, probably because the ovaries are hyperaemic and covered by adhesions from the inflammatory lesions so that they become tense during the premenstrual phase of the menstrual cycle. Congestive dysmenorrhoea is a common symptom of certain myomas, of chocolate cysts of the ovaries of adenomyomas and acquired retroversion of the uterus. Not all patients, however, who suffer from congestive dysmenorrhoea have an organic basis to account for their pain. In others, the pain or discomfort is referred to one or other iliac fossa, usually the left, and it is accompanied by an alteration in bowel habit, usually constipation, with some flatulent distension of the upper colon. The basis here is a colon spasm and the descending colon can be palpated as a tender, obviously spastic segment.1
Cause & treatment
The real cause of the condition is a sympathetic imbalance, influenced by the cyclical changes in the adjacent genital tract. The treatment includes appropriate deep acting totality based remedies in homeopathy which will treat the cause and thus remove the tendency to dysmenorrhea. Another important factor is Exercise and a good healthy and low carb diet.1
The majority of cases of dysmenorrhoea fall into this group, and it is probable that nearly 50% of the adult female population suffer at sometime from varying degrees of this symptom, though less than 10% will seek medical advice. The patient’s history is very characteristic. The pain develops on the first day of the menstrual period, when excruciating lower abdominal pain is experienced which lasts for a relatively short time, perhaps for half an hour to an hour. This severe pain is intermittent and spasmodic, and may cause collapse, vomiting or nausea. The severe attack of pain is followed by a similar but less pronounced type of pain, felt in the lower abdomen and pubis, and often down the antero-medial area of the thighs. Such pain persists usually for not more than 12 hours.1
It is important to realize that there is much variation in the type of pain experienced by patients with spasmodic dysmenorrhoea. Sometimes considerable discomfort starts on the day before the menstrual flow and may persist after the actual severe pain has lessened for more than 12-24 hours. Similarly, premenstrual pain may be complained of, either in the back or lower abdomen, which leads up to the excruciating pain felt on the first day period. The severity of the pain varies greatly. Sometimes it is extremely severe, causing vomiting well- marked shock incapacitating the woman from her work.1
In Spasmodic dysmenorrhoea, the condition does not become established until two or three years after the menarche when ovulatory cycles are established though there may be a degree of discomfort associated with earlier periods. Suppression of ovulation by oestrogens can be used to produce a painless period. It is rare to encounter severe spasmodic dysmenorrhoea in women over the age of 35, and it is exceptional for the excruciating pain to persist after that age, although the less severe pain lasting during the first day of the period is usually seen until the woman approaches menopausal age.1
Spasmodic dysmenorrhoea usually subsides after pregnancy, and exceptions to this rule are infrequent.1
Some degree of menstrual irregularity is not uncommon with spasmodic dysmenorrhoea. Sometimes the onset of puberty is delayed, and the menstrual cycle is a little irregular. In spasmodic dysmenorrhoea the amount lost during each period is less than the average, and not infrequently patients give a history that the severe pain is relieved by the passage of a clot.1
- Muscular spasm: The pain is due to muscular spasm which is sufficiently intense to cause ischaemia.1Progesterone stimulates myometrial contraction of the smooth muscle of the cervix and causes narrowing of the cervical canal. Progesterone further stimulates the production of prostaglandin F2 alpha which in turn accentuates pain.1
- Psychogenic causes: Women having a low threshold for pain, and those predisposed to undue fears and anxiety are most susceptible to this disorder.1
- Nerve pathways: It has been suggested that muscle spasm of the uterus maybe a result of an imbalance of the autonomic nerve supply of the uterus. Surgical division of the pre-sacral nerve at Cotte’s operation interrupts the sensory pathway of pain and alleviates pain during menstruation.1
- Intrauterine contraceptive device may induce dysmenorrhoea due to uterine cramps by the foreign body, or by the increased secretion of prostaglandin. If the endometrium secrets excess of PGF2 alpha, uterine contractions initiated by this prostaglandin can produce spasmodic dysmenorrhoea.1
This depends upon the severity of the symptoms, incapacitation and of pelvic pathology. Therapeutic trial with drugs may be worthwhile before resorting to invasive investigatory procedures, especially in a young unmarried girl. Ultrasound may reveal mild organic pelvic lesion but may not reveal endometriosis. Hysterosalpingography, laparoscopy and hysteroscopic investigations are resorted to only when the therapeutic trial fails.1
This is an extreme form of spasmodic dysmenorrhoea. It is extremely rare, run in families and to recur after pregnancy. It is accompanied by the passage of membranes which may take the form of casts of the uterine cavity. Microscopically the casts have the structure of the endometrium during menstruation, except that the disintegrative processes are ill- defined.1
Management and Treatment of different types of dysmenorrhea
Explanation of menstrual process, sex education and reassurance to the patient are important aspects of management.
Role of homeopathy in dysmenorrhea
Homeopathy has a very good well-defined role in treating Dysmenorrhea.Homeopathic remedies can be used for pain relief during acute attack in initial phase and this has to be supported by deep acting remedies which will remove the tendency to dysmenorrhea and treat the basic cause of pain thus producing long lasting effects.
A rightly chosen remedy based on totality-based treatment is a right approach to removing the tendency and cause of dysmenorrhea. It might take few weeks to few months which depending on how long the patient had the condition and how severe was the condition. Medicines shall be taken in consultation with a homeopathic physician only.
At our clinic we use a totality-based approach and entire history is taken to find the correct homeopathic remedy so the female can be helped rightly and get rid of this nagging problem. The remedy not just helps relive dysmenorrheal but improves overall health status.
Auxiliary plan: Nourishing diet, correction of constipation, physical exercise and inculcating regular habits are necessary.
Homeopathic Medicines for Dysmenorrhoea
Too early and too profuse, of hot, bright-red blood, containing dark, offensive clots, or the blood thick, decomposed and of a dark-red color, the discharge feeling hot as it passes.The congestive forms of dysmenorrhoea would call for Belladonna. Pain relieved by sitting up straight more often the right one, with dragging and pressing downward pains and cutting. The pains come on suddenly and cease suddenly; the flow is offensive and clotted. The dysmenorrhoea is intensely painful.
Membranous dysmenorrhoea; menses too early, too profuse and attended with colic and nausea; flow preceded by stitching pains in pectoral region, lancinating pains in the groin during the flow; aphthae; nervous, Dysmenorrhoea with sterility.
Too soon and scanty, cease flowing when patient lies down, attended with terrible pain and prostration, causing her to cry aloud and weep, or copious and painless, of black, tarry blood.
Too soon and too scanty; neuralgic and congestive dysmenorrhoea with spasmodic, irregular and very severe pains, especially the first two days of menses .The dysmenorrhoea is essentially spasmodic in character; the pains are bearing down in character. It produces a continued spasm of the uterus simulating first stage of labor; the flow is mostly normal in quantity. It is a useful remedy in these spasmodic cases if given between the periods.
Rheumatic dysmenorrhea. Irregular; too soon and copious, dark and clotted or scanty. Pain flying across the pelvic region from one side to the other. It is especially useful in rheumatic and neuralgic cases, and in congestive cases. Headache preceding menses; during menses sharp pains across abdomen, has to double up, labor-like pains, and during menstrual interval debility and perhaps a scanty flow.
Too early and too profuse, with dark, coagulated, sometimes offensive blood; membranous dysmenorrhoea; suppressed menses. Before: frontal headache with icy-cold hands and feet, cutting colic in abdomen and thighs; irritable and snappish; during: profuse discharge of dark clotted blood, with severe laborlike pains in uterus;
A most useful remedy in dysmenorrhoea and scanty, irregular menstruation. Uterine cramps. Before: great weakness, crampy colic, flatulence, spasms in chest with groaning and sighing; constant sensation as if about to faint. During: menses lessen during abdominal pains and become copious with their abatement; paralytic weakness in back and lower limbs, so that she can hardly stand or walk: trembling over whole body. It suits cases on the borderland between the neuralgic and congestive types of dysmenorrhoea.
Menses too profuse and too long, only in the evening, with coldness and stiffness of the body; excessively painful and violent paroxysms of colic, with profuse bloody discharge, profuse secretion of mucus; aggr. from motion; very excitable and nervous.
Several days before menses sharp, darting, paroxysmal pains in uterine region, bending her double, amel by pressing on painful parts and by warmth, with extreme nausea and vomiting and cold feet; difficulty of breathing during flow; pain in left ovarian region as if the parts were squeezed in a vise-all ceasing on appearance of flow; on last day of menses pains return, aggr. By eating or drinking; flow rather increased; between menses yellow, thick, offensive leucorrhoea.
Delayed and painful, suppressed. Before: congestion to head and face; vomiting, with bearing-down pains in abdomen. During: neuralgic and congestive dysmenorrhoea, with sharp, labor-like pains in uterus alternating with other neuralgic pains; pains extending into and up the back; loss of voice only during menses; sensation as if uterus were squeezed by hand and forced downward; frequent emission of clear watery urine, with relief of head symptoms.
Menstrual colic, pains radiating from spine, during or preceding flow; vaginismus; ovarian neuralgia aggr. On right side, amel. By external application of heat; nervous headaches with sparks before eyes
Dysmenorrhoea calls for Pulsatilla when the menses are dark in color and delayed; the flow will be fitful and the more severe the pains are the more chilly the patient will get. The pains grip and double the patient up. It is perhaps more useful when given between the periods, and in congestive dysmenorrhoea. Further, if the pains shift about the indications of Pulsatilla are still stronger.
During menses: excessive uterine contractions, tearing and cutting colic, cold extremities, cold sweat, great weakness, small pulse; discharge comes in gushes and is always preceded by strong bearing-down pains; great prostration, pinched look, coldness, but cannot bear to be covered.
Premature and profuse, retarded and scanty or profuse; Sleeplessness from uterine irritation as from flexion or prolapsus; burning pain in neck of bladder with dysuria, aggr. At night; cutting pain in sacral region, in hypogastrium and groins, with too early and profuse flow; dysmenorrhoea from want of tone and vigor.
This remedy produces a sudden pain in the region of the uterus before menstruation and much backache during menses. In neuralgic and spasmodic dysmenorrhoea it has achieved a considerable reputation. Dr. Hale considers it specific in this form of painful menstruation. Its chief indications seem to be in the character of the pains, which are spasmodic.
This remedy has about only one use in homoeopathic medicine, and that is in dysmenorrhoea and uterine pains. During: neuralgic dysmenorrhoea in women of spare habit, nervous temperament and delicate organization; starting at every trifle, yawning and drowsy during the day; weak in lower limbs, wants to sit or lie all the time.
Too early and too profuse menses, especially at night and when walking, when lumps and clots pass off. Before: irascible and weeping; incessant fidgety feeling in lower limbs and feet, cannot keep them still; abdomen distended, oppression of stomach, with feeling of suffocation, has to loosen her dress; boring pain over left ovary, amel.
Diet recommendation for Dysmenorrhoea5
1. Drink more water
Chugging some water prevents body from retaining. Warm or hot liquids can help in cramps. Drinking water in the form of the hot chamomile tea is a best remedy.
2. Try some salmon if you are a non vegetarian
- Rich in fatty acids like omega- 3s which helps in reducing inflammation. This is good for general pain relief — including the pain of menstrual cramps.
- Healthy source of protein.
- Has Vitamin D which makes it possible for absorbing calcium.
- Has Vitamin B6 which helps with the breast tenderness and irritability.
3. Chow on some dark, leafy greens
Losing blood every month means losing iron — which can lead to feeling sluggish and lethargic. Dark, leafy greens like kale and spinach are powerhouses of vitamins and great sources of iron. Adding some steamed broccoli gives a beneficial nutritional punch.
4. Bananas, pineapples, and kiwi
Having banana smoothie with some chunks of fresh pineapple helps in bloating and cramping as banana contain vitamin B6 and potassium. Besides being delicious, pineapples contain bromelain — an enzyme that fights inflammation.
Adding kiwi to your fruit bowl helps in reducing cramps. Kiwis are rich in the enzyme actinidin, which helps in digesting protein easily and its fiber helps not having constipation.
5. Get more calcium into your diet
This helps in reducing cramps.
6. Adding some oats into breakfast or snack time
- Oats are delicious and nutritious.
- Full of fiber — which helps you feel full for longer after eating
- Good source of zinc and magnesium – which relaxes blood vessels and helps regulate serotonin (a chemical in your brain that helps fight off depression )
So add them as oatmeal, in cookie form, or in a healthy batch of homemade granola.
7. Eat a few eggs
Eggs contain vitamins B6, D, and E — which all work together to fight off the symptoms of PMS. They are good source of protein, which is an added nutritional bonus.
8. Grab some ginger
Ginger is good for gas and bloating. It is also a stomach soother when you’re feeling nauseous.
9. Calm cramps with chamomile tea
Chamomile tea is delicious, caffeine-free, and helps reduce muscle spasms. It can also calm you down.
10. Dark chocolate
Dark chocolate contains magnesium and fiber. Choose a chocolate that contains 85% or greater cocoa content for best results.
11. Peanut butter
Peanuts are source of magnesium which helps to regulate serotonin that prevents you from bloating as long as you stick to unsalted or low-salt varieties. This makes you feel better.
- Howkins &Bourne SHAW’S TEXTBOOK OF GYNAECOLOGY. 12thed. New Delhi: B.I. Churchill Livingstone; 1999. 407p.
- Boericke W. New Manual of Homœopathic Materia Medica and Repertory. 9th Reprinted Edition. New Delhi: B Jain Publishers (P) Ltd; 2005.
- Lilienthal, S. Homoeopathic therapeutics. Philadelphia: Boericke& Tafel; 1907
- Dewey WA.Practical homeopathic therapeutics.3rd ed.New Delhi: B. Jain Publishers(P) LTD.;2009.