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Having Menstrual Pain. Taken meftal spas, but no relief. How to avoid this?

Mar 2016
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Practicing since : 2011
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My Wife is complaining of severe abdominal pain(Menstrual Pain). it is her second day of period and the pain started early morning today. she normally takes meftal spas but this time it has not helped.
she is 27 years and has a 4.5 year young kid
Posted Sat, 8 Jun 2013 in Women's Health
Answered by Dr. S Patra 53 minutes later

Thanks for writing to us.

Your wife is suffering from dysmenorrhoea (painful menstrual period) in medical term. It is a quite common gynecological condition among women. These are two types. 1) Primary or spasmodic type: without any organic disease and 2) Secondary or congestive type: with some underlying pelvic pathology like endometriosis, adenomyosis, pelvic inflammatory disease (PID), uterine fibroid, using IUCD (like Copper-T) etc.

Here, you need to undergo one pelvic ultrasound scan to rule out underlying organic disease if any or point out secondary dysmenorrhoea. Other relevant investigations may be required according to primary report. You can consult with your gynecologist for proper guidance or pelvic examination to get effective management regarding this.

According to her clinical presentation, it is mostly suggestive of Primary or spasmodic type Dysmenorrhoea. The severity of pain lasts for few hours to 24 hrs maximum. General guidelines are as follows:

1) Improvement of general health & simple psychotherapy with explanation the fact & assurance.

2) Bowel should be kept empty. Drink plenty of fluid/ water/ juice. Take healthy diet with more vegetables in small amount at least 6 times.

3) Total avoidance of tea/ coffee/ fast food/ salt from the second half of the cycle till period is over.

4) Try to avoid mental stress/ upset by meditation or yoga. Light exercise is also useful in this condition. Maintain genital hygiene properly.

5) Take anti-spasmodic group of drug like mefenamic acid (like Meftal Spas/ Ponstan) 250 mg thrice daily or drotaverine group (like Drotin DS) till pain subsides. Alternate hot & cold compression around back region is also useful.

6) If above medication does not help to alleviate pain, she can take combined oral contraceptive pill (OCP) cyclically from Day1 of her cycle after consultation with her doctor if she does not want pregnancy. It is more effective.

Hope, this information is quite helpful to you. If you have any further questions I will be happy to help.

For any future query, you can directly ask me by viewing this page WWW.WWWW.WW
Wish her good health. All the best.

Dr Soumen
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