October 16, 2019

Should I be tested if I'm having Severe Menstrual Cramps? What to know

Some women will have such severe pain with menstrual periods that is why it is wise to check to make sure there is no pelvic disease causing the probIem.

The primary disease that might cause severe cramps is Endometriosis.  

If a woman has severe menstrual pain, she should see a gynecologist for both a consultation  and an examination.

The doctor may find that  everything appears normal, and may suggest birth-control pills to control the bleeding and cramping.

If the physician thinks that something might be wrong, he or she might feel that it would be wise to do a diagnostic laparoscopy.

This can be done as an outpatient procedure and the woman can go home the same day as the surgery.

There is very little postoperative discomfort With the laparoscopy, the doctor can examine the female organs for signs of Endometriosis or other disease.

A hysteroscopy can be done, which can also  be done immediately after the laparoscopy while the woman is still asleep to make sure there is no abnormality of the uterine lining or inside the cavity of the uterus.

Hysteroscopy involves passing a pencil-size telescope through the vagina, through the cervix, and into the uterus to check the uterine cavity.

Most Experts usually recommend a D&C with these procedures so that a pathologist can examine tissue from inside the uterus to make sure no inflammation or infection is present.

The doctor may find endometriosis, pelvic adhesions, low-grade pelvic inflammatory disease, tumors, etc. 

Also, it is possible to do some therapy with the laparoscope.

There are two ligaments that come Up into the underside of the uterus called uterosacral ligaments

At laparoscopy, the doctor can use a laser to cut these ligaments. This does not affect a woman in any way except to decrease her cramps.

Cutting the ligaments only works in about 50 percent of the cases, but since it is a relatively safe procedure, it is worthwhile to try it.

Adhesions can be cut and endometriosis treated with Iaparoscope.

There is an operation called a presacral neurectomy that will occasionally stop menstrual pain. 

In the past a major incision and three or four-day hospitalization was necessary for this surgery, but new techniques have been developed that make it possible to do the surgery on an outpatient basis with laparoscopy.

If you have painful and truly disabling cramps, you may want to have a presacral neurectomy done either with an abdominal incision or with laparoscopy.

Of Course if you are older and do not want more children, you can legitimately have a hysterectomy.

Written by: Isikadi Precious RN.

Read also: 6 things you ought to do immediately after sex 
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Founder/CEO Isikadi Precious Media Inc. Africa's leading Media Tech company with digital media Superbrand focused on Health, Nursing Updates, News, Entertainment, and Inspiration.