Система Orphus

Symptoms of disease - pain before period

At times almost every woman is experiencing unpleasant feelings in front of menstruation. It can be painful sensations in the chest, depression, irritability, blackheads on the face. Contrary to popular belief, very few women - less than 10% suffer from very strongly marked pain before menstruation (the so-called premenstrual syndrome), because of which he could lose their jobs, to part with your loved ones.

The causes of pain before menstruation:
Whether the pain before menstruation consequence of a hormonal imbalance or they are caused by psychosocial reasons? There is very strong evidence that pain before menstruation associated with hormones, as well as during the week prior milf, changes the level of female hormones, estrogen and progesterone (the excess estrogen and the lack of progesterone in the second phase of the menstrual cycle), and at the time of menopause earlier monthly repeated symptoms disappear - the hormonal theory.

The theory of «water intoxication» explains the cause of pain before menstruation changes in the system of the renin-angiotensin-aldosterone and a high level of serotonin. Activation of the renin-angiotensin system increases the level of serotonin and melatonin. Delay sodium and fluid in the body by increasing the production of aldosterone may and estrogens.

Theory prostaglandin violations explains many different symptoms of premenstrual syndrome change in the balance of prostaglandin E1. Increased expression of a prostaglandin E, noted in schizophrenia in connection with the change of the processes of excitation of the brain.

The main role in the pathogenesis of pain before menstruation play a violation of the exchange of neuropeptides (serotonin, dopamine, opioids, norepinephrine, and etc.) in the Central nervous system and its associated peripheral neuroendocrine processes. In recent years a great attention is paid to the peptides intermediality of hypopituitarism, in particular melanoma stimulating hormone by the pituitary gland.

This hormone in the interaction with beta-endorphin can help to change the mood. Endorphins increase the level of hormone, vasopressin and inhibit the action of a prostaglandin E, in the intestine, as a result of which there are engorgement of the mammary glands, constipation and bloating.
The impetus for the emergence of pain before menstruation can become abortion, tubal ligation, failure, hormonal contraception, infectious diseases, pathologically occurring pregnancy and childbirth. All of these events, which happen in the life of almost every woman, can lead to one and the same "break" - the reduction of the level of natural progesterone produced by the ovaries during the second half of the menstrual cycle.

Some researchers studying a possible connection between the pain before menstruation and dysfunction of the thyroid gland, seasonal emotional disorder, violations of the circadian rhythm, which is treated dose irradiation bright light of the full spectrum of. But so far the cause of the pain before menstruation remains as mysterious, as in 1931, when the obstetrix-gynecologist of Robert Frank, a doctor of medicine, for the first time used the term «premenstrual syndrome» to describe the cyclical violations of the psychological state, which suffered his patient.



Which diseases there is pain before period

Premenstrual syndrome (PMS) - a set of pathological symptoms, emerging a few days before the milf and endangered in the first days of the milf. Premenstrual syndrome is primarily violations of the Central nervous system, vegetative-vascular and exchange-endocrine disorders.

The symptoms of premenstrual syndrome include irritability, depression, tearfulness, aggressiveness, headache, dizziness, nausea, vomiting, pain in the heart, tachycardia, the engorgement of the mammary glands, swelling, bloating, thirst, shortness of breath, increased body temperature. Neuro-psychic manifestations of premenstrual syndrome is reflected not only in the complaints, but also the inadequate behavior of the patients.

Depending on the prevalence or other symptoms allocate neuro-psychic, edema, cephalgic and crisis form of premenstrual syndrome.

1. In the clinical picture of nervous and mental form of premenstrual syndrome dominated by irritability or depression (young women often prevails depression, and in the transitional age is marked aggressiveness), as well as weakness, tearfulness.

2. Edematous form of premenstrual syndrome manifests itself expressed engorgement and painfulness of the mammary glands, swollen face, legs, fingers, abdominal distention. Many women with edematous form arise sweating, increased sensitivity to smells.

3. Cephalgic form of premenstrual syndrome is clinically manifested an intense throbbing pain radiating to the eyeball. The headache is accompanied by nausea, vomiting, blood pressure is not changed. One-third of patients with cephalgic form of premenstrual syndrome are depression, pain in the heart, sweating, numbness of hands.

4. Сrisis form of premenstrual syndrome inherent simpatico-adrenal crises. Crisis begins with the increase of blood pressure, there are a feeling of pressure behind the breastbone, the fear of death, heart. Usually crises arise in the evening or night, and can be triggered by stress, fatigue, infectious disease. Crises often end with abundant urine output.

Depending on the number, duration and intensity of symptoms emit light and heavy premenstrual syndrome. In light premenstrual syndrome there are 3-4 symptoms, significantly expressed 1-2 of them. Symptoms appear in 2-10 days prior to the milf. In severe premenstrual syndrome arise 5-12 symptoms for 3-14 days prior to the milf, and 2-5 of them pronounced.



Which doctor should I contact if there is a pain before period

  • Gynaecologist
  • Endocrinologist


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Do you feel hurts before period? You should be very careful approach to your health in general. People pay not enough attention to the symptoms of the disease and don't realize that these diseases can be critically dangerous. There are many diseases that in the beginning didn't manifest in our body, but in the end it turns out, unfortunately, it have already been treated too late. Every disease has its own specific features typical symptoms - called symptoms of the disease. Definition of symptoms is the first step in the diagnosis of diseases in general. You just need a few times a year to be screened by a doctor, not only to prevent a terrible disease, but also to maintain a healthy spirit in a body and the organism in general.

Pains by category

Pains by alphabet


Map of the symptoms and the types of pain is intended solely for educational purposes. We strongly recommend do NOT self-medicate; on all matters relating to the definition of the disease and ways of its treatment, contact your doctor. Md-tips is not responsible for the consequences of use information posted on the site.