WOMENS-HEALTH Messages for August, 1997: Re: Menstral pain and Severe Cramping

Re: Menstral pain and Severe Cramping

From: Kelly (anonymous@obgyn.net)
Thu, 28 Aug 1997 20:40:10 -0500 (CDT)

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In reply to: K.: "Menstral pain and Severe Cramping"

At Wed, 27 Aug 1997, K. wrote: >
>I am a 17 year old teenager. I started my period when I was 10 years
>old and I have always had severe cramping. However, in the past 2 years
>I have experienced cramping like never before. I will be sitting in my
>desk at school and all of a sudden I will become so hot that I will
>actually start sweating. This sweating then leads to severe cramping to
>the point of which I am actually shaking. This will make me physically
>sick and week. I have also experienced all of these symptoms along with
>shortness of breath. I have heard a lot about endometriosis and I was
>wondering if you as a medical professional, thought that I may indeed
>have this? In the past year my periods have also gotten a lot heavier
>than they used to be. This pain really gets me down during that time of
>the month and I really need some advice. Will you please let me know
>what you think?

Endometriosis is certainly a possibility. Another is something we call "primary dysmenorrhea" which means you have painful periods from the beginning. Both of these conditions can be treated with birth control pills. Using Motrin-like medications from the first hint your period is about to start all the way until the end can also be very helpful.

You should see a gynecologist and have an exam. If your pain is extremely severe or if it doesn't respond to the pill and motrin, you may need to have a laparoscopy (the doctor inserts a telescope-like instrument thru the belly button to look inside; you are under anesthesia for this).

-- Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.

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In reply to: K.: "Menstral pain and Severe Cramping"

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