What is dysmenorrhea/premenstrual syndrome?
(dysmenorrhea)
(PMS; PreMenstrual Syndrome)
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Are you suffering from these symptoms?

"My lower abdomen hurts on the first day of my period."
"I have a headache and can't concentrate."
"I feel like my chest is swollen."
"Before your period,
Becomes a glutton (sweets, etc.)
“I have terrible acne and rough skin…”
"When your period starts,
I can't stop being irritated.''
"I tend to get anxious"
"It's hard to sleep before your period..."
“My menstrual pain is terrible.
I feel so sick that I can't go to work..."
"I want to sleep all day...zzz" etc.
This symptom isdysmenorrhea”,
Dysmenorrhea occurs more frequently in younger women, with 43.1% of women under the age of 25 suffering from dysmenorrhea.
70% of women suffer from premenstrual syndrome (PMS).
*Menstrual pain Results of a survey on the health of working women.Report of the committee that considers the bodies and minds of working women. From Women's Labor Association Foundation 2004; 21-22
What is dysmenorrhea?
What is dysmenorrhea?
A condition in which pain occurs in the uterus during menstruation.
From just before the start of menstruation to the 1st or 2nd day of menstruation
Symptoms occur and subside after 2-3 days.
●Characteristics of pain:
I also feel a dull, continuous pain.
● Nature of pain:
Usually sharp pain.
spasmodic, pulsatile,
The main symptoms are lower abdominal pain and headache, irritability,
●Symptoms:
It is accompanied by nausea.
Loss of appetite, depression, weakness, etc.
*Others: Constipation or diarrhea, frequent urination,
Pain so severe that it interferes with daily life
It is said that many women are worried about this.
●Dysmenorrhea is classified into two types!
●Functional dysmenorrhea
●Dysmenorrhea with symptoms and no underlying disease
●On the 1st or 2nd day from just before the start of menstruation
If there is a lot of bleeding, the pain will be strong,
Relief after 2-3 days of menstruation.
●Main cause:Secreted from the endometrium
Due to excessive secretion of prostaglandins
The uterus contracts strongly, causing pain.
●Mostly seen in adolescent girls.
→ Severe pain that interferes with daily life
They may even miss school or work.
→Diagnosed with ``dysmenorrhea'' during adolescence,
Developing “endometriosis” in the future
The percentage is reported to be 70%.
*From Janssen EB et.al: Hum Reprod Update 2013
*Effect of “prostaglandin”
- Found in various human tissues and organs
Substances similar to hormones
- Contracts the uterus (smooth muscle).
・Because it is also a vasoconstrictor,
Reduces blood flow to the uterus and weakens the nerves
It also has the effect of making you more sensitive.
・Other immunity, allergies, etc.
is also involved.
●Organic dysmenorrhea
●Dysmenorrhea with symptoms caused by a disease
-Continues from 4-5 days before menstruation until after menstruation ends
It is often accompanied by persistent dull pain.
●Main causes of gynecological diseases
endometriosis
uterine adenomyosis
Uterine fibroids
Uterine malformations etc.
