Dysmenorrhea is characterized by severe and frequent menstrual cramps and pain during your period. Dysmenorrhea may be primary, existing from the beginning of periods, or secondary, due to an underlying condition.
Dysmenorrhea is the medical term for painful menstrual periods which are caused by uterine contractions. Primary dysmenorrhea refers to recurrent pain, while secondary dysmenorrhea results from reproductive system disorders. Both can be treated.
Dysmenorrhea (625.3), or menstrual cramps, is abdominal pain caused by uterine cramps during a menstrual cycle.
Thus, the World Health Organization estimated that dysmenorrhea is the most important cause of chronic pelvic pain 10. The estimated prevalence of dysmenorrhea is high, although it varies widely, ranging from 45 to 93% of women of reproductive age 3, 10, and the highest rates are reported in adolescents 11, 12.
Primary dysmenorrhea characteristically begins when adolescents attain ovulatory cycles, usually within 6–12 months of menarche. Secondary dysmenorrhea refers to painful menses due to pelvic pathology or a recognized medical condition. The most common cause of secondary dysmenorrhea is endometriosis.
What is secondary dysmenorrhea? Secondary dysmenorrhea is caused by a disorder in the reproductive organs. The pain tends to get worse over time and it often lasts longer than normal menstrual cramps. For example, the pain may begin a few days before a period starts.
ICD-10 code R10. 2 for Pelvic and perineal pain is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
Menorrhagia is well-covered by ICD10 codes N92. 0, N92. 2, and N92. 4.
ICD-10-CM Code for Lower abdominal pain, unspecified R10. 30.
Conclusions: Dysmenorrhea may be a general risk factor for chronic pain, although whether primary dysmenorrhea increases the risk for chronic pain is unclear.
Secondary dysmenorrhea typically appears 12 months post menarche and is associated with progressively worsening pain, chronic pelvic pain (CPP), midcycle or acyclic pain, and irregular or heavy menstrual bleeding (3,8,21).
Endometriosis, one of the main causes of secondary dysmenorrhea, induces dysmenorrhea, pelvic pain and infertility, resulting in marked reduction of quality of life during reproductive age. This review article is a comprehensive overview of dysmenorrhea and endometriosis in young women.
Primary dysmenorrhea is thought to be caused by excessive levels of prostaglandins, hormones that make your uterus contract during menstruation and childbirth. The pain results from the release of these hormones when the lining (endometrium) is sloughing off during your menstrual period.
Primary dysmenorrhea occurs in people who experience pain before and during menstruation. If you've had normal periods that become painful later in life, it may be secondary dysmenorrhea. A condition affecting the uterus or other pelvic organs, such as endometriosis or uterine fibroids, can cause this.
It's diagnosed when the menstrual period has not occurred in 12 months. Women usually stop menstruating or attain menopause in their 40 or 50s, the average age being 50 years old. Sometimes, menopause may occur earlier due to a medical condition, medication, drug treatment or surgery such as the removal of the ovaries.
Over-the-counter pain relievers, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve), at regular doses starting the day before you expect your period to begin can help control the pain of cramps. Prescription nonsteroidal anti-inflammatory drugs also are available.