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Dysfunctional Uterine Bleeding

Dysfunctional uterine bleeding booklet

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Female

Dysmenorrhea

Severe uterine pain during menstruation, diagnosed when pain limits normal activities or requires medication.

Also known as Period Pain (Severe), Dysmenorrhoea

About the Condition

Dysmenorrhea affects nearly 3 in every 4 women at some time during their reproductive life. In most women the pain is uncomfortable and 30% of women need to take some form of pain killer. At the more severe end of the spectrum dysmenorrhea limits the daily activity in 15% of women and 8% miss work or school. It is an increase in hormone-like substances called prostaglandins prior to bleeding that cause the uterine muscle to contract and give rise to the pain associated with menstrual bleeding.

Menstrual blood flow is mostly controlled by the hormones estrogen and progesterone. Progesterone opposes the action of prostaglandins whereas estrogen increases prostaglandin production. There is a fine balance between the two hormones and if there is a disruption to one or both hormones, often the disruption can be reflected in menstrual bleeding changes and dysmenorrhea. Most women who experience debilitating and cyclical dysmenorrhea are progesterone deficient.

It is an increase in hormone-like substances called prostaglandins prior to bleeding that cause the uterine muscle to contract and give rise to the pain associated with menstrual bleeding. Menstrual blood flow is mostly controlled by the hormones estrogen and progesterone. Progesterone opposes the action of prostaglandins whereas estrogen increases prostaglandin production. There is a fine balance between the two hormones and if there is a disruption to one or both hormones, often the disruption can be reflected in menstrual bleeding changes and dysmenorrhea. Most women who experience debilitating and cyclical dysmenorrhea are progesterone deficient.

Next page: Symptoms of Dysmenorrhea

ProFeme® 10

ProFeme 10 progesterone cream packaging

For women

ProFeme® 10% Progesterone Cream is specifically designed for use in women with declined or lowered progesterone levels.

Downloadable Resources

Symptoms of Dysmenorrhea

Pain in lower abdomen, umbilical region or suprapubic region of the abdomen. It is also commonly felt in the right or left abdomen. It may radiate to the thighs and lower back.

Other symptoms may include nausea and vomiting, diarrhea, headache, fainting, and fatigue. Symptoms often begin immediately following ovulation and can last until the end of menstruation. Dysmenorrhea is often associated with changes in the body that occur with ovulation, however symptoms may or may not escalate with time.

Diagnosis

Severe pain at onset of menstruation continuing until at least day 3.

Secondary Considerations can include underlying disease, disorder, or structural abnormality either within or outside the uterus. Pelvic inflammatory disease, endometriosis, and even sexual abuse.

Management usually with pain killers and anti-inflammatory medications - paracetamol, ibuprofen, naproxen sodium. PMS and heavy menstrual bleeding is associated with dysmenorrhea - progesterone supplement is essential.

Next page: Causes of Dysmenorrhea

ProFeme® 10

ProFeme 10 progesterone cream packaging

For women

ProFeme® 10% Progesterone Cream is specifically designed for use in women with declined or lowered progesterone levels.

Downloadable Resources

Causes of Dysmenorrhea

No defined cause, most prevalent in body changes with ovulation, age of less than 30 years, low body mass index, smoking, early menarche (< 12 years), long menstrual cycles, heavy menstrual flow, nulliparity (no pregnancies), premenstrual syndrome, physical abnormality and psychological disturbance.

Next page: Treatment for Dysmenorrhea

ProFeme® 10

ProFeme 10 progesterone cream packaging

For women

ProFeme® 10% Progesterone Cream is specifically designed for use in women with declined or lowered progesterone levels.

Downloadable Resources

Treatment for Dysmenorrhea

Natural progesterone cream for women is a pharmaceutical grade progesterone cream used to replace the hormone progesterone in women with low progesterone or experiencing estrogen dominance and associated conditions such as dysmenorrhea.

Next page: Further Information About Dysmenorrhea

ProFeme® 10

ProFeme 10 progesterone cream packaging

For women

ProFeme® 10% Progesterone Cream is specifically designed for use in women with declined or lowered progesterone levels.

Downloadable Resources

Download our Booklet

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Topics discussed in the Understanding Dysfunctional Uterine Bleeding booklet include:

  • What is DUB?
  • When do I need treatment? 
  • Why does DUB develop?
  • Who develops menstrual disorders? 
  • How dangerous is DUB?
  • What is a normal cycle? 
  • How do I know if I ovulated? 
  • What are the signs and symptoms of DUB?
  • How can I decrease my symptoms?
  • How do I prepare for my doctor’s visit? 
  • What can I expect when I visit the doctor?
  • Imaging, Transvaginal Exam, Hysteroscopy, D&C
  • How is DUB treated?

Progesterone for Women FAQ's

ProFeme® 10

ProFeme 10 progesterone cream packaging

For women

ProFeme® 10% Progesterone Cream is specifically designed for use in women with declined or lowered progesterone levels.

Downloadable Resources

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