A swab to take a sample from inside your vagina, to check for infection.Your GP may also suggest the following tests. You can ask to have someone with you during the examination if you want to. They’ll use a tool called a speculum to gently hold your vagina open while they check your cervix. At the same time as the vaginal examination, they’ll use their other hand to press on the lower part of your tummy. Your GP will put on some gloves and use some lubricant to put their fingers into your vagina to gently feel for anything different in your womb or cervix. If you’re sexually active or your GP thinks you may have secondary dysmenorrhoea, they’ll probably examine inside your vagina too. If you’re young and haven’t had sex, and your GP thinks you may have primary dysmenorrhoea, they may just examine your tummy. The GP will ask about your symptoms and how your periods affect your day-to-day life, as well as about your medical history. other women in your family have painful periods.you have heavy bleeding or long periods.You're more likely to have painful periods if: Or try an intrauterine system that releases hormones (also known as an IUS or coil) as this may help with painful periods. If this continues to be a problem, a GP or gynaecologist may suggest that you have the IUD removed and use a different type of contraception. You may develop painful periods in the three to six months after the device is fitted, which should then settle. A contraceptive intrauterine device (IUD) that contains copper can sometimes cause secondary dysmenorrhoea.
Your womb gets slightly larger than it should be, and you may have heavy periods with cramps. This is a condition where the glands that are usually in the lining of your womb grow inside the walls of your womb as well. This is an infection in your uterus and fallopian tubes, and sometimes your ovaries. These are non-cancerous growths of your womb. Endometriosis is the most common cause of secondary dysmenorrhoea. This is when cells that normally line your uterus grow outside it in other parts of your body, but go through the same monthly changes. This tightening of the muscles can temporarily reduce the blood supply to your womb, which causes pain.Ĭauses of secondary dysmenorrhoea include the following.
Prostaglandins are chemicals that cause the muscles of your womb to tighten. Doctors think that the main cause is an increase in the amount of prostaglandins in your womb (uterus) around the time of your period. Primary dysmenorrhoea isn't caused by a specific condition.
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