{"id":3058,"date":"2022-07-20T13:22:22","date_gmt":"2022-07-20T13:22:22","guid":{"rendered":"https:\/\/afiyafrica.com\/?p=3058"},"modified":"2022-07-20T13:43:10","modified_gmt":"2022-07-20T13:43:10","slug":"sante-de-la-femme-quest-ce-que-la-dysmenorrhee","status":"publish","type":"post","link":"https:\/\/afiyafrica.com\/index.php\/conseils-med\/sante-de-la-femme-quest-ce-que-la-dysmenorrhee\/","title":{"rendered":"Sant\u00e9 de la femme : Qu\u2019est-ce que la dysm\u00e9norrh\u00e9e?"},"content":{"rendered":"
\n
\n \t<\/i> Read Time:<\/span>2 Minute, 51 Second <\/div>\n\n <\/div>

La dysm\u00e9norrh\u00e9e est le terme m\u00e9dical employ\u00e9 pour d\u00e9signer les douleurs survenant pendant les r\u00e8gles, ou juste avant. Elles apparaissent de mani\u00e8re cyclique, soit \u00e0 chaque menstruation. On parle commun\u00e9ment de r\u00e8gles douloureuses et ces douleurs durent 1 \u00e0 3 jours en g\u00e9n\u00e9ral.<\/p>\n

Les\u00a0douleurs menstruelles\u00a0sont per\u00e7ues dans le bas du ventre avec une possible irradiation au niveau du dos, voire jusqu\u2019aux les jambes.<\/p>\n

Selon son intensit\u00e9, la douleur peut all\u00e9 d’une simple g\u00eane, \u00e0 des douleurs mod\u00e9r\u00e9es ou intenses \u00e0 type de crampes, et de spasmes.<\/p>\n

Quels sont les diff\u00e9rents types?
\nIl existe deux types de\u00a0dysm\u00e9norrh\u00e9es\u00a0:<\/h3>\n

\u2022 Les dysm\u00e9norrh\u00e9es primaires<\/p>\n

\u2022 Les dysm\u00e9norrh\u00e9es secondaires<\/p>\n

Les dysm\u00e9norrh\u00e9es primaires<\/p>\n

Ce sont les plus fr\u00e9quentes et elles ne sont pas li\u00e9es \u00e0 des anomalies. Elles appara\u00eessent \u00e0 l\u2019adolescence,\u00a0avec les premi\u00e8res\u00a0r\u00e8gles, ou dans l’ann\u00e9e d’apparition des premi\u00e8res r\u00e8gles.
\nLa douleur est caus\u00e9e par\u00a0des\u00a0contractions du muscle ut\u00e9rin exacerb\u00e9es par une surproduction de prostaglandines et d\u2019autres m\u00e9diateurs\u00a0 inflammatoires produits par le muscle ut\u00e9rin.<\/p>\n

Les\u00a0dysm\u00e9norrh\u00e9es\u00a0primaires peuvent s\u2019att\u00e9nuer avec le temps.<\/p>\n

Les dysm\u00e9norrh\u00e9es secondaires<\/h3>\n

Elles sont moins fr\u00e9quentes et li\u00e9es \u00e0 des anomalies gyn\u00e9cologiques. Elles\u00a0appara\u00eessent plus tardivement chez la femme qui avait auparavant des r\u00e8gles sans douleurs et qui pr\u00e9sente des pathologies gyn\u00e9cologiques.
\nCes pathologies gyn\u00e9cologiques peuvent \u00eatre : une endom\u00e9triose
\nUn fibrome ut\u00e9rin
\nUn kyste ovarien
\nUne adenomyose<\/p>\n

Que faire en cas de dysm\u00e9norrh\u00e9es ?<\/h3>\n

Il est important de consulter un gyn\u00e9cologue et de ne pas se laisser aller \u00e0 la pratique de l’autom\u00e9dication.
\nLorsque les\u00a0douleurs surviennent \u00e0 l\u2019\u00e2ge adulte ou s\u2019aggravent\u00a0; ou qu’elles \u00a0durent plusieurs jours, en dehors de la p\u00e9riode des r\u00e8gles\u00a0ou lorsqu’elles entra\u00eenent des r\u00e9percussions trop importantes sur la vie quotidienne\u00a0 il est imp\u00e9ratif de consulter un professionnel de sant\u00e9 qualifi\u00e9.<\/p>\n

Un bilan d’imagerie peut \u00eatre demander pour d\u00e9celer les causes de la dysm\u00e9norrh\u00e9e comme par exemple une\u00a0\u00e9chographie pelvienne avec doppler\u00a0par voie endovaginale (\u00a0via\u00a0le vagin) : pour d\u00e9tecter certaines masses pelviennes( kystes ovariens, fibromes,…)<\/p>\n

Quel traitement\u00a0?<\/h3>\n

La prise en charge d\u2019une dysm\u00e9norrh\u00e9e\u00a0d\u00e9pend de l\u2019intensit\u00e9, des sympt\u00f4mes, de l\u2019\u00e2ge de la patiente et de la nature de la dysm\u00e9norrh\u00e9e\u00a0(primaire ou secondaire).<\/p>\n

En cas de dysm\u00e9norrh\u00e9e primaire : du\u00a0repos, un\u00a0sommeil ad\u00e9quat\u00a0, une\u00a0activit\u00e9 physique r\u00e9guli\u00e8re ainsi que<\/p>\n

\u2022 L\u2019application d\u2019une source de chaleur (bouillotte) sur le bas du ventre\u00a0;<\/strong><\/p>\n

\u2022 Des massages du ventre ;<\/strong><\/p>\n

\u2022 Des techniques de relaxation\u00a0;<\/strong>
\n\u00a0peuvent aider \u00e0 soulager la douleur.<\/strong><\/p>\n

Si malgr\u00e9 ces mesures, les r\u00e8gles sont toujours trop douloureuses, il faudra proposer \u00e0 la patiente des\u00a0anti-inflammatoires non st\u00e9ro\u00efdiens (AINS),\u00a0comme l\u2019ibuprof\u00e8ne ou le flurbiprof\u00e8ne, qui ont une action sur la s\u00e9cr\u00e9tion des prostaglandines, et donc les douleurs.<\/p>\n

Pour une efficacit\u00e9 optimale, et vaincre la douleur mieux vaut ne pas attendre qu’elle s\u2019installe. Le traitement est \u00e0 prendre le plus rapidement possible.<\/p>\n

Cependant le traitement \u00e0 base d\u2019AINS est contre-indiqu\u00e9 chez les femmes pr\u00e9sentant certaines maladies touchant les voies digestives, le c\u0153ur, le foie ou le rein, …<\/p>\n

Lors d\u2019une consultation, le m\u00e9decin peut proposer d’autres solutions th\u00e9rapeutiques\u00a0:<\/p>\n

\u2022 Une\u00a0contraception orale combin\u00e9e\u00a0\u00e0 base d\u2019\u0153strog\u00e8nes et de progest\u00e9rone ;<\/strong><\/p>\n

\u2022 La pose d\u2019un st\u00e9rilet d\u00e9livrant de la progest\u00e9rone\u00a0;<\/strong><\/p>\n

\u2022 Une contraception orale simplement progestative\u00a0;<\/strong><\/p>\n

En ce qui concerne la dysm\u00e9norrh\u00e9e secondaire, sa prise en charge d\u00e9pend outre le soulagement de la douleur du traitement de la cause et de l’anomalie gyn\u00e9cologique sous-jacente.<\/p>\n

Sources
\n\u2013 Extrait des Mises \u00e0 jour en Gyn\u00e9cologie CNGOF.
\n\u2013 Dysm\u00e9norrh\u00e9e.\u00a0msdmanuals.com<\/p>\n

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La dysm\u00e9norrh\u00e9e est le terme m\u00e9dical employ\u00e9 pour d\u00e9signer les douleurs survenant pendant les r\u00e8gles,…<\/p>\n","protected":false},"author":1,"featured_media":3059,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[59,23,150],"tags":[60,694,36,30,57,62],"class_list":["post-3058","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-afiya-for-her","category-conseils-med","category-maladies","tag-afrique-sante","tag-dysmenorrhees","tag-femme","tag-sante","tag-sante-de-la-femme","tag-sante-en-afrique"],"yoast_head":"\nSant\u00e9 de la femme : Qu\u2019est-ce que la dysm\u00e9norrh\u00e9e? -<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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