Dysmenorrhea Specialist

As a leading gynecologist in the greater New York city area, NY Pelvic Pain and Minimally Invasive Gynecologic Surgery P.C. offers women the most advanced treatments for dysmenorrhea so they can find relief from symptoms of pain and irregular bleeding and reduce their chances for pregnancy complications.

Dysmenorrhea Q & A

NY Pelvic Pain and Minimally Invasive Gynecologic Surgery P.C.

What is dysmenorrhea?

Painful menstruation is termed dysmenorrhea. It is a common issue for women in their reproductive years and can range from mild pelvic cramping to severe pain interfering with daily activities such as school or work. The pain is usually sharp intermittent cramping in the midline of the pelvis starting around the start of a period typically lasting 1-3 days. There may also be associated symptoms of nausea, vomiting, diarrhea, headache, and backache.

What causes dysmenorrhea?

Primary dysmenorrhea occurs during menstruation when the inner lining of the uterus, or endometrium is shed and releases hormones called prostaglandins. These prostaglandins induce painful uterine contractions.

Secondary dysmenorrhea occurs when painful menstrual cramps are due to another physical issues outside of menstruation such as the following:

  •  Endometriosis: implants of uterine lining cells outside of the uterus in the pelvis & abdomen
  •  Fibroids: benign muscular tumors of the uterus
  •  Adenomyosis: gland growth within the walls of the uterus
  •  Ovarian cysts: Variety of different solid or fluid filled masses on the ovary
  •  Pelvic inflammatory disease (PID): Sexually transmitted infection that has spread to the uterus, ovaries, fallopian tubes, inner pelvis and abdomen
  •  Uterine malformations: structural abnormalities from birth such as a narrowing or blockage where the cervix opens into the vagina

How is dysmenorrhea diagnosed?

The evaluation for dysmenorrhea is centered on ruling out the causes of secondary dysmenorrhea. Primary dysmenorrhea does not involve any changes on exams, labs or imaging.

  • History: Diagnosis starts with a careful history of location, type, duration, timing and severity of the pain as well as associated symptoms.
  • Physical exam: Secondary dysmenorrhea may include abnormal tenderness at the cervix or ovaries in cases of infection. Other causes may cause areas of thickening, enlargement or irregularly shaped structures at the ovaries or uterus.
  • Laboratory work: Blood work may reflect signs of infection in cases of PID.
  • Imaging: Transvaginal pelvic sonogram or pelvic MRI is used to evaluate the anatomy of the abdomen and pelvis with a focus on the ovaries and uterus.

How is dysmenorrhea treated?

Primary dysmenorrhea is treated with over-the-counter nonsteroidal anti-inflammatory medications such as Advil or Motrin. A heating pad is often used to help ease pain symptoms. Contraception such as oral contraceptives, NuvaRing or an intrauterine device may also resolve heavy bleeding and cramping pain.

Secondary dysmenorrhea treatment depends on the exact cause. Oral or intravenous antibiotic treatment is used in cases of PID. Medical and surgical options exist for endometriosis, fibroids, ovarian cysts and adenomyosis. Medical treatment is aimed at symptom control. Surgical options such as laparoscopy or robotic assisted laparoscopy can be minimally invasive methods utilized to obtain a diagnosis as well as treat the primary condition.

Testimonials

Words from our patients

  • RateMDs

    "They were able to provide me everything they promised me. I've never doubted their abilities."

    Verified Patient
  • Yelp

    "The office staff was incredibly helpful with clarifying/resolving any insurance issues."

    Meg T.
  • "They take their time with you and really listen and sit down with you."

    Alyssa G.
  • Google+

    "Dr. Levey is an excellent surgeon and NY Pelvic Pain has a caring and kind staff. It is the only place to go if you need this kind of help."

    Sheila G.
  • Google+

    "The experience and knowledge in this office is beyond anything that I have had in the past. Dr. Levey took time to answer my questions even though he was busy."

    Jessi L.
  • Yelp

    "Dr. Ostrov has a great bedside manner. She is friendly, knowledgeable and easy to talk to. I feel very comfortable with her."

    Stacey F.
  • Yelp

    "I saw Dr. Nikole Ostrov, and I was incredibly impressed with how kind and non-judgmental she was."

    Ann T.
  • Yelp

    "I've been working with Dr. Davison...She is the nicest, most caring doctor I've ever had and I feel completely lucky to be under her care. "

    Danielle C.
  • Yelp

    "Dr. Davison was absolutely wonderful!! Not only was she extraordinarily pleasant and caring, but she clearly knows what she's talking about."

    Missy J.
  • Vitals

    "She is knowledgable in a no judgment way. She truly cares about the patient. If every doctor was this way medicine would be worth the price!"

    Verified Patient
  • Vitals

    "Dr. Hobbs is probably the warmest, kindest, gentlest doctor I have ever been to in my life. Wonderful experience and I know she will go extremely far!"

    Verified Patient
  • Vitals

    "Dr. Friedman performed a DNC on me last year, he and the staff at the Lenox Hill Hospital were AMAZING. They definitely make an awkward situation VERY comfortable."

    Verified Patient
Location
NY Pelvic Pain and Minimally Invasive Gynecologic Surgery P.C.
90 Maiden Lane, Suite 300
Financial District

New York, NY 10038
Phone: 646-290-9560
Fax: 212-532-4362
Office Hours

Get in touch

646-290-9560