Dysmenorrhea ndi chizindikiro chofala, makamaka kwa atsikana omwe amayamba kusamba. Komabe, ichi si chizindikiro "chochepa". Nthawi yanu yoyamba imatha kumasuka pomwa ibuprofen (pa counter) kapena mankhwala a NSAID. Ngati izi sizikukwanira, kulera kwapakamwa (estrogen-progestogen kapena progestin yokha), ngati kuli kofunikira pakudya kosalekeza (kumene kumapangitsa kuti mkombero ukhale wopumula ndi kuimitsa kuyamba kwa kusamba), kumalimbikitsidwa. Pamene dysmenorrhea yakula (endometriosis, makamaka), kugwiritsa ntchito chipangizo cha progesterone intrauterine (Mirena®) chiyenera kuganiziridwa, ngakhale kwa mayi wamng'ono kwambiri yemwe sanakhalepo ndi pakati. Izi ndichifukwa choti endometriosis ndiyowopsa pakubereka kotsatira ndipo iyenera kuthandizidwa moyenera momwe mungathere.

Marc Zaffran, MD (Martin Winckler)