{"id":1671,"date":"2026-10-01T14:04:20","date_gmt":"2026-10-01T11:04:20","guid":{"rendered":"https:\/\/prefemin.md\/sfaturi\/durerile-menstruale\/"},"modified":"2026-10-01T14:04:20","modified_gmt":"2026-10-01T11:04:20","slug":"durerile-menstruale","status":"publish","type":"post","link":"https:\/\/prefemin.md\/ro\/sfaturi\/durerile-menstruale\/","title":{"rendered":"Durerile menstruale: ce trebuie s\u0103 \u0219ti\u021bi?"},"content":{"rendered":"\n<section id=block-settings-wrap-6ad3acb333906 class=\"block-settings-wrap block-settings-wrap-6ad3acb333906\" >\n\n<div class=\"\">\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<section id=block-settings-wrap-6ad3acb331c54 class=\"title-wrap-dark-blue-100 btn-wrap-border-radius block-settings-wrap block-settings-wrap-6ad3acb331c54\" >\n\n<div class=\"\">\n\n<p class=\"wp-block-paragraph\">Studiile recente urm\u0103resc leg\u0103tura dintre dismenoreea primar\u0103 \u0219i nivelul de prostaglandine din endometrul menstrual, a c\u0103ror activitate este reglat\u0103 de hormonii sexuali.<br>Enciclopedia \u201eIstoria natural\u0103\u201d relateaz\u0103 c\u0103 unele popoare din Europa credeau c\u0103 femeia aflat\u0103 la menstrua\u021bie poart\u0103 o for\u021b\u0103 distructiv\u0103! Din acela\u0219i motiv, chiar \u0219i ast\u0103zi exist\u0103 triburi africane \u0219i asiatice \u00een care se practic\u0103 mutarea femeilor \u00een a\u0219a-numitele \u201elocuin\u021be menstruale\u201d, unde acestea petrec lunar c\u00e2teva zile. Primul pas important \u00eenainte a fost f\u0103cut la \u00eenceputul secolului al XIX-lea, c\u00e2nd \u201ebolile femeie\u0219ti\u201d au \u00eenceput s\u0103 fie privite cu interes \u0219i studiate.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Primele recomand\u0103ri \u00een lupta \u00eempotriva menstrua\u021biilor dureroase au fost odihna \u0219i reducerea efortului fizic, iar secolul al XX-lea a fost marcat de apari\u021bia unor metode mai radicale de eliminare a durerii lunare. Pe l\u00e2ng\u0103 utilizarea substan\u021belor narcotice \u00een scop analgezic, era practicat\u0103 pe scar\u0103 larg\u0103 \u00eendep\u0103rtarea organelor reproduc\u0103toare, a uterului \u0219i a ovarelor.<\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 class=\"wp-block-heading\">Durerile menstruale: norm\u0103 sau patologie?<\/h4>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-full is-resized\"><img decoding=\"async\" width=\"659\" height=\"380\" src=\"https:\/\/prefemin.kz\/wp-content\/uploads\/2024\/08\/silditajs-sapes-menesreizes-veders-sieviete-49041493.webp\" alt=\"\" class=\"wp-image-1013\" style=\"width:320px\" srcset=\"https:\/\/prefemin.md\/wp-content\/uploads\/2024\/08\/silditajs-sapes-menesreizes-veders-sieviete-49041493.webp 659w, https:\/\/prefemin.md\/wp-content\/uploads\/2024\/08\/silditajs-sapes-menesreizes-veders-sieviete-49041493-300x173.webp 300w\" sizes=\"(max-width: 659px) 100vw, 659px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">\u00cen procesul de stabilire a ciclului menstrual, fetele se pl\u00e2ng adesea de senza\u021bii dureroase \u00een partea inferioar\u0103 a abdomenului, care sunt uneori at\u00e2t de pronun\u021bate \u00eenc\u00e2t afecteaz\u0103 capacitatea de munc\u0103 \u0219i adaptarea social\u0103. Acest proces patologic se nume\u0219te dismenoree (lat. dis \u2014 tulburare \u0219i gr. men \u2014 lun\u0103, rheo \u2014 a curge). Dismenoreea este cunoscut\u0103 de la 30% p\u00e2n\u0103 la 50% dintre femei \u0219i se manifest\u0103 nu doar prin menstrua\u021bii dureroase: multe sufer\u0103 de sl\u0103biciune, grea\u021b\u0103, dureri de cap, ame\u021beli, gur\u0103 uscat\u0103, uneori le\u0219in \u0219i tulbur\u0103ri vegetative.<\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 class=\"wp-block-heading\">Tipuri de dismenoree. Primar\u0103<\/h4>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Durerile menstruale din adolescen\u021b\u0103, care nu sunt legate de procese patologice la nivelul organelor din micul bazin (pot debuta odat\u0103 cu instalarea menarhei \u0219i continu\u0103 pe parcursul primilor trei ani), se numesc dismenoree primar\u0103 (sau spasmodic\u0103), scriu Prilepskaia V.N. \u0219i Mejevitinova E.A. \u00eentr-un articol despre dismenoree publicat \u00een \u201eRevista Medical\u0103 Rus\u0103\u201d. Manifest\u0103rile dismenoreei primare dep\u0103\u0219esc cadrul unei st\u0103ri fizice de r\u0103u: la aceasta se adaug\u0103 reac\u021bii emo\u021bional-psihice \u0219i vegetativ-vasculare. Acest lucru determin\u0103 sc\u0103derea capacit\u0103\u021bii de munc\u0103, tulbur\u0103ri de memorie \u0219i astenie.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dismenoreea primar\u0103 la femei este \u00eemp\u0103r\u021bit\u0103 \u00een trei categorii: spasmogen\u0103 (cre\u0219terea secre\u021biei de prostaglandine, care provoac\u0103 spasmul musculaturii netede a uterului), psihogen\u0103 (reac\u021bia organismului la senza\u021bia de team\u0103 legat\u0103 de durerea pe care femeia a mai resim\u021bit-o la menstrua\u021biile anterioare; caracteristic\u0103 femeilor cu psihotip isteroid \u0219i sensibil); esen\u021bial\u0103 (provocat\u0103 de sc\u0103derea pragului de durere). Dismenoreea primar\u0103 se distinge prin senza\u021bii de tip contrac\u021bie, cu caracter de trac\u021biune, care se manifest\u0103 cel mai pronun\u021bat \u00een prima \u0219i a doua zi a menstrua\u021biei.<\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 class=\"wp-block-heading\">Tipuri de dismenoree. Secundar\u0103<\/h4>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Cauza dismenoreei secundare (sau organice) o constituie de obicei afec\u021biunile organelor din micul bazin al femeii, printre care endometrioza extern\u0103, bolile inflamatorii ale organelor micului bazin, fibromul \u0219i tumorile uterine, varicele venelor din micul bazin, adenomioza. Aceast\u0103 afec\u021biune apare cel mai frecvent la femeile dup\u0103 30 de ani. Simptomatologia dismenoreei secundare include menstrua\u021bie cu abunden\u021b\u0103 de cheaguri, dureri menstruale \u0219i dureri lombare.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">At\u00e2t dismenoreea primar\u0103, c\u00e2t \u0219i cea secundar\u0103 pot fi unul dintre simptomele dezechilibrului hormonal. Pentru corectarea bl\u00e2nd\u0103, nehormonal\u0103, a fondului hormonal, se recomand\u0103 utilizarea preparatelor vegetale cu ac\u021biune dopaminergic\u0103. Din vremuri str\u0103vechi, pentru tratamentul sindromului premenstrual \u0219i al durerilor menstruale a fost utilizat pe scar\u0103 larg\u0103\u00a0<a href=\"\/ro\/sfaturi\/salcia-comuna-pentru-sanatatea-femeilor\/\">Vitex<\/a>\u00a0agnus-castus. Extractul ob\u021binut cu grij\u0103 din aceast\u0103 plant\u0103 intr\u0103 \u00een compozi\u021bia Prefemin, care ajut\u0103 femeile s\u0103 scape de dismenoree \u0219i s\u0103 se simt\u0103 excelent, indiferent de ziua ciclului.<\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 class=\"wp-block-heading\">Tratamentul dismenoreei<\/h4>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Studiile recente urm\u0103resc leg\u0103tura dintre dismenoreea primar\u0103 \u0219i nivelul de prostaglandine din endometrul menstrual, a c\u0103ror activitate este reglat\u0103 de hormonii sexuali estrogen \u0219i progesteron. La utilizarea AINS (antiinflamatoarelor nesteroidiene) din prima zi a ciclului, con\u021binutul de prostaglandine scade datorit\u0103 inhibitorilor de prostaglandin-sintetaz\u0103. Totu\u0219i, efectul lor este de scurt\u0103 durat\u0103, iar senza\u021biile dureroase sunt blocate doar \u00een ciclul curent, f\u0103r\u0103 a avea vreo influen\u021b\u0103 asupra celui viitor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">O nuan\u021b\u0103 important\u0103 la alegerea unui preparat pentru \u00eenl\u0103turarea dismenoreei r\u0103m\u00e2n posibilele efecte secundare, printre care dispepsia, erup\u021biile cutanate, trombocitopenia, tulbur\u0103rile func\u021biei renale. Antiinflamatoarele nesteroidiene sunt contraindicate pacientelor cu ulcer gastric \u0219i duodenal, gastrit\u0103 \u0219i alte afec\u021biuni ale tractului gastrointestinal.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cele mai eficiente preparate r\u0103m\u00e2n cele pe baz\u0103 de extract de Vitex. Acestea regleaz\u0103 echilibrul dintre estrogeni \u0219i progesteron, datorit\u0103 c\u0103ruia dismenoreea este \u00eenl\u0103turat\u0103 pe cale natural\u0103.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen compozi\u021bia preparatului Prefemin intr\u0103\u00a0<strong><a href=\"\/ro\/sfaturi\/salcia-comuna-pentru-sanatatea-femeilor\/\">Vitex agnus-castus<\/a>\u00a0<\/strong>(Vitexul sf\u00e2nt), cunoscut pentru efectul s\u0103u de stimulare a progesteronului, \u0219i care de asemenea stimuleaz\u0103 producerea hormonului luteinizant. Normalizarea ciclului menstrual \u0219i \u00eenl\u0103turarea bl\u00e2nd\u0103 a simptomelor dismenoreei se realizeaz\u0103 datorit\u0103 faptului c\u0103 hormonul luteinizant regleaz\u0103 producerea de progesteron.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Prefemin con\u021bine extract nativ standardizat de Vitex, este recomandat pentru reglarea ciclului menstrual, \u00eenl\u0103tur\u0103 simptomele dismenoreei. Cura de administrare: c\u00e2te 1 comprimat pe zi, timp de minimum trei luni.<\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n<\/div>\n  <style>\n    .block-settings-wrap-6ad3acb331c54 {background-size: cover;background-repeat: no-repeat;padding-top: 0px;padding-bottom: 0px;margin-top: 0px;margin-bottom: 0px;}@media only screen and (max-width: 1200px){ .block-settings-wrap-6ad3acb331c54{ background-size: cover;background-repeat: no-repeat; } }   \n  <\/style>\n<\/section><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<section id=block-settings-wrap-6ad3acb333073 class=\"title-wrap-green block-settings-wrap block-settings-wrap-6ad3acb333073\" >\n\n<div class=\"\">\n\n<p class=\"wp-block-paragraph\"><div class=\"sidebar-posts-1\"><\/div><div class=\"sidebar-posts-1\"><\/div><\/p>\n\n<\/div>\n  <style>\n    .block-settings-wrap-6ad3acb333073 {background-size: cover;background-repeat: no-repeat;padding-top: 0px;padding-bottom: 0px;margin-top: 0px;margin-bottom: 0px;}@media only screen and (max-width: 1200px){ .block-settings-wrap-6ad3acb333073{ background-size: cover;background-repeat: no-repeat; } }   \n  <\/style>\n<\/section><\/div>\n<\/div>\n\n<\/div>\n  <style>\n    .block-settings-wrap-6ad3acb333906 {background-size: cover;background-repeat: no-repeat;padding-top: 0px;padding-bottom: 0px;margin-top: 0px;margin-bottom: 0px;}@media only screen and (max-width: 1200px){ .block-settings-wrap-6ad3acb333906{ background-size: cover;background-repeat: no-repeat; } }   \n  <\/style>\n<\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":156,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[11],"tags":[],"class_list":["post-1671","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sfaturi","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.3 (Yoast SEO v22.3) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Durerile menstruale: norm\u0103 sau patologie? 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