Thursday, April 22, 2010

Can Tramadol treat period pain?

There is a real problem. It is called medicalization, i.e. the process of taking something entirely natural and converting it into a disease or disorder that can then be cured by doctors (usually men). We have now reached the point where every part of the female reproductive cycle has been redefined so as to require treatment (how very caring and patriarchal of the men). It starts in puberty, goes through menstruation, infects the processes of fertility, conception and birth, and pursues aging women into the menopause. The most obvious continuing "problem" is premenstrual tension (sometimes referred to as a "syndrome" to make it sound more like a deadly disease). This affects all women to some degree with a small percentage being so badly affected they must take time off work. We have now reached the point where PMS is socially constructed as a disorder, i.e. doctors have brainwashed women into believing most of the symptoms associated with menstruation constitute a disorder. The approaches to treatment begin with reassurance and what is politely called counseling. It seems women need to be taught coping strategies so they can get on with their lives. Diet and nutrition are changed. Calcium and other substances are added. Hormones are administered in the desire to re-establish the right balance, and diuretics reduce the water retention. If all this dramatic cycle of medical effort fails, we are then into classifying this as the more serious Premenstrual Dysphoric Disorder and the treatments begin with the more powerful antidepressants, reflecting the fact that the mind as well as the body are obviously disordered.

Finding it difficult to swim against the cultural tide and feeling that they should "do" something, some women have been turning to alternative methods. These range from relaxation techniques, through yoga and other forms of physical exercise, to acupuncture. Acupuncture is perhaps the most interesting because it has the longest medical track record as a part of Traditional Chinese Medicine. Throughout China and South East Asia, women routinely go for acupuncture to relieve the cramps associated with menstruation. It is deeply embedded into local culture as the safe and effective way of treating the discomfort or pain. Unfortunately, women in the West are more skeptical and such formal research as exists for the use of acupuncture in the US and Europe finds no clear evidence of benefit.

All of which brings us to the simple approach. There is no need to treat menstruation as any different from all other causes of discomfort or pain. If you experience low intensity pain, you take one of the nonsteroidal anti-inflammatory drugs. If the pain is moderate to severe, you buy tramadol online and take that. There is no need to suffer - martyrdom should not be a part of your psychological make-up. The standard painkillers are all that is needed in the majority of cases. Should this prove ineffective, it will be evidence of a more serious underlying cause that genuinely does need investigation by your regular healthcare professional. It is possible that all you need is a different painkiller, but a check-up, if necessary by a specialist, should identify the cause of the pain and recommend treatment for the genuine disease or disorder. Otherwise, stay with the conventional painkillers or, if you want something slightly different, try tramadol apap - a combination drug that some people find easier on the stomach.


Post a Comment