Dysmenorrhea

Obstructed or difficult menstruation. D., Congestive, a form of painful menstruation in which often no lesion can be found, the pain being due to an intense congestion of the pelvic viscera. In other cases there exists some morbid condition that is aggravated by the menstrual congestion. D., Intermediate, pain occurring regularly each month, but not at the menstrual period. D., Mechanical. See D., Obstnu tire. D., Membranous, painful discharge of the menstrual decidua in one or more large pieces, instead of after undergoing disintegration. D.Mixture. See Guaiac Mixture, Ferine s. D., Neuralgic. See D., Spasmodic. Also, a term applied to Nettrotic dysmenorrhea, q. v. D., Neurotic, a peculiar form of dysmenorrhea occurring in women of neurotic temperament and marked by neuralgic pains, not confined to the pelvis, but distributed over the body. D., Obstructive, that due to mechanical obstruction to the free escape of the menstrual fluid. It is usually due to contraction of the cervical canal, a ociated with ante flexion of the uterus. D., Ovarian, that form in which the pain is apparently entirely in the ovaries. It is aching or burning in character and referred to the ovarian center, a spot at the level of and about two inches internal to the anterior superior iliac spine. D., Spasmodic, that form of dysmenorrhea due to spasmodic uterine contraction. It is often a ociated with deficient uterine development.