Dysmenorrhea :
Common presentations of dysmenorrhea include pain in the lower abdomen and back, nausea, headache, and fatigue. Pain typically starts a couple of days before menses and lasts for some days. The treatment varies with the severity and causative nature of endometriosis. In some cases over the counter medication with pain relievers like ibuprofen or naproxen can control a few symptoms. Hormonal medicines also help in controlling symptoms by regulating or aborting the menstrual cycles. Modifications in lifestyle, including exercise and stress management and change in diet, are also very helpful. Since the nature of the condition which has existed for a long period of time is assumed to be more severe and thus worse with time treatment should be applied in a more apt and for an appropriate longer duration.