How will smoking, drinking, hormone imbalance, irregular periods and intake of contraceptives affect the treatment for dysmenorrhea?

Several issues. Dysmenorrhea is a common problem for women as they approach menopause. The birth control pill can be very helpful to control this. Women who are in their late 40's are perimenopausal, meaning close to menopause. At this time, your body is more sensitive to poor behaviors such as smoking and alcohol. You will feel best with a healthy diet and exercising, not smoking, and no excessive alcohol.

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