Causes of secondary dysmenorrhea

Menstruation is a physiological phenomenon unique to female friends, and dysmenorrhea usually occurs with the arrival of menstruation. Since the causes of dysmenorrhea in women are different, and there is no ideal method for the treatment of dysmenorrhea during menstruation, in order to help everyone understand the causes of dysmenorrhea in depth, this article will give you the following description of the causes of secondary dysmenorrhea.

Generally speaking, secondary dysmenorrhea is closely related to organic pelvic diseases suffered by women. In order to help everyone reduce the pain caused by secondary dysmenorrhea during menstruation, the following description of the causes of secondary dysmenorrhea is hoped to be helpful to everyone.

Causes of secondary dysmenorrhea

Cause 1: Chronic pelvic inflammatory disease: Lower abdominal pain and infertility are the main symptoms of chronic pelvic inflammatory disease. During the menstrual period, pelvic congestion or acute inflammation induced by menstruation can cause aggravated abdominal pain. Most patients have a history of infertility and acute pelvic inflammatory disease. Pelvic examination shows that the uterus is often posterior, with poor mobility or even completely fixed.

Reason 2: Reproductive tract malformation: During embryonic development, one side of the mesonephric duct can develop well, forming a well-developed unicornuate uterus. The paramesonephric duct on the other side is poorly developed, forming a rudimentary horn or a primordial uterus, which is not connected to the opposite side or to the body. The primordial uterus generally has no uterine cavity, or if there is a uterine cavity, it lacks endometrium. If the primordial uterus has functional response, manifested as periodic bleeding, dysmenorrhea may be caused by blood accumulation in the uterine cavity. Most of the patients are young girls.

Reason 3: Uterine fibroids: Dysmenorrhea is not the main symptom of uterine fibroids, but submucosal fibroids can cause spasmodic pain during menstruation due to stimulation of uterine contractions. Patients often have menorrhagia, prolonged menstruation or irregular vaginal bleeding. Pelvic examination may reveal varying degrees of enlargement of the uterus, with a smooth surface or nodular protrusions.

Reason 4: Adenomyosis: A benign disease caused by the invasion of the endometrium into the myometrium. Dysmenorrhea is one of the typical symptoms of this disease. There may also be increased menstrual flow or prolonged menstrual period. Gynecological examination shows that the uterus is uniformly enlarged and spherical, with a hard texture. It is generally about the size of a 2-month gestation and may be slightly tender.

Reason 5, intrauterine device: dysmenorrhea can also be seen in women with intrauterine contraceptive devices. This type of dysmenorrhea may be caused by an increase in prostaglandins produced by the endometrium, or it may be that the contraceptive device stimulates the rejection contraction of the uterine muscles, leading to spasmodic pain in the lower abdomen. Patients often have discomfort in the lower abdomen or lumbar region, and their menstrual symptoms are aggravated, manifested as dysmenorrhea. Improper placement of the IUD or excessive size can also easily cause uterine contractions, leading to lower abdominal pain and dysmenorrhea.

This is the end of the introduction to the causes of secondary dysmenorrhea. I hope this article can help female friends in the treatment of secondary dysmenorrhea. At the same time, it is recommended that everyone can learn more about the relevant knowledge of secondary dysmenorrhea in daily life to help their health.