How to judge whether dysmenorrhea is secondary

Secondary dysmenorrhea is generally considered to be caused by endometriosis or adenomyosis. Endometriosis can be treated with medication or surgery. The drug treatment is suitable for patients with chronic pelvic pain, significant dysmenorrhea symptoms during menstruation, pregnancy requirements, and no ovarian cysts. Goserelin can be injected subcutaneously, also known as pseudopregnancy treatment, short-term contraceptive pills can be taken, and Mirena ring can be placed in the uterine cavity, which has the least side effects. Surgical treatment is suitable for patients whose symptoms do not improve after drug treatment, whose local diseases are aggravated or whose fertility function has not been restored, and those with large endometriosis.

After surgical treatment, it is also necessary to cooperate closely with the above-mentioned medication treatment in order to achieve the actual effect of relative recovery. There is currently no effective drug for the radical cure of adenomyosis. For patients with mild symptoms and who have the requirements to conceive and have recently entered menopause, danazol, gestrinone, goserelin, and intrauterine placement of the Mirena ring can be used for treatment, all of which can alleviate the symptoms. If the symptoms are more serious and there is no desire to conceive, a total hysterectomy can be performed.

The most common diseases causing secondary dysmenorrhea are uterine and ovarian chocolate cysts and adenomyosis. For women whose uterine and ovarian chocolate cysts are larger than five centimeters and who have fertility requirements, they can consider immediate laparoscopy to remove the chocolate cysts and then get pregnant as soon as possible. After pregnancy, the disordered endometrium may cause complete necrosis and shrinkage. For women with adenomyosis, if they do not have the desire to have children, they can consider using the Amman Yuele ring for pain relief, or undergoing direct surgery to remove the uterus.

Primary dysmenorrhea refers to the inability of menstruation to be discharged from the uterine cavity, which stimulates the uterus and causes dysmenorrhea symptoms. It may also be because the uterine wall falls off during menstruation, releasing a lot of prostacyclin, which stimulates uterine contractions and causes abdominal pain. Secondary dysmenorrhea refers to abdominal pain caused by organic diseases of the uterine appendages, such as adenomyosis, which is dysmenorrhea caused by the movement of the uterine wall to the uterine muscle layer. Normally, women's uterine wall sheds and bleeds during menstruation. The menstrual blood is discharged from the vagina, and the uterine wall that moves to the uterine muscle layer will also shed and bleed with the menstrual period. These bleedings will not be discharged from the body, but will remain in the moved position and cause abdominal pain.