My period hasn't come yet and I have a dull pain in my lower abdomen

Many female friends may experience that their periods do not come for a long time, and they may feel a dull pain in their lower abdomen. This will be very distressing, and they must pay attention to psychological treatment. First of all, they should eliminate their mental tension and not let themselves be in an anxious mood all the time. They should relax more so that their condition can improve faster.

Dysmenorrhea is a common symptom among women. Dysmenorrhea before marriage will naturally disappear when you are older, especially after marriage and childbirth, and there is no need for treatment. Except in individual cases. However, if the pain of dysmenorrhea lasts for more than 3 days and affects one's life, treatment should be given. The treatment of primary dysmenorrhea is mainly symptomatic treatment, with analgesia and sedation as the main focus.

1. General treatment

(1) Pay attention to psychological treatment and eliminate tension and worries.

(2) Get enough rest and sleep, exercise regularly and moderately, and quit smoking.

(3) When the pain is unbearable, supplement with medication.

2. Medication

(1) For dysmenorrhea caused by adenomyosis in women who do not desire pregnancy, Mirena is the first choice.

(2) Oral contraceptives: Suitable for women with dysmenorrhea who require contraception, with an effectiveness rate of over 90%.

(3) Over-the-counter drugs: acetaminophen, acetaminophen plus pamabrom, and vinyl salicylic acid (aspirin).

1. The occurrence of primary dysmenorrhea is mainly related to the increase in endometrial prostaglandin content during menstruation. Elevated PGF2α levels are the main cause of dysmenorrhea. High levels of PGF2α can cause excessive contraction of uterine smooth muscle and vascular spasm, resulting in uterine ischemia and hypoxia and dysmenorrhea.

2. Increase in substances such as vasopressin, endogenous oxytocin and β-endorphin.

3. Mental and neurological factors.

Secondary pain is often caused by endometriosis, adenomyosis, etc.

1. Primary dysmenorrhea is more common in adolescence, often occurring within 1 to 2 years after menarche. The main symptom is lower abdominal pain that occurs regularly during the menstrual cycle. The symptoms of secondary dysmenorrhea are the same as those of primary dysmenorrhea. Secondary pain caused by endometriosis often progressively worsens.

2. The pain usually starts after menstruation, and the earliest appearance is 12 hours before menstruation. The pain is most severe on the first day of menstruation and lasts for 2 to 3 days before being relieved. The pain is often spasmodic. It is usually not accompanied by abdominal muscle tension or rebound pain.

3. It may be accompanied by symptoms such as nausea, vomiting, diarrhea, dizziness, fatigue, etc. In severe cases, the face will turn pale and cold sweats will occur.