Abdominal distension during menstruation

People will feel a heavy pain in their lower abdomen during menstruation, and the pain may even be so severe that they cannot lead a normal life. They can only rest in bed to improve the pain. At this time, you can also try using a hot water bottle to heat your abdomen, which will have an improving effect. Also, don't be too nervous, stay relaxed.

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 are suitable for women with dysmenorrhea who require contraception, with an effectiveness rate of over 90%.

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

Dysmenorrhea is one of the most common gynecological symptoms. It refers to lower abdominal pain and distension before, during, or after menstruation, accompanied by backache or other discomfort, which seriously affects the quality of life. Dysmenorrhea is divided into two categories: primary dysmenorrhea and secondary dysmenorrhea. Primary dysmenorrhea refers to dysmenorrhea without organic lesions of the reproductive organs; secondary dysmenorrhea refers to dysmenorrhea caused by organic pelvic diseases, such as endometriosis and adenomyosis.

It needs to be differentiated from secondary dysmenorrhea caused by endometriosis, adenomyosis, and pelvic inflammatory disease.

1. Endometriosis

(1) Symptoms: dysmenorrhea and infertility.

(2) Gynecological examination and auxiliary examinations: Pelvic examination revealed endometriosis lesions; imaging examinations (pelvic ultrasound, pelvic CT and MRI) revealed endometriosis lesions, and serum CA125 levels were slightly to moderately elevated.

(3) Laparoscopy: Laparoscopy is currently the common method for diagnosing endometriosis. The diagnosis can be confirmed by observing typical lesions described in gross pathology under laparoscopy or by performing a biopsy on suspicious lesions.

2. Adenomyosis

①Symptoms: dysmenorrhea; abnormal menstruation (which may manifest as excessive menstruation, prolonged menstruation and irregular bleeding);

② Gynecological and auxiliary examinations: uterine enlargement, tenderness, etc.; imaging examinations (pelvic B-ultrasound), serum CA125, etc.