What are the methods to relieve dysmenorrhea?

Dysmenorrhea is a complex and difficult to cure disease. Most women have a history of this disease. However, with physical conditioning, proper diet, and disease treatment, the symptoms will be alleviated, and some will be able to control the pain. However, some women cannot handle dysmenorrhea well and have many problems controlling it. Dysmenorrhea can occur before or after menstruation, or during menstruation. The severity of the pain is different, and the type of disease and treatment are different. So what are the methods to relieve dysmenorrhea?

Western medicine treatment of dysmenorrhea:

Primary dysmenorrhea

(I) General treatment: Perform physical exercises to enhance physical fitness. Pay attention to your daily life, combine work and rest, get proper nutrition and adequate sleep. Attach importance to the publicity and education of menstrual physiology, and eliminate patients' fear, anxiety and mental burden through explanation and persuasion. Strengthen menstrual hygiene, avoid strenuous exercise, excessive fatigue and prevent cold.

(ii) Inhibition of ovulation: If the patient is willing to control fertility, oral contraceptive tablets (norethindrone combined tablets or megestrol acetate combined tablets) are the first choice for the treatment of primary dysmenorrhea. With the use of oral contraceptives, more than 90% of symptoms can be relieved, possibly because endometrial growth is inhibited, menstrual volume is reduced, and the amount of PG drops below normal levels, resulting in weakened uterine activity. The treatment can be tried for 3 to 4 cycles. If the effect is satisfactory, it can be continued; if the symptoms do not improve significantly, a PGS synthesis inhibitor can be appropriately added. Since the medication needs to be taken throughout the entire menstrual cycle and its effect only occurs in the last 1 to 2 days of the cycle, it is generally not popular with patients unless contraception is required at the same time.

(III) Prostaglandin synthesis inhibitors (PGSI):

Fenbid: This type of drug can inhibit the synthesis of prostaglandins, reduce uterine tension and contractility, and achieve the purpose of treating dysmenorrhea. Dosage: Generally, take the medicine continuously for 2 to 3 days before the onset of menstrual dysmenorrhea, 1 tablet/qd. If the pain is severe, 2 tablets/q12h can be given. Because the release of prostaglandins is the highest in the first 48 hours of menstruation, early use of the medicine can correct the excessive synthesis and release of prostaglandins in the blood during menstruation. Taking it when you have pain may not be effective, and it will take at least 3 hours to take effect.

Secondary dysmenorrhea

The treatment of secondary dysmenorrhea requires first distinguishing the cause, and then treating the cause and symptoms simultaneously.

Nonsteroidal anti-inflammatory drugs or oral contraceptives are the first choice for dysmenorrhea caused by endometriosis. The course of treatment is generally not less than six months, and the usage is the same as primary dysmenorrhea.

Surgical removal of the hysterectomy is usually the most thorough method of treating adenomyosis, but for patients who want to have children or want to keep their uterus, gonadotropin-releasing hormone analogues should be the first choice for treatment, and the course of treatment is the same as before. If the patient has no immediate fertility requirements, placement of a levonorgestrel intrauterine sustained-release system into the uterine cavity or vaginal use of sustained-release drugs should be the preferred method. Oral contraceptives are also available, but are generally not the first choice of treatment.

What are the methods to relieve dysmenorrhea? The treatment of this disease is formulated based on the type of disease. Primary and secondary are two different types of dysmenorrhea, and their symptoms are also somewhat different. Patients should carefully distinguish them when making judgments. A little pain during menstruation is normal and is physiological pain. As long as the menstruation is over or you pay attention to rest, the pain can be relieved. When the pain cannot be controlled, you should suspect its cause, pay attention to its nature and make a judgment, and the treatment will be more appropriate.