What to do about primary dysmenorrhea?

Women are the greatest animals in the world. Even Jay Chou knew to write a song called "Listen to Mom" ​​to praise his mother. Being a girl is also very painful. When you grow up and have your period, it is not only troublesome but also painful. When menstruation just starts, everyone will feel irritable and may even lose their temper, but in fact, that is just a fantasy. For girls who suffer from dysmenorrhea, it is like risking half their life. Some people will vomit and have diarrhea. We need to treat this disease well.

Treatment:

1. General treatment

First of all, it is necessary to provide necessary explanations to patients with dysmenorrhea, which is especially important for adolescent girls. Explain the relevant basic physiological knowledge, clarify that "menstruation" is a normal physiological phenomenon, and help patients dispel their concerns and build confidence. When you have dysmenorrhea, you can rest in bed or apply hot compress to your lower abdomen. Pay attention to menstrual hygiene. You can also take general non-specific analgesics, such as salicylates, which have the effect of reducing fever and relieving pain.

2. Oral contraceptives

Suitable for patients with dysmenorrhea who need to take contraceptive measures. Since the 1960s, a large number of research observations have confirmed that oral contraceptives can effectively treat primary dysmenorrhea, completely relieving pain in 50% of patients and significantly reducing pain in 40%. Oral contraceptives can inhibit endometrial growth, reduce blood levels of prostaglandins, vasopressin and oxytocin (oxytocin), and inhibit uterine activity. In women with primary dysmenorrhea, increased uterine activity is partly due to an imbalance of ovarian hormones, which may be caused by increased estrogen levels during the luteal phase and premenstrual period. Estrogen can stimulate the synthesis and release of PGF2a and vasopressin. Oral contraceptives may suppress uterine activity by changing the imbalance of ovarian hormones. It was once believed that progesterone activity was an important factor in the treatment of dysmenorrhea. However, recent studies have confirmed that various estrogen-progestin combined contraceptives can reduce the occurrence and severity of dysmenorrhea, with no significant difference in the effects. Piroxicam (Piroxicam) and indomethacin (Indomethacin) have severe gastrointestinal reactions and can cause diarrhea and gastrointestinal bleeding, and are not used as first-line drugs for dysmenorrhea. Contraindications: Gastrointestinal ulcers, allergies to aspirin or similar drugs.

3. Spinal manipulation

It can relieve dysmenorrhea and reduce the concentration of PGF2a metabolites in the blood. It is a safe and effective non-drug means of treating dysmenorrhea. The massage technique is that the patient lies on his side with the lower leg straight and the upper leg bent, and massage is repeated and quickly between T10 and L5-sacrum, as well as at the sacroiliac joint.

4. Calcium channel blockers

Experiments have shown that nifedipine (nifedipine) can significantly inhibit uterine contraction caused by oxytocin. This product has low toxicity, few side effects, and is safe and effective. Small-sample open clinical trials in China have shown good results in most cases of premenstrual administration (5-10 mg, 3 times/d, 3-7 days) or sublingual administration of 10 mg when in pain. The side effects include headache, palpitations, etc., and blood pressure should be paid attention to.

In ancient times, women were a species without status and became men's reproductive tools. In today's society, women have already occupied a major position, but they still have to suffer from primary dysmenorrhea. It is so painful! But we cannot give in and stick to the above views, hoping that we can feel at ease.