Is it useful to take contraceptive pills to regulate menstruation during dysmenorrhea?

Dysmenorrhea is a gynecological disease that many women suffer from. Due to the different severity of dysmenorrhea, people pay different attention to the disease. Dysmenorrhea can be divided into physiological dysmenorrhea and pathological dysmenorrhea according to its occurrence. In life, some women take contraceptives to regulate menstruation. So is it useful to take contraceptives to regulate menstruation during dysmenorrhea? In fact, contraceptives cannot be used indiscriminately and should be used under the guidance of a doctor. Therefore, taking contraceptives to regulate menstruation during dysmenorrhea is useless. Patients should understand the scientific treatment of dysmenorrhea.

General treatment

Pay attention to daily exercise to enhance your physical fitness. Do a good job in psychological and health education during menstruation. When you have dysmenorrhea, you can rest in bed and apply hot compress to your lower abdomen.

Prostaglandin synthase inhibitors

Prostaglandin synthase inhibitors can inhibit the synthesis of prostaglandins in the endometrium, reduce the amplitude and frequency of uterine contractions, do not affect the function of the pituitary-ovarian axis, and have an efficacy of 70%. It is best to start taking the medicine when pain symptoms begin to appear, when menstruation starts, or even 1-2 days before the onset of menstruation. You can continue taking the medicine until the pain disappears and then stop taking it. If medication is taken during the painful period, it is sometimes difficult to control the pain.

Prostaglandin synthase inhibitors include aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs), and research results support their use. Nonsteroidal anti-inflammatory drugs (NSAIDs) can relieve mild pain.

Gonadotropin-releasing hormone agonists

GnRa can reduce estrogen levels, thereby shrinking the endometrium and reducing the production of prostaglandins. Although GnRH can effectively treat dysmenorrhea and is only used for severe dysmenorrhea, its side effects affect its regular and long-term use. See Chapter 18 for their dosage and side effects.

Beta-receptor agonists

By stimulating the beta receptors on the uterine muscle cell membrane, it causes the uterine muscle to relax and relieve dysmenorrhea. Commonly used β2 receptor stimulants include: hydroxymethylisobuterol and meta-isobuterol. The methods of administration include oral, aerosol inhalation, subcutaneous, intramuscular injection and intravenous administration. The therapeutic effect is not very satisfactory, and there are side effects such as palpitations and tremors, so it is not widely used.

Calcium channel blockers

It relieves smooth muscle contraction by interfering with the permeation of Ca++ through the cell membrane. Commonly used drugs include nifedipine, 5-10 mg, tid or 10 mg sublingually. Side effects include headache, palpitations, and low blood pressure.

Other treatments

Drugs being studied include leukotriene inhibitors and vasopressin. A randomized controlled trial demonstrated that vasopressin given three days before the onset of dysmenorrhea was more effective than placebo in relieving dysmenorrhea.

There are many ways to treat dysmenorrhea. After the patient understands the treatment clearly, he or she can combine the treatment with his or her own condition to avoid making the dysmenorrhea worse. However, if the patient decides to use contraceptives to treat dysmenorrhea, he or she must use contraceptives specifically for the treatment of dysmenorrhea, such as steroid hormone contraceptives. This type of contraceptive has the effect of treating dysmenorrhea, but you must also refer to the instructions when using it and not take it indiscriminately.