How to treat dysmenorrhea to eliminate the root cause

When it comes to menstrual pain, many girls have some inexplicable feelings. Girls can say that they are extremely annoyed by menstrual cramps. So, how much do girls know about menstrual pain? What are the causes of menstrual pain? How can menstrual pain be cured? Next, the editor will explain these aspects in detail for everyone.

What are the causes of menstrual pain?

1. Endometriosis: secondary and idiopathic aggravation. To put it simply, idiopathic means that the pain gradually worsens as the local disease worsens. Most of them are located in the lower abdomen and lumbosacral region, and can radiate to the vagina, perineum, anus or thigh root. They usually start 1 to 2 days before the onset of menstruation, are more intense on the first day of the menstrual period, and then gradually ease and disappear when the menstruation is over. The level of pain is not necessarily proportional to the severity of the disease. Severe cases of the disease, such as large endometriotic cysts in the uterus and ovaries, may cause relatively mild pain, while small nodules scattered behind the pelvic peritoneum may cause severe menstrual pain.

2. Chronic pelvic inflammatory disease: wide range. Scar adhesions and pelvic congestion caused by pelvic inflammation often cause lower abdominal pain, pain, and lumbar pain, which are aggravated before and after menstruation. The main manifestation of menstrual pain is persistent pain in the upper abdomen on both sides, which may radiate to the waist, and is sometimes accompanied by a feeling of heaviness and distension in the anus.

3. Adenomyosis: idiopathic aggravation. It presents severe menstrual cramps and severe pain. It often occurs in primiparas over 30 years old.

4. Submucosal uterine fibroids: As uterine fibroids grow toward the uterine mucosa and protrude into the uterine cavity, affecting the discharge of menstruation, they can cause abnormal contraction of the uterus and produce menstrual pain, which is mainly manifested as lower abdominal pain, back pain, and is accompanied by increased menstrual volume and irregular menstrual cycles.

5. Chronic cervicitis: The clinical symptoms of chronic cervicitis are excessive vaginal discharge. When the inflammation spreads along the uterosacral cruciate ligament to the outside of the pelvis, it will cause menstrual pain, which is specifically manifested as lumbar pain, downward pain in the pelvis, etc. The pain is aggravated during menstruation, defecation or sexual intercourse. Chlamydia and other bacteria cause cervicitis, which often causes the cervical canal to be blocked or narrowed, resulting in retrograde menstrual blood and menstrual pain.

6. Pelvic congestion syndrome: The main manifestations are widespread chronic hemorrhagic dysmenorrhea, as well as lower abdominal pain, low back pain, breast pain during menstruation, etc. The pain usually intensifies a few days before menstruation and eases on the first or second day after menstruation. In rare cases, the pain persists. The pain worsens after the patient has stood for a while, runs, jumps, or sits down suddenly, and is heavier at noon than in the morning. It is more common in women aged 25 to 40.

7. Reproductive system malformations: Reflex blockages such as excessive protrusion of the uterus and closure of the hymen lead to poor menstrual discharge and blood accumulation, causing abnormal contraction of the uterine smooth muscle and resulting in menstrual pain. Generally, there is regular lower abdominal pain that gradually intensifies, and there may be a slowly enlarging lump in the lower abdomen.

8. Cervical or intrauterine adhesions: Cervical or intrauterine adhesions cause obstruction of menstrual blood flow and cause menstrual pain. It is common in repeated abortions, uterine wall tuberculosis, etc.

How to treat menstrual pain to eliminate it

First, more than 90% of menstrual pain is primary menstrual pain, which is mainly related to the increase of prostacyclin content in the uterine wall during menstruation. Prostacyclin can enlarge sensory nerves, cause excessive contraction of uterine smooth muscle, and atrophy of vascular muscles, leading to ischemic oxygen deficiency in the uterus.

Second, there is no way to eradicate primary dysmenorrhea. Apart from universally applicable measures such as adjusting your mentality and paying attention to your work and rest schedule, all you can do is relieve the pain. You can consider consulting a doctor to use painkillers such as ibuprofen granules or oral short-term contraceptives, which can effectively alleviate the symptoms.

Third, if the menstrual pain is very severe and even causes loss of civil capacity, it may be secondary dysmenorrhea, in other words, the menstrual pain is caused by other organic diseases, the most common of which are endometriosis and adenomyosis.

Fourth, if you feel the pain is particularly severe, you should go to the obstetrics and gynecology department for examination as soon as possible. The treatment is not simply to relieve the pain, but to treat the underlying disease.

The above is some of the content that the editor has introduced in detail about the causes of dysmenorrhea and how to treat dysmenorrhea to eliminate it. I hope it will be of some help to everyone. The occurrence of menstrual pain, to a certain extent, reflects our own health status. For friends who experience menstrual pain, the editor recommends that girls should see a doctor.