Dysmenorrhea refers to a condition that occurs in women during their normal menstrual cycle. Everyone's physical constitution is different, and different dysmenorrhea symptoms will occur. Generally, dysmenorrhea is divided into many types, which can easily cause pain in women's lower abdomen, or weakness in the limbs, bad complexion, etc. You need to pay more attention to some things in your daily life, try not to touch cold water, or eat raw or cold food. What should I pay attention to when I have dysmenorrhea? Clinical manifestations 1. Primary dysmenorrhea is common in adolescence, often occurring within 1 to 2 years after menarche. The main symptom is lower abdominal pain that occurs regularly during the menstrual cycle. The symptoms of secondary dysmenorrhea are the same as those of primary dysmenorrhea. Secondary pain caused by endometriosis often progressively worsens. 2. The pain usually starts after the onset of menstruation, and can first occur 12 hours before menstruation. The pain is most severe on the first day of menstruation and lasts for 2 to 3 days before being relieved. The pain is often spasmodic. It is usually not accompanied by abdominal muscle tension or rebound pain. 3. It may be accompanied by symptoms such as nausea, vomiting, diarrhea, dizziness, fatigue, etc. In severe cases, the face will turn pale and cold sweats will occur. 4. No abnormalities were found during gynecological examination. diagnosis The diagnosis can be made clinically based on lower abdominal pain during menstruation and no positive signs during gynecological examination. Differential Diagnosis 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. treat 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. Drug treatment (1) For patients with dysmenorrhea caused by adenomyosis who do not desire pregnancy, Mirena is the first choice. (2) Oral contraceptives: Suitable for women with dysmenorrhea who require contraception, with an effectiveness rate of over 90%. |
<<: What not to eat during the first three months of pregnancy
>>: How long does artificial insemination take?
Menstruation is something that women cannot avoid...
At every stage of life, there are many "time...
Induced abortion surgery is very harmful to women...
We all know that female friends should avoid many...
According to the results of the 2012 National Sur...
Hyaluronic acid is a face protection envoy that c...
Now many families have babies, but pregnant women...
Pregnant mothers who are already preparing for pr...
Skin warts are contagious, so once you get skin w...
Because nowadays women have too much sex or do no...
Tiger fish are very common in our daily life. The...
It is well known that the cleanliness of a woman&...
Hemorrhoids are a common problem among modern peo...
What kind of underwear is best for people with sm...
As we all know, women's vaginas will have leu...