What to do if you have dysmenorrhea and fever

I believe everyone is familiar with dysmenorrhea, but many female friends will experience abdominal pain, nausea and vomiting, and even fever during dysmenorrhea. This is quite serious and the fever should be reduced as soon as possible to prevent damage to the brain nerves. At the same time, attention should be paid to psychological treatment, and confidence in the treatment should be eliminated to eliminate any worries.

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. Medication

(1) For dysmenorrhea caused by adenomyosis in women 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%.

(3) Over-the-counter drugs: acetaminophen, acetaminophen plus pamabrom, and vinyl salicylic acid (aspirin).

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.