What is the pain of dysmenorrhea?

Dysmenorrhea is a problem that many women have, and it is also a symptom caused by various health problems in women. In itself, during the menstrual period, women's resistance is relatively weak. If problems such as dysmenorrhea are added, it will undoubtedly be extremely harmful to women. Therefore, after dysmenorrhea occurs, women must find out the cause in time and then adjust their bodies reasonably!

1. Clinical manifestations

1. Primary dysmenorrhea is more 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 menstruation, and the earliest appearance is 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.

2. Causes

1. The occurrence of primary dysmenorrhea is mainly related to the increase in endometrial prostaglandin content during menstruation. Elevated PGF2α levels are the main cause of dysmenorrhea. High levels of PGF2α can cause excessive contraction of uterine smooth muscle and vascular spasm, resulting in uterine ischemia and hypoxia and dysmenorrhea.

2. Increase in substances such as vasopressin, endogenous oxytocin and β-endorphin.

3. Mental and neurological factors.

4. Secondary pain is often caused by endometriosis, adenomyosis, etc.

Treatment

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 are suitable for women with dysmenorrhea who require contraception, with an effectiveness rate of over 90%.

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