Why didn't I have dysmenorrhea before? Why do I have it now?

Why didn't I have dysmenorrhea before? Why do I have it now?

As we all know, dysmenorrhea can be divided into two categories: primary and secondary. The former, as the name suggests, refers to the original condition, which means that women will experience dysmenorrhea as long as they have their menstruation. The secondary type is related to a variety of gynecological diseases, such as pelvic congestion and pelvic inflammatory disease. So what are the appropriate clinical treatments for secondary dysmenorrhea? How to help women get through those days easily?

1. If you did not have dysmenorrhea before but now have dysmenorrhea, it may be secondary dysmenorrhea. The causes of secondary dysmenorrhea are mostly caused by diseases, such as endometriosis, pelvic inflammatory disease, pelvic congestion, etc. In recent years, it has been discovered that increased synthesis of prostaglandins in the endometrium can also cause dysmenorrhea. Therefore, it is necessary to determine the cause of dysmenorrhea through examination and then treat it accordingly.

2. The content of prostaglandins (PG) in the endometrium and menstrual blood increases, and prostaglandin E2 (PGE2) acts on uterine muscle fibers to cause them to contract and cause dysmenorrhea. The prostaglandin content in the endometrial tissue of menstrual patients is significantly increased compared with that of women with normal uterine function.

3. Abnormal uterine contraction. Patients with dysmenorrhea often have abnormal uterine contractions, which often lead to ischemia of uterine smooth muscles. Uterine muscle ischemia can cause spasmodic contractions of the uterine muscles, resulting in pain and dysmenorrhea.

4. Excessive contraction of the uterus. Although the uterine contraction pressure of patients with dysmenorrhea is basically the same as that of normal women (normal pressure is about 4.9 Kpa), the uterine contraction lasts longer and is often difficult to relax completely, so dysmenorrhea occurs due to excessive uterine contraction.

5. Gynecological diseases such as endometriosis, pelvic inflammatory disease, adenomyosis, uterine fibroids, etc. Placing an intrauterine contraceptive device (commonly known as an IUD) in the uterus can also easily cause dysmenorrhea. Endocrine factors: Menstrual abdominal pain is related to increased progesterone in the luteal phase.

What to do if you often have dysmenorrhea

What should we do if we have long-term dysmenorrhea? Someone conducted a survey: "A survey of young women aged 14-30 showed that as many as 88% of women in this age group suffer from dysmenorrhea, irregular menstruation, abdominal distension, low back pain and other problems, among which dysmenorrhea is the most common. The survey also found that many girls take painkillers every time they have their period." So painkillers are harmful.

First of all, we must use scientific treatment methods, and pay attention to the use of angelica and other tonic foods in daily life. During treatment, patients with dysmenorrhea should pay attention to self-care, keep warm during menstruation, avoid rain and water, and avoid eating raw and cold foods. Emotionally stable and in a good mood. Eat a balanced diet. Live a regular life, combine work and rest, and ensure sleep. Participate in moderate exercise, but avoid heavy work and strenuous exercise. Doing the above points will help reduce the onset of dysmenorrhea and promote recovery.

The principle of treatment for secondary dysmenorrhea is to provide specific treatment for the lesions that cause dysmenorrhea. Dysmenorrhea caused by intrauterine devices can be treated with PGs synthesis inhibitors, which can relieve dysmenorrhea and reduce menstrual volume at the same time. In recent years, there are contraceptive devices with progesterone that can reduce the PGs content in menstrual blood to relieve the severity of dysmenorrhea. For patients whose treatment efficacy is still not significant, the IUD should be removed and other contraceptive measures should be used instead.

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