Source: Science and Technology Development Center of Chinese Pharmaceutical Association
There is a hot topic of discussion in Weibo, "What is the human disease of dysmenorrhea". Some people say that "every time I come to my aunt, I feel that there are countless super-heavy trucks running over my stomach", some people "want to unload the whole stomach and separate it, and I have to stomp on it before throwing away the garbage can", some people feel that "the landslide cracks, the tsunami erupts... Colic to tears", some people "hurt to doubt life, and in the next life they don't want to be a woman...
Headache, backache, lower abdominal pain, fatigue, nausea, vomiting... Severe "aunt pain" can directly affect work and life. In order to alleviate dysmenorrhea, some people brown sugar water, warm palace stickers, painkillers come together, do not wash their hair during menstruation, do not bathe, do not eat cold, do not eat spicy, and finally found out, how to hurt or how to hurt...
Is there really nothing we can do about dysmenorrhea?
Your pain may not be the same as hers
Depending on the cause of the disease, dysmenorrhea is divided into primary dysmenorrhea and secondary dysmenorrhea.
Primary dysmenorrhea is generally non-organic and tends to occur in younger women. As you age or become pregnant, dysmenorrhea lessens or disappears. The onset of primary dysmenorrhea may be related to the following factors:
Tips
If you start menstruating from puberty, the pain is fixed every month, and there is no aggravation, the possibility of primary dysmenorrhea is greater.
Secondary dysmenorrhea may be associated with disease, with common causes as follows:
Tips
If you have symptoms such as worsening pain, longer menstrual cycles, and increased menstrual blood every time you menstruate, it may be secondary dysmenorrhea. At this point, you should seek medical attention in time to treat the primary disease.
Can you endure dysmenorrhea?
No, these methods help you relieve "aunt pain"
Dysmenorrhea is related to mood, excessive stress, irregular work and rest, etc., and can be coped with by adjusting stress, exercising appropriately, and adjusting work and rest time. If lifestyle modifications are not very effective, medication can be sought.
Nonsteroidal anti-inflammatory drugs
Representative drugs are ibuprofen, acetaminophen, diclofenac and the like. These drugs may cause gastrointestinal adverse reactions, and if there is concern that they cannot tolerate their irritation of the gastrointestinal tract, the intestinal solvent type may be selected.
Such drugs should be taken 2 days before menstruation, and the continuous use of the drug generally does not exceed 3 days. This is because the "culprit" that causes dysmenorrhea, prostaglandins, release the most in the first 2 days of menstruation, and taking medication 2 days before menstruation can prevent the synthesis of prostaglandins from releasing too much. If dysmenorrhea has already begun and then administered, it will be difficult to achieve analgesic effect. These drugs should not be used in patients with active peptic ulcer/bleeding, or in patients with a history of peptic ulcer/bleeding.
Short-acting oral contraceptives
This type of drug is mainly composed of estrogen and progesterone, representing drugs such as ethinylestradiol cyclopropestone tablets, drospirone ethinylestradiol tablets II., drospirone ethinynestradiol tablets and the like. The first two drugs can not only effectively alleviate menstrual pain, but also have a certain effect on acne.
However, women with arteriovenous thrombosis, severe hypertension, endometrial hyperplasia and other diseases and women who smoke are not suitable for the use of such drugs.
Before taking the drug, you should ask your doctor to evaluate your physical condition to decide whether to use the drug. At the same time, breast examinations should be carried out regularly during the medication.
Proprietary chinese medicines
The main drugs are safflower proms, blood house stasis soft capsules, loose knot analgesic capsules and so on. Such drugs are administered dialectically on the basis of the theory of traditional Chinese medicine, and play a therapeutic role by rationalizing qi stagnation, warming the palace, and nourishing qi and nourishing blood.
Because Chinese medicine divides dysmenorrhea into a variety of symptomatic types, the drugs selected for different clinical manifestations are very different, so you should see Chinese medicine before taking the drug, distinguish between Chinese medicine candidates, and then prescribe drugs suitable for individuals.
Other drugs
The main drugs are nifedipine, resorcinol, levonorgestrel extended-release IUD, etc., which play a role by dilating blood vessels, relaxing smooth muscle, and regulating local progesterone concentrations.
Similarly, the use of such drugs should be evaluated by a specialist before use. The choice of treatment plan for dysmenorrhea should be determined by combining the patient's age, fertility requirements, primary disease, pain level and compliance, and the patient's pain symptoms and auxiliary examination results should be monitored during treatment, and the treatment plan should be changed in a timely manner.
In addition, other medical treatments, such as laparoscopic nerve dissection, may be used in some patients with refractory dysmenorrhea to block the pain signaling pathway from the pelvic cavity. This is also a new option for patients with primary dysmenorrhea, and the final treatment requires clinical diagnosis and decision-making by specialists.