Dysmenorrhea is a condition that most girls experience. Some people have been in pain for a few days, which seriously affects work and life; some people have no feelings, how can women make such a big difference? Today Zhimei will come to tell you the answer!
(Source: Network)
Just as everyone looks different, the degree of dysmenorrhea is of course different, which is mainly related to the location of our uterus, age, and perception of the body.
Image source: Stand Cool Helo
1. Uterine position
In general, the uterus is divided into anterior, median and posterior positions, and some studies have shown that if it is a posterior uterus, it will affect the outflow of menstrual blood during menstruation, so it is more likely to have severe dysmenorrhea [1].
2. Reasons for age
Dysmenorrhea tends to occur in women of childbearing age, and with the increase of age, it is generally alleviated after the age of 40.
In daily life, many girls will improve their symptoms of dysmenorrhea after marriage or childbirth, which may be related to adrenaline neurodegeneration during pregnancy [2].
3. Body Sensing
Everyone's sensitivity to pain is different. When dysmenorrhea occurs, some girls just feel that their lower abdomen is falling, and some girls feel severe pain that is unbearable.
(Source: Network)
Dysmenorrhea can be divided into primary dysmenorrhea and secondary dysmenorrhea. The former is generally dysmenorrhea without pelvic organic lesions, while the latter is caused by organic pelvic disease, that is, illness.
Domestic sampling surveys show that [3] the incidence of dysmenorrhea in mainland women is 33.1%, of which primary dysmenorrhea accounts for 53.2%, especially in adolescents, most of which occur within 1 to 2 years after menarche.
Primary dysmenorrhea occurs because the content of endometrial prostaglandins increases during menstruation, which causes uterine smooth muscle contractions and vascular contractures, resulting in uterine ischemia and hypoxia [4]. In addition, prostaglandins can also act on the intestines and promote intestinal peristalsis, which is why some girls have diarrhea during menstruation.
(Source: Network)
Thankfully, some primary dysmenorrhea disappear on their own after childbearing or gradually disappear with age after starting sexual life.
Secondary dysmenorrhea often has specific organic lesions, such as symptoms of lower abdominal pain, abnormal vaginal discharge, and fever, which may be pelvic inflammatory disease.
If the menstrual blood is light brown in color or has a fishy odor, and there is also fever and lower abdominal pain, it may be dysmenorrhea caused by inflammation of the endometrium.
If dysmenorrhea is manifested by low back pain on one side and a feeling of falling in the lower abdomen, it may be caused by adnexitis.
There are also more and more severe dysmenorrhea, longer and longer duration, may be related to endometriosis; dysmenorrhea is more severe, accompanied by irregular menstruation, menorrhagia, may be related to adenomyosis or adenomyoma; the placement of IUDs and some gynecological surgeries can also cause secondary dysmenorrhea.
Image source: Stand Cool Helo
Therefore, if there are other symptoms at the same time as dysmenorrhea, and taking painkillers does not work very well, it is necessary to seek medical attention in time.
Many girls will encounter occasional cases where dysmenorrhea is particularly serious, always thinking that it is caused by a cold or eating ice food, but in fact, this is not absolute.
Once in a while it hurts a lot, and there are many, many reasons...
Poor diet and lifestyle habits, emotional psychology, gynecological disorders and other factors can lead to occasional unforgettable dysmenorrhea.
The theory of Chinese medicine holds that "if you don't understand it, it hurts if you don't honor it", menstruation or postpartum experience of external evils (such as cold, heat, wetness, stagnation, blood stasis, etc.), poor mood, weakness of the body, etc., which can easily lead to poor operation of qi and blood meridians, at this time it will be "pain if it is not clear", and long-term lack of qi and blood will be "pain if it is not honored".
If the small belly is cold 1 to 2 days before the big aunt's menstruation, not only the blood vessels in the pelvis will contract at this time, but the blood vessels of the endometrium and the cervix will also spasm and contract, so that the menstrual blood discharge after menstruation is not smooth, which will cause dysmenorrhea, too little menstrual volume and even amenorrhea.
It can be seen that before coming to the great aunt, we must pay attention to keep warm, and wear less low-waisted pants and ankle-revealing pants.
Of course!
In daily life and during menstruation, dysmenorrhea can be prevented by the following methods.
1. 1 week before menstruation, you can take chinese medicine that activates blood and dissolves stasis until menstruation, such as motherwort granules or other biochemical punches, and you can also use painkillers such as ibuprofen and acetylsalicylic acid after menstruation.
2. Through acupuncture, it can warm the meridians and dissolve the stasis and circulation, remove the moisture and cold in the body, and help prevent the occurrence of dysmenorrhea [5].
3. Correct treatment of chronic gynecological diseases, taking drugs and treatment according to medical advice, regular review, and curing various gynecological diseases are the keys to preventing secondary dysmenorrhea.
Special author: Liu Guanyuan | Review experts of the Department of Obstetrics and Gynecology of Beijing Chaoyang Hospital affiliated to Capital Medical University:
Liu Haiphong | Deputy Chief Physician of the Department of Obstetrics and Gynecology, Huashan Hospital, Fudan University
Lai Maohua | Chief Physician of the Department of Integrative Medicine, The First Affiliated Hospital of Guangzhou Medical University
bibliography
[1] Zhang Lina,Guan Hong,Dang Zhiyong,Shang Lin,Xi Zhimei,Fu Jingjing. Logistic regression analysis of risk factors for dysmenorrhea in women of childbearing age using IUD[J].Chinese Maternal and Child Health Care,2013,028(021):3411-3413.
[2] Xie Lining,Qian Zhiying,Ding Huifang,Zhou Haizhen,Zhang Shunli. Sympathetic nerve and its transmitter norepinephrine on mouse uterine macrophages[J].Journal of Anatomy,2015,38(5):552-555.
[MENG Wenling,WANG Ningning,LI Ping,LIU Fenghui,ZHANG Shuhan,XI Shuaishuai,LIU Yizhi,CHENG Chun. Epidemiological investigation and influencing factors of primary dysmenorrhea in female college students[J].Journal of Taishan Medical College,2013,34(8):579-583.
Wang Jin,Liu Yanqin,Xu Xiangjie. Effect of Wenjing Hepatic Stasis Tongluo Method combined with acupuncture on serum prostaglandins and β-endorphins in patients with primary dysmenorrhea of qi stagnation and blood stasis[J].Modern Journal of Integrative Traditional Chinese and Western Medicine,2020,29(2):148-151.
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