When you ask a female friend how painful is menstrual cramps, you may hear some of the following responses:
"It hurts so much that I can't love it, my scalp is numb, my brain is hot, I break out in a cold sweat, I get goosebumps, and I feel uncomfortable"
"Anyway, I'm about to ascend to immortality"
"I'm tired, I don't know where it hurts"
"Have you seen Bai Suzhen after drinking realgar, it's that kind of pain......
It sounds funny and sad, "dysmenorrhea" is the enemy that women have been fighting for most of their lives, clinically common, the cause is complex, severe dysmenorrhea will seriously affect work and study, reduce the quality of life, and bring great pain to women.
Dysmenorrhea is divided into primary dysmenorrhea and secondary dysmenorrhea. Dysmenorrhea that occurs after menstrual cramps is primary dysmenorrhea, and secondary dysmenorrhea caused by an organic disorder.
Primary dysmenorrhea is not pathologically alternated and affects about 50% of women, and the proportion of adolescent dysmenorrhea is as high as 95%. Pain in the lower abdomen is common, radiating to the back or thighs, ranging from dull to severe cramping, with the most severe pain at the beginning of menstruation, which may occur 12 hours before the onset of menstruation and usually last 24 hours, but may also last 2 to 3 days, and may be accompanied by nausea, vomiting, headache, syncope, or facial flushing.
How to relieve "menstrual cramps"?
First of all, promote a healthy lifestyle, exercise regularly, avoid smoking and alcohol, do some relaxation exercises, such as yoga, avoid exposure to extreme cold, and place hot water bottles in the painful area. If the pain is severe, drugs may be used, such as simple analgesics (such as aspirin or acetaminophen), prostaglandin suppressants, or nonsteroidal anti-inflammatory drugs. In addition to pain medications, vitamin B1 supplementation is also an option. Contraceptives and progestogen-containing intrauterine devices (Mirena) are also commonly used in clinical practice, but they require a consultation to determine whether there are any contraindications before they are used.
Secondary dysmenorrhea is usually painless for many years after menarche, and then some medical conditions cause symptoms to appear or even continue to progressively worsen. Common causes include: endometriosis, adenomyosis, pelvic inflammation, fibroids, intrauterine adhesions, uterine malformations, etc. It is often detected by ultrasonography of the uterine adnexa. Secondary dysmenorrhea requires targeted treatment for different causes.
"Dysmenorrhea" is a very common problem for female friends, it is a phenomenon that needs to be paid attention to but not afraid, if the dysmenorrhea is severe or gradually worsened, you should seek help in the hospital in time, many diseases related to dysmenorrhea can be relieved and treated. Because men do not have this kind of trouble, they are often ignored and ignored, and they need the attention and understanding of the whole society to give women comfort and support.
Author: Warm
Source: Shenyang Maternal and Child Health Hospital
Editor: Zhou Changlin
Proofreader: He Yiming, Chen Zeming
First trial: Jia Shujuan
Review: Xu Jiang