Hi, it’s me again, healthy! Steaming friends of women! Continue to go online and talk to everyone about women's health. Today we will talk about dysmenorrhea , which is a gynecological symptom that makes many women suffer.
When dysmenorrhea comes, we often have to endure pain in the lower abdomen and swelling, accompanied by waist soreness or other discomfort. Some female friends have to rest in bed and cannot live and work normally. Do you know that dysmenorrhea is divided into two categories: primary and secondary.
Primary dysmenorrhea
refers to dysmenorrhea in which the genitals do not have organic lesions. Most dysmenorrhea are primary dysmenorrhea. Western medicine believes that its appearance is mostly related to the increase in the content of prostaglandin in the endometrium during menstruation. In addition, primary dysmenorrhea is also affected by mental and neurological factors, and is related to the subjective feelings of individual pain and individual pain threshold. The main characteristics of primary dysmenorrhea are: ① Primary dysmenorrhea is often present in adolescence and can occur within 1-2 years after menarche; ② The pain often starts after menstruation, and the pain is often the most severe on the first day of menstruation. The symptoms can be relieved after two or three days, and the pain is mostly spastic; ③ Some may also have nausea, vomiting, diarrhea and other symptoms; ④ No abnormal findings in gynecological examinations.
Secondary dysmenorrhea
Secondary dysmenorrhea refers to dysmenorrhea caused by organic pelvic diseases. The most common cause is endometriosis . Secondary pain often only develops symptoms several years after menarche, and most have had a history of organic gynecological diseases or IUD placement. Abnormalities are often found during gynecological examinations and auxiliary examinations (such as ultrasonography). If necessary, laparoscopy is required for further diagnosis.
What to do if dysmenorrhea?
Primary dysmenorrhea should be taken seriously. Psychological treatment should be taken to eliminate tension and anxiety to help relieve pain; when it is unbearable, drug treatment can be performed, such as using prostaglandin synthase inhibitors.
Secondary dysmenorrhea needs to be treated symptomatically according to the cause. For example, the most common dysmenorrhea caused by endometriosis in should be given drug treatment and necessary surgical treatment. doctors will conduct personalized treatment based on the patient's age, symptoms, fertility needs, lesion location and scope.
So how does traditional Chinese medicine view dysmenorrhea?
Traditional Chinese medicine believes that qi stagnation and blood stasis, cold clotting in the cell, weak qi and blood, and weak liver and kidney can all cause dysmenorrhea.
Expandingly, premenstrual pain and period pain are mostly true, while postmenstrual pain is mostly deficiency. The pain is worse than swelling, and the blood clots of menstrual blood are mostly caused by blood stasis; the swelling is worse than pain, and the menstrual blood is not discharged smoothly is often caused by qi stagnation. If it is colic, cold pain, or hot compress, the pain is relieved, it is cold; if it is burning pain, the pain is worsening, the pain is worse, it is hot. If the pain is in the lower abdomen and breast swelling, the disease is mostly in the liver. If the pain is connected to the lumbar sacral, it is accompanied by dizziness, tinnitus and , it is mostly caused by kidney deficiency and .
treatment methods are mainly to regulate qi and blood. includes domestic Chinese medicine, acupuncture, moxibustion, external Chinese medicine application, etc.
Reference: Department of Obstetrics and Gynecology, Xijiao No. 1 Affiliated Hospital, Yunnan Traditional Chinese Medicine
