Menstruation is a normal physiological phenomenon, but many women suffer from painful menstruation, which can be tolerated in mild cases, but not even relieved by oral painkillers in severe cases. Faced with the endless pain every month, we really can not do anything? Can all menstrual cramps be relieved by keeping warm and drinking more hot water? What are the ways to relieve menstrual cramps? Is the all-purpose hot water really all-purpose? First of all, let’s understand dysmenorrhea. Dysmenorrhea refers to the periodic occurrence of pain in the lower abdomen, extending to the lumbosacral back, and in some cases accompanied by dizziness, headache, anal swelling and other systemic symptoms during or before menstruation. Primary dysmenorrhea is divided into two categories: primary dysmenorrhea is caused by the increase of “pain hormones” in the body or mental factors, and the uterus itself is normal. Secondary dysmenorrhea is caused by problems with the female reproductive organs, such as cervical stenosis, uterine malformation, endometriosis, etc. The most common of these is endometriosis. The most common of these is endometriosis. So what is endometriosis? Endometriosis, also known as endometriosis, is when the endometrial tissue that normally grows in the uterine cavity grows in other parts of the body. These “bad” endometriotic tissues can grow anywhere in the body with the flow of blood, so the clinical manifestations are very diverse, mainly in the form of long-term or recently worsening dysmenorrhea, unexplained infertility, heavy periods, painful intercourse, chronic pelvic pain, etc. Some patients, of course, do not have any symptoms. The adenomyosis and chocolate cysts we usually hear about also belong to the category of endometriosis. Treatment The treatment of any disease is either conservative or surgical, and the same is true for menstrual pain. Due to the special nature of the uterus for women, many women are not able to undergo surgery, so we will mainly introduce conservative treatment methods. For patients with primary dysmenorrhea, we can relieve the pain by relieving the patient’s mental stress, taking oral painkillers or oral Chinese medicine to lower the “pain hormones”. For patients with secondary dysmenorrhea caused by endometriosis, conservative treatment includes oral contraceptives, progestins, androgen derivatives, GnRH-a injections, immunotherapy, etc. GnRH-a injections have become the first line of conservative treatment for endometriosis due to the precise effect of non-surgical treatment and less side effects. The principle is that by lowering the estrogen level in the body, the “bad” endometrium shrinks and becomes smaller, thus achieving a smaller uterus and improving clinical symptoms. Goserelin (Noradren), leuprolide (Inhibitors,research,lifescience,medical) and treprostin (Daphylline) are now commonly used in clinical practice. After GnRH-a injection, patients will experience temporary menopause, but this effect is reversible. After stopping the medication, ovarian function gradually restores and menstruation comes, but at the same time various symptoms will appear again. This drug property determines that 3-6 months of continuous injections are needed to really achieve the effect of atrophying the endometrium. Since the injection of GnRH-α causes the estrogen in the blood to drop to the menopausal level or slightly above it, this makes it good to shrink the lesion and improve the symptoms while some side effects may occur, such as hot flashes and sweating, vaginal dryness, mood changes, bone pain and weakness. What should we do about such unavoidable side effects? First of all, if the course of treatment is short, we can add Livermin (i.e. Black Asclepias Extract), which exhibits natural estrogenic effects and can relieve the symptoms of low estrogen in the short term, and is a natural drug that can effectively improve the symptoms of low estrogen during GnRH-α treatment in addition to hormone therapy. For patients receiving long-term GnRH-α treatment, oral estrogen is required to relieve such hypoestrogenic symptoms. The value of Chinese medicine cannot be ignored in the treatment process. Some patients may refuse Chinese medicine in the treatment process or take it irregularly considering the inconvenience and poor taste of Chinese medicine, but we have to understand that due to the difference of individual physique, the clinical manifestations of individuals in the treatment process are also different. While taking Livermin or estrogen orally, we are able to accurately address the different symptoms and the individual physique of patients by In order to maximize the therapeutic effect and minimize the side effects, we can take oral Chinese medicine or ointment in a two-pronged way.