Dysmenorrhea during menstruation in girls may be primary dysmenorrhea or secondary dysmenorrhea, which can usually be relieved by personal care, oral medication or surgery.
1. Primary dysmenorrhea: The cause of primary dysmenorrhea is not completely clear, and may be related to increased uterine contractions and excessive synthesis and release of prostaglandins. It often manifests itself as spasmodic pain and swelling in the lower abdomen around the time of menstruation or during menstruation. Patients with severe pain can take oral ibuprofen, indomethacin and other drugs as prescribed by the doctor, avoiding cold during menstruation and paying attention to keeping the lower abdomen warm.
2. Secondary dysmenorrhea: mostly due to endometriosis, pelvic inflammatory disease and other gynecological diseases, usually occurring several years after the patient’s first menstruation, often manifested as spasmodic pain in the lower abdomen before menstruation, swelling, chronic pelvic pain, pain during sexual intercourse and other symptoms. Treatment to treat the primary disease as the principle of treatment, patients can follow the doctor’s instructions oral drospirenone ethinyl estradiol, dienogest and other drugs.
For severe dysmenorrhea caused by ovarian chocolate cysts, uterine adenomyoma, etc., accompanied by infertility, menstrual changes and other symptoms, can be taken under the guidance of the doctor surgical treatment.
Women with severe dysmenorrhea during menstruation are advised to consult a doctor in time to clarify the cause of the disease and actively treat the symptoms.