Dysmenorrhea refers to pain or swelling in the lower abdomen around or during menstruation, often accompanied by back pain or other discomfort. Primary dysmenorrhea refers to dysmenorrhea without organic lesions in the reproductive organs; secondary dysmenorrhea refers to dysmenorrhea with organic lesions in the reproductive organs, such as those caused by endometriosis and adenomyosis. Secondary dysmenorrhea can be judged according to the prevalent population, clinical manifestations and clinical examination. 1. Judgment of secondary dysmenorrhea 1. Judgment according to the prevalent population: secondary dysmenorrhea usually occurs in women of childbearing age, especially in married women after 30 years old; 2. Judgment according to clinical manifestations: pain starts several weeks before menstruation and lasts until after the end of menstruation; pain manifests as lower abdominal pain, lower abdominal cramps, anal cramps, painful intercourse, etc.; 3. Judgment according to clinical examination: if gynecological examination has positive signs, pelvic ultrasound, CT and MRI, etc. reveal the foci of endometriosis, then secondary dysmenorrhea is considered. Care for secondary dysmenorrhea 1. strengthen physical exercise: you can participate in labor and exercise; 2. pay attention to improving the nutritional status, and actively treat chronic diseases; 3. keep a happy mood: eliminate tension and fear of menstruation; 4. symptomatic treatment: take atropine tablets, drink brown sugar and ginger water to relieve pain; 5. pay attention to menstrual hygiene: eat less cold and spicy and other stimulating foods during premenstruation and menstruation. 5. Pay attention to menstrual hygiene: eat less cold, spicy and other stimulating foods during the premenstrual period and menstruation.