Dysmenorrhea is one of the most common symptoms in gynecology, which refers to pain and swelling in the lower abdomen before and after menstruation or during menstruation, accompanied by back pain or other discomfort, and the symptoms seriously affect the quality of life. Primary dysmenorrhea refers to dysmenorrhea without organic lesions in the reproductive organs, accounting for more than 90% of dysmenorrhea, which is common in adolescent women; secondary dysmenorrhea refers to dysmenorrhea caused by organic pelvic diseases, which is common in women of childbearing age. Some people think that when menstruation comes, there should be a painful sensation, is it abnormal to have menstruation without any sensation? First of all, the occurrence of dysmenorrhea is mainly related to the increase of prostaglandin content in the endometrium during menstruation. High prostaglandin content can cause excessive contraction of the smooth muscle of the uterus and vascular contracture, resulting in ischemia and lack of oxygen in the uterus and dysmenorrhea. Studies have found that prostaglandin levels in the endometrium and menstrual blood are significantly higher in patients with dysmenorrhea than in normal women. In addition, primary dysmenorrhea is also influenced by mental and neurological factors, and the subjective perception of pain is also related to the individual pain threshold. What are the manifestations of dysmenorrhea? Primary dysmenorrhea is common in adolescence and often develops within 1~2 years after menarche; the pain starts after menstruation and first appears 12 hours before menstruation, and is most intense on the first day of menstruation and relieved after 2~3 days. Cold sweat. Dysmenorrhea should not be ignored, especially secondary dysmenorrhea, which requires vigilance for endometriosis, adenomyosis, pelvic inflammatory disease, etc. Secondary dysmenorrhea often occurs several years after menarche and is associated with a history of excessive menstruation, infertility, placement of an intrauterine device or pelvic inflammatory disease. If you have secondary dysmenorrhea, please come to the hospital, especially for women who have not had children, often these diseases can cause infertility and need to be treated actively in the early stages. Treatment of dysmenorrhea 1. Pay attention to psychosomatic treatment. Mild discomfort during menstruation is a physiological reaction, and eliminating tension and concern has a relieving effect. When the pain is unbearable, it can be supplemented with medication. 2, Chinese medicine treatment: many patients think that dysmenorrhea is caused by uterine cold, from the perspective of Chinese medicine, dysmenorrhea is not necessarily caused by uterine cold, qi stagnation, blood stasis, cold blood stasis, damp heat stasis, qi and blood weakness, kidney deficiency, etc. can cause dysmenorrhea. The commonly known “uterine cold” is only one of them, and the cold-clotted blood-stasis type is more common in clinical practice, but not everyone has “uterine cold”. The actual fact is that the actual person is not a lot more than a few of the most popular and also the most popular. 3, warming treasure: safe and reliable, easy to wear, for female gynecological inflammation, uterine fibroids, endometrial thickening or displacement, cervical and other problems, cold, dysmenorrhea and so on; male sexual function decline, prostatitis, prostate enlargement, small abdominal cold, back pain, beer belly and so on; for kidney gas deficiency, kidney deficiency effect is remarkable. 4, oral contraceptives: reduce menstrual blood prostaglandin content by inhibiting ovulation. It is suitable for women with dysmenorrhea who require contraception, with an efficacy of more than 90%. 5.Prostaglandin synthetase inhibitors: reduce prostaglandin production, prevent excessive uterine contractions and spasms, thus reducing or eliminating dysmenorrhea. The efficiency of this type of drug treatment can reach 80%. It is good to start taking the medication at the onset of menstruation, and take it for 2~3 days, including ibuprofen, ketoprofen, meclofenamic acid, diclofenac, mefenamic acid, naproxen, etc. Prevention: Pay attention to menstrual and postpartum hygiene to reduce the occurrence of dysmenorrhea. Keep warm during menstruation and avoid cold; keep your spirit happy and your qi flowing, then your menstrual blood will flow smoothly; pay attention to regulation and avoid taking raw and cold food.