The first step is to find out the cause of the dysmenorrhea. Dysmenorrhea is divided into primary dysmenorrhea and secondary dysmenorrhea. The causes of dysmenorrhea are different, and the solutions for treatment are naturally different. Primary dysmenorrhea: refers to dysmenorrhea without organic lesions in the reproductive organs; it is common in adolescence and often develops within one to two years after menarche. Secondary dysmenorrhea: refers to menstrual pain caused by organic lesions of the pelvis or uterus, mostly due to endometriosis, adenomyosis, etc. How to diagnose yourself as primary dysmenorrhea and secondary dysmenorrhea? First, the time of onset: whether you have had dysmenorrhea since your teenage years, not long after the first menstruation. Secondly, diagnostic examination: the doctor will perform palpation examination during the consultation to find out whether there are painful nodules to palpate, but still need to do ultrasound examination and CA125 examination to rank whether you have adenomyosis or endometriosis. If the ultrasound report shows that the uterine body is enlarged, the echogenicity of the myometrium is uneven and the boundary is not clear, and the CA125 index is significantly higher, and I have the symptoms of severe menstrual pain every month, then This means that you may have endometriosis or adenomyosis. In addition, when other tests are not clear, laparoscopic diagnostic tests become more important. Treatment of primary dysmenorrhea: In the treatment of primary dysmenorrhea, both psychiatric and pharmacological treatment can be considered. Pay attention to the combination of labor and rest and menstrual hygiene during menstruation, avoid strenuous activities, emotional fluctuations, and pay attention to keeping warm. Appropriate pain medication should be applied, and Chinese herbal medicine can also be used appropriately for regulation. Treatment for endometriosis and adenomyosis induced dysmenorrhea: For endometriosis and adenomyosis in the pelvic cavity, we take the approach of preserving the uterus and surgical treatment: laparoscopic supervision, small incision open uterus preservation U surgical treatment to solve the dysmenorrhea caused by adenomyosis and endometriosis. The most fundamental solution is “preservation of the uterus and complete excision of the lesion”. After surgery, the uterus returns to its normal size, the dysmenorrhea disappears, the menstrual flow decreases, and the anemia is corrected. It is important to note that the lumpectomy alone cannot completely excise the lesion and is prone to recurrence. The optimized and upgraded adenomyosis-preserving U surgery incorporates laparoscopic operation, which makes the surgical field of view better and the surgical operation in the abdominal cavity more clearly visible. In collaboration with it, the surgical incision is reduced by using a clever way to make the surgical incision, which makes the operation more delicate and the postoperative recovery faster. For adenomyosis patients with fertility needs: we can consider using painkillers to relieve symptoms, using some hormonal drugs or injections to shrink the uterus, then actively prepare for pregnancy, try to conceive, in vitro fertilization, to have their own babies as soon as possible; after giving birth, we can consider fundamentally relieving the pain of adenomyosis; for adenomyosis patients who have tried to conceive for many times but still failed, we can also consider performing small incisions to preserve the uterus and excavate the lesions to preserve the uterus. For patients with adenomyosis who have tried to conceive for many times and still failed, a small incision to preserve the uterus and remove the lesion can be considered. For patients with adenomyosis without fertility needs: If there is no need for fertility, surgery can be considered if 1 of the following conditions is met: 1) severe menstrual pain and painkillers; 2) heavy menstrual flow and anemia; 3) a large uterus, usually more than 7 cm; If 1, 2, 3, are present, it is more important to seek timely medical attention.