Dysmenorrhea is a condition in which women experience periodic lower abdominal pain before, during or after menstruation, or pain leading to the lumbosacral region, accompanied by nausea and vomiting, lumbago and other discomforts, or even fainting. Clinically, it can be divided into two cases: dysmenorrhea without organic lesions of reproductive organs, called functional dysmenorrhea (primary dysmenorrhea); dysmenorrhea caused by organic pelvic diseases, called organic dysmenorrhea (secondary dysmenorrhea), such as those caused by endometriosis, adenomyosis, uterine fibroids, pelvic inflammatory disease, etc.
Most of the dysmenorrhea in women who are not married or sexually active belong to functional dysmenorrhea, and a small number of them belong to organic dysmenorrhea. Its occurrence is related to genetic, spiritual, physiological, psychological and social factors, and the degree of pain is also closely related to individual tolerance and subjective feeling, which is a psychosomatic disease.
The treatment of functional dysmenorrhea is relatively simple and effective, but organic dysmenorrhea often has a complex primary cause and most of them are difficult gynecological diseases, so the treatment may be more complicated, and some of them even need surgery. Therefore, some tests should be done to differentiate the two.
In response to the clinical information provided by Athena girl, some tests are also needed to help find the cause of dysmenorrhea: 1.
1, pelvic examination: women who have sex can be examined from the vagina, and women who do not have sex can be examined anally to understand the condition of the reproductive organs, such as whether the texture of the cervix is normal, whether the size, shape and nature of the uterus are normal, whether there are lumps on both sides, whether there are adhesions and fixation, whether the situation is symmetrical on both sides, and whether the organs in the pelvis are painful to the touch during the examination.
2.Pelvic color ultrasound: On the one hand, it can understand the structure of the genital organs and whether there are genital masses more clearly, and at the same time, it can understand the blood flow in the pelvic cavity, which is helpful for diagnosis. If necessary, ultrasound can be done once before and once after menstruation, which is also helpful for diagnosis.
3.Laboratory examination: Selecting time to draw blood to check female sex hormones is also helpful for the diagnosis and treatment of dysmenorrhea and abnormal period, color and volume of menstruation. Testing the level of blood CA-125 is also meaningful for the diagnosis of endometriosis and pelvic inflammatory disease and tumors.
With the above non-invasive tests, you can basically determine whether your dysmenorrhea is functional or organic, so that you can have targeted treatment. The treatment of functional dysmenorrhea during menstrual period focuses on regulating blood and stopping pain to treat its symptoms, relieving pain and alleviating symptoms; usually, we need to identify the cause to treat its root, and release the cause of the disease to break its root. In the case of organic dysmenorrhea, corresponding measures should be taken according to the different diseases. In either case, Chinese medicine (including acupuncture therapy) is very effective. If the dysmenorrhea is still severe through treatment, then an invasive test, laparoscopy, is needed to detect small foci in the pelvis and to treat them through the laparoscope, which means that laparoscopy can play both diagnostic and therapeutic roles, and can be considered for women who have long-term dysmenorrhea that does not improve or has a tendency to slowly worsen. Consider.
Regardless of the type of dysmenorrhea, there are some simple methods that can be used to reduce or stop the pain during an attack.
1. Acupuncture or acupressure points: foot sanli, san yin jiao, and eight s points.
2.Tianqi Dysmenorrhea Capsules 2g/time, 3 times a day, taken orally.
3.Musk dysmenorrhea cream Take Qihai, uterus, Sanyinjiao or abdominal pain points to apply.
4.Single herbal medicine, such as Panax ginseng powder and blood exhaust powder, etc. to be taken by brew.
Abnormal leucorrhea problem
The amount and color quality of leucorrhea in adult women is affected by many factors, such as seasonal climate, mood, life and living, eating habits, menstrual cycle, etc. Sometimes more or less, or white or with a little yellow, as long as there is no local discomfort such as itching and burning, it can be considered normal. But with blood, no matter how much or how shallow, it is definitely caused by some disease, so the white belt of Athena girl belongs to the pathological need to make a diagnosis and treatment.
The leucorrhea with blood is generally common in the following types of diseases.
1, menstrual disorders: often accompanied by changes in the volume of menstruation, prolonged periods, ovulatory bleeding, luteal bleeding, etc., belong to endocrine disorders.
2, lesions of the cervix (the majority of patients are women with sexual life, individually for women without sexual life): such as cervicitis, cervical polyps, precancerous lesions of the cervix and cervical cancer.
3, uterine fibroids, especially submucosal fibroids, are also a common cause of leukorrhea with blood.
4, stimulation of foreign body in the vagina.