Women who can endure menstrual cramps year after year, month after month are real warriors! Every time I see a girl in the clinic who is in pain until she vomits or is in pain until she is deflated, I am overwhelmed with emotion!
Causes of menstrual cramps
Physiological: Increased prostaglandin content in the endometrium during menstruation, excessive contraction of the smooth muscle of the uterus, and vascular spasm.
Pathological: endometriosis, adenomyosis, chronic pelvic inflammatory disease.
Non-pharmacological treatment
1. Hot compresses: comparable to painkillers (ibuprofen, acetaminophen)! Baby warmers are a must for home travel.
2, drink ginger tea: compared with placebo can significantly reduce menstrual pain symptoms.
3, exercise: running, yoga, sexual activity, etc. can reduce the symptoms of menstrual discomfort, there are several obscene small-scale experiments show orgasm conducive to relieving menstrual cramps.
4, a variety of vitamin supplements: there is still controversy, so a variety of vitamin tablets and capsules at home and abroad, the money to buy on behalf of the purchase, no money to eat more fruit it.
5, emotional and psychological adjustment: generally only for mild dysmenorrhea.
6, our national treasure: acupuncture! The legendary pass through the meridians!
But a 2016 meta-analysis integrating 42 randomized controlled trials (4640 patients) – could not determine whether acupuncture can effectively treat dysmenorrhea.
So Chinese herbal medicine treatment can be tried, but if it is not effective please change the treatment in time Oh!
1.Medication: all drugs for endometriosis can be used.
2.Non-steroidal anti-inflammatory drugs: can achieve a relief rate of 80-86%; the side effect is that it will delay and hinder ovulation, so women who are preparing for pregnancy are recommended to use them only during menstruation; if the treatment fails for 3 months, change to compound short-acting oral contraceptives.
3.Oral contraceptive pill: suitable for dysmenorrhea patients who need contraception; inhibits ovulation, reduces the level of sex hormones in the body, makes the endometrium thinner, thus reducing the volume of menstruation and reducing spasmodic contractions of the uterus, with an effective relief rate of 90%.
4.Menstrual: an intrauterine device containing levonorgestrel, suitable for patients who have already given birth.
5.GnRHa injection: a pseudo-menopausal therapy that suppresses ovarian function for a short period of time, reduces menstrual flow to the point of menopause, and promotes atrophy of the lesion.
If painkillers alone are ineffective, they can be used in combination with compounded short-acting oral contraceptives. If the combined treatment of both is not significantly relieved after 3 months, you have to consider whether you have endometriosis, and please consult a doctor promptly.
The most common cause of severe menstrual pain in outpatient clinics are all adenomyosis.
After years of suffering from menstrual pain, the adenomyosis lesions become larger and larger, and the menstrual flow becomes more and more heavy. Women are really a hardy species that will not die even if they lose a lot of blood every month! Obviously there are so many treatment options, but choose to carry hard.
1, non-surgical program: play GnRHa injection for 6 months until menopause, to be placed after the uterus shrinkage of the Mannish. It will not affect ovarian function and will not cause aging! After treatment, one patient would come back every year for a review and say, “Doctor, I’m so happy, I feel like a man with very little menstruation after treatment, I’ve never been so energetic!
2, the surgical program: ultrasound focused ablation treatment of adenomyosis, no incision, no anesthetic ultrasound focusing instrument! Of course post-operative medication is also necessary to prevent recurrence.
Laparoscopic excavation of adenomyosis lesions or removal of the uterus: this is the last step that many patients do not want to take, so please do not carry hard, do not give up treatment, early diagnosis, early control, early relief!