Stomach pain during menstruation may be caused by high prostaglandin content, endometriosis, adenomyosis, etc. You can relieve the pain through medication, surgery and physical therapy.
1. High prostaglandin content: High prostaglandin content can cause uterine smooth muscle over-contraction, vascular contracture and dysmenorrhea. Prostaglandin synthase inhibitors, such as ibuprofen, ketoprofen, and meclofenamic acid, can be chosen to reduce the pain. For patients with intractable dysmenorrhea that is ineffective with medication, partial hysterectomy can be used to relieve the symptoms.
2. Endometriosis: Ectopic foci are affected by cyclic ovarian hormones, resulting in hyperplasia, bleeding and pain. Patients can use medications such as medroxyprogesterone and medroxyprogesterone to supplement progesterone and help relieve symptoms. If the patient is young and has fertility requirements, resection of the lesion is feasible.
3. Adenomyosis: It refers to the endometrium growing into the myometrial tissue of the uterine wall, in which the endometrium, under the influence of ovarian hormones, becomes congested and swollen, bleeds, and makes the myometrium dilate to cause severe dysmenorrhea.
High-intensity focused ultrasound technology can be chosen to kill the diseased tissue cells without damaging the surrounding normal tissues. Gonadotropin-releasing hormone analogs such as mifepristone can also be chosen to reduce the size of fibroids, thus relieving symptoms.
There may be other reasons for stomach pain during menstruation, so it is recommended to go to the hospital in time for diagnosis and targeted treatment under the guidance of a professional doctor. The use of the above medications should be in accordance with medical advice.