Every month dysmenorrhea pain to death to clarify the cause of treatment, primary dysmenorrhea medication as prescribed by the doctor, secondary dysmenorrhea, such as uterine adenomyosis caused by the need for medication, if necessary, surgery. 1. Primary dysmenorrhea: most common in adolescence, can be manifested as severe lower abdominal pain after the onset of menstruation, gynecological examination has no abnormal findings, combined with the clinical manifestations and gynecological examination can assist in the diagnosis, to comply with the doctor’s orders to give ibuprofen, ketoprofen and other medications for symptomatic treatment. 2. Secondary dysmenorrhea (1) Uterine adenomyosis: it can also cause severe dysmenorrhea, but it manifests itself as progressive dysmenorrhea that gradually worsens, accompanied by excessive menstrual flow, prolonged menstrual period and other symptoms. Clinical manifestations and gynecologic examination and ultrasound may assist in the diagnosis. Drugs such as danazol and progesterone need to be given as prescribed by the doctor, and surgical treatment is needed if necessary. (2) Ovarian chocolate cysts: they also cause severe dysmenorrhea with progressive aggravation, mostly at the onset of menstruation, and can cause infertility and lower abdominal pain. A combination of history and ultrasonography and laparoscopy assists in the diagnosis. The patient can be treated with medications such as danazol, oral contraceptives such as levonorgestrel, etc. Surgery is needed when symptoms are severe or medications are ineffective. When menstrual cramps are so painful every month, you need to go to the hospital in time to find out the cause and deal with it actively.