Dysmenorrhea is a pain that many women cannot describe. According to the results of the sampling survey, about 35%of women have dysmenorrhea.Shi Wenjing, chief physician of the obstetrics and gynecology department of the Second Affiliated Hospital of Guangzhou Medical University, said in an interview with family doctors online. Generally speaking, dysmenorrhea mainly occurs in young women.Generally, dysmenorrhea begins to appear within half of the first half of the tide or within 1 to 2 years.With the increase of age, the incidence of dysmenorrhea is also increasing, the highest peak is 16 to 18 years old.After 30 to 35 years old, the incidence of dysmenorrhea will decrease.
Talking about the specific cause of dysmenorrhea, Director Shi Wenjing said that the reasons were actually many.The most fundamental factor is that the increased tension of the uterus in the endometrium of the endometrium during the menstrual period increases the tension of the uterus and the excessive contraction of the smoothing muscle, which leads to the state of local ischemia and hypoxia, which will make women feel dysmenorrhea.
Like other β-endorphin, vascular calcium, and oxytocin can also aggravate dysmenorrhea.Some other factors like genetic and mental factors may also have an impact.In addition, there are some studies that they believe that some immune system changes may cause dysmenorrhea.There is also a cold stimulus may also be a cause of dysmenorrhea.
Seeing the data above, some people may think that after marriage and childbirth, the incidence of dysmenorrhea will decrease. Many women after childbearing do have indeed said that they do have dysmenorrhea after giving birth.Director Shi Wenjing replied on this question that according to the data, the incidence of dysmenorrhea after sexual life decreased, and about 5%was reduced.The root cause of this is related to her age, mental factors and individual pain changes.
Some women will alleviate the dysmenorrhea after giving birth. In fact, this also has its scientific basis.Because at the time of pregnancy, there are some nerve peripherals of adrenaline on the uterus that will completely disappear. These are related to the contraction of smooth muscle.After giving birth, these nerve endings that have disappeared can only be recovered.Therefore, women’s postpartum dysmenorrhea eases before giving birth.
Many women have some concerns because they are afraid of the side effects of painkillers during dysmenorrhea. Most of them are endured pain without taking medicine.Director Shi Wenjing said that the main cause of dysmenorrhea was caused by increasing prostaglandin content in the endometrium.
Therefore, the most effective way is to use inhibitors that take prostaglandin synthesis to reduce the synthesis and release of prostaglandin to achieve a fast pain relief.This category of drugs include ibuprofen, ketonprofen, and anti -tenderness, fluoric acid, and so on.
Relatively speaking, dysmenorrhea and analgesic drugs are still relatively safe, and some side effects will have some side effects.The side effects of this type of drugs are mainly stimulating the gastrointestinal tract, but the dysmenorrhea can still be used safely when the medication is needed.
In addition, low back pain during menstruation is also a symptom of many women. Director Shi Wenjing said that the pain in the lower abdomen is mainly in the middle of the abdomen. Because her nerves and the lumbosacral region are homologous.EssenceIf women feel back pain during menstruation, it is easy to alleviate. As long as you pay attention to rest, exercise moderately, you can also relieve the discomfort of the entire lower abdomen through hot compresses, which can also alleviate dysmenorrhea.
Regarding the prevention of dysmenorrhea, Director Shi Wenjing also introduced several measures: First of all, if only mild dysmenorrhea needs to be used to regulate the pace of life, moderate exercise, pay attention to rest, and some adjustments to diet, keep warm, etc.This method can relieve dysmenorrhea and also play a certain prevention role.
In addition, the prevention of medium to severe is to take anti -inflammatory analgesic drugs as soon as possible.Because it can inhibit the synthesis and release of prostaglandins, thereby slowing down the smoothing muscle contraction of the uterine, and effectively preventing the pain relief.The best effect is oral contraceptives. The effect of relieving pain or the treatment effect of dysmenorrhea can reach 90%, which is higher than anti -inflammatory analgesic drugs.At the same time, oral contraceptives are very safe, convenient and effective for women with dysmenorrhea and contraceptives at the same time.