Primary dysmenorrhea is generally not accompanied by potential diseases. It usually occurs in young women. With age and pregnancy, and childbirth, the degree of dysmenorrhea will gradually be reduced.
Primary dysmenorrhea is related to prostaglandin secreted by the endometrium.Starting from the menstrual cycle, the prostaglandin in the uterine endometrium is released, causing contraction of uterine muscles.
If the secretion of prostaglandin is excessive, the normal contraction response may become a strong painful spasm, which temporarily interrupts the blood flow, and the uterine muscles are in a hypoxic state, which will cause "spasm".In addition, excessive prostaglandin release can also cause contraction of smooth intestinal muscle, diarrhea, nausea and vomiting.
You can take painkillers during dysmenorrhea.Generally, those with lighter pain can choose anti -painful pain (Simmein entericoline tablets), painful slices, bold eggplant slices, ibuprofen, Atto, etc.;medicine.
Due to the high level of prostaglandin patients in patients with dysmenorrhea, the use of drugs that have anti -prostaglandin effects have become a means to treat dysmenorrhea.Commonly used drugs include disintegration pain, pain (hydrochloric acid) and neighboring ammonia phenyl acid drugs (such as fluoric acid, methyl acid, etc.).In addition, oral contraceptives can also treat dysmenorrhea.Experimental studies have proved that oral contraceptives can inhibit the synthesis and release of prostaglandins, thereby achieving the purpose of treating dysmenorrhea.
Hormones are drugs that are often used in pain.Estrogen is used in patients with dysmenorrhea in uterine; progesterone is used to treat membrane -like dysmenorrhea.By replenishing progesterone, the estrogen and progesterone are restored to balance, so that the endometrium of the menstrual period can be spicked into fragmented.Contraceptives can change the level of hormones in the body, lead to inhibit ovulation, and change the cervical mucus traitors and endometrial cycles.Taking the 2 to 3 menstrual cycle can be considered to discontinue drugs.
For patients with narrow cervical pipes, surgical treatment can be considered.At present, most of the expansion cervix and cubing technique are used. After the expansion of the cervix with the equipment is conducive to the smooth discharge of menstrual blood to reduce or relieve pain.This surgery is particularly suitable for patients with dysmenorrhea in infertility. They can also perform pathological examinations of endometrium while surgery to understand the function of ovarian function and endometrial with or not organic lesions.According to statistics, about 1/4 cases can be cured.
Dysmenorrhea caused by other diseases is called secondary dysmenorrhea.The characteristic of secondary dysmenorrhea is that there is no dysmenorrhea during the initial tide, and dysmenorrhea occurs in the future. Most of them have a history of menstruation, infertility, and a history of in -palaces or pelvic inflammation.
It is caused by surgery, childbirth, abortion, menstrual strenuous exercise and other reasons caused by diseases such as inflammation, adhesion, endometriosis, etc.Uterine fibroids, cervical stenosis, incorrect uterine position, pelvic tumor, and intrauterine contraceptive ring.
The treatment of secondary dysmenorrhea should first be performed for diseases that cause dysmenorrhea. These diseases are cured, and dysmenorrhea will disappear immediately.As a patient, it is necessary to know the different characteristics of various diseases that cause secondary dysmenorrhea to facilitate the initial judgment of which dysmenorrhea they belong to.
Chronic pelvic inflammation is accompanied by dysmenorrhea, which is characterized by severe lower abdomen and waist back pain before menstruation. After the menstrual blood flows out, the pain will be reduced.Some patients can have a history of acute pelvic inflammation, but it can be low fever, fatigue, mental discharge, upset, insomnia, etc.
Due to the congestion of the pelvic cavity, the lower abdomen, pain, and lumbosacral soreness can be caused. They often worsen after labor, sexual intercourse, during bowel movements and menstrual periods, and increased menstruation and leucorrhea.Wallopian obstruction can cause infertility.
Endometriosis is characterized by dysmenorrhea in the monthly, which is intensified year by month, and medical is called dysmenorrhea.Most of the pain is located in the lower abdomen and low waist, which can be radiated to the vagina, perineum, anus or thighs. It is often started 1-2 days before the menstrual tide. The first day of the menstrual period will be more painful.EssenceA small number of patients will have long -term lower abdomen pain, worsen during menstruation, and accompanied by sexual intercourse pain, infertility and menstrual disorders. Individual patients have blood or constipation.
Uterine adenomia is a type of endometriosis, also known as internal endometriosis.The characteristics of dysmenorrhea are the same as the above -mentioned uterine endometriosis, that is, the dysmenorrhea is aggravated, and the menstrual flow is increased, the menstrual period is prolonged, and most of them occur among women who have experienced fertility experience at the age of 30 to 50.
Uterine fibroids, causing menstrual pain often accompanied by symptoms such as lower abdomen swelling and back pain, and have a shortened menstrual cycle, increased menstruation, extension of menstrual periods, and irregular vaginal bleeding.
Endometrial cancer generally does not cause pain. Late cancer infiltration of peripheral tissues or compressive nerves can occur in the abdomen and lower limbs radioactive pain.
The diagnosis of the above diseases requires clinical symptoms with gynecological examinations, B -ultrasound and other mutual reference to confirm the diagnosis.However, the cervical narrowing, the position of the uterine, and the pelvic tumor must be diagnosed by examination.
The treatment of secondary dysmenorrhea depends on the type of primary disease.Endometriosis is the most common cause of secondary dysmenorrhea. According to the different stage of development, age, and whether pregnancy is required for the disease, the treatment methods are also different. The main treatment methods are surgical treatment and conservative drug treatment.Such as inrophic, progestin, oral contraceptives, and adenoconoplasm release agents.
Although dysmenorrhea is a kind of cure, the footsteps of medical scientists have not been suspended.In recent years, whether in drug treatment or surgical treatment, there have been some new progress or recommendations (the following methods have not been widely recognized, only for reference).Gospel.
(1) Chinese medicine
① Fang Dan Ginseng: Oral, 3 tablets each time, 3 times a day.After menstruation is clean, it is 1 course of treatment for 20 days.Do not take it during the period, so as not to cause too much bleeding.
② Quick -acting savior pills: take it during dysmenorrhea.Each serving is 2 to 5 capsules, and you can obviously relieve pain after 30 minutes. If it is invalid, the dose can be increased to 10 to 20 capsules each time, depending on the condition.It is effective for primary dysmenorrhea.
③ Musk chasing cream: Start at the dysmenorrhea or two days before menstruation, apply to the lower abdomen and lumbosacral region, and replace it once every 12 hours. By 3 days after the pain disappears or menstruation, it stops treatment 3 days after menstruation.
(2) Western medicine
① Patty -Mexin combined with nonetophopidic: Simmein is also called anti -pain. It is a commonly used medicine for treating rheumatism and rheumatoid arthritis, osteoarthritis, and back pain, which has an analgesic effect.And nonetophopine is a drug for the treatment of hypertension.
At present, the combination of the two medicines can be used to treat dysmenorrhea, which can achieve better results.The specific method is to take it 2 days before the Classics, 10 mg of Michaelin, 10 mg of nifedi horizon, 3 times a day for 7 consecutive days.Obvious effects can be achieved in 2 to 3 courses of medicine.
Most women with dysmenorrhea have increased prostaglandin, causing irregular shrinkage of the uterus.Simixin can reduce the release of prostaglandin, and the nifedipine can reduce the calcium ion concentration in the cell and inhibit abnormal muscle contraction, so it is very effective to treat dysmenorrhea.
However, the question should be noted that Simi Xin has a stimulating effect on the gastrointestinal tract, so it is not advisable to take it on an empty stomach. Patients with excessive gastric acid and gastric ulcers should be used with caution.The nifeden level has a lowering effect. Individual patients may have puzzle symptoms such as panic and sweat at night or after taking medicine.
Since Mi Meixin can reduce the release of prostaglandin, it should be taken before menstruation. During the occurrence of dysmenorrhea, the prostaglandin often reaches a high level. At this time, the medicine will not work immediately.
② Salinol (Shuchin Ling): The second day before the menstrual period from the day before the tide to the third day to the third day, oral hydrochloride 2.4 mg-4.8 mg, 2 times a day, 4-6 days in a row.2.5 mg, 3 times a day, and those with excessive mental stress will add 2.5 mg of stability, twice a day.
③ Coca -hydrochloric acid Coca -Ding: Coca -hydrochloride is 25 micrograms, twice a day, and serving for 14 days before the menstrual period to 1 cycle.This medicine has restored the imbalance of the uterine zodiac contraction and diastolic balancing by reducing the contraction response of peripheral blood vessels.
(3) Surgery
①Ino -human therapy: Suitable for uterine muscle disease.Interventional therapy can block the blood flow supply of the lesion, so that the atomic uterine endometrium is necrotic and achieve the purpose of the cure. The trauma is small, and there is no need to open the abdomen to remove the uterus to recover quickly. Most patients can achieve significant reducing symptoms.
② Laparoscopic surgery: The peritoscopic surgery can be treated with electrical burning method of the lesion of endometriosis, which is mainly suitable for the treatment of pain in the middle line of the pelvic cavity.
