How painful is it for a girl to come, Aunt? Which tests should be performed to check for dysmenorrhea

Dysmenorrhea is a common and abnormal phenomenon, mainly occurring before and after menstruation in women. Its harm is also very serious, and we need to pay high attention to it and check it as soon as possible.

Physiological classification

1. Mild: On physiological days or before and after, there is significant lower abdominal pain, accompanied by lower back pain, but it can continue to work without systemic symptoms, and sometimes painkillers are needed.

2. Moderate: Pain in the lower abdomen is unbearable on physiological days or before, accompanied by low back pain, nausea and vomiting, and lukewarm limbs. Pain relief measures should be taken to alleviate the pain.

3. Severe: Pain in the lower abdomen before and after menstruation is unbearable, restlessness in sitting and lying, seriously affecting work, learning, and daily life. It is necessary to rest in bed, accompanied by lower back pain, pale complexion, sweating profusely, cold limbs, vomiting, diarrhea, or anal distension. Pain relief measures cannot be significantly alleviated.

Types of physiological pain

1. Primary physiological pain: After a few hours of menstruation, spasmodic pain in the lower abdomen is intermittent and unbearable to the patient. Taking painkillers is ineffective, and the pain often spreads to the thighs. The patient's hands and feet are cold, headache, stomach discomfort, diarrhea, and other symptoms

2. Congestive dysmenorrhea: The patient has gynecological diseases. The mild pain in the condition is not very obvious. The severe pain is before and during menstruation, and the common one is pelvic inflammatory disease. Pelvic pain usually occurs one or two days before menstruation, disappears after menstruation, and symptoms such as breast swelling, pain, dizziness, and lower abdominal pain are present one or two days before menstruation.

3. Secondary dysmenorrhea: This is generally caused by pelvic organ diseases, and the causes of dysmenorrhea are complex. It starts several hours before menstruation and lasts until the end of menstruation. Common diseases include pelvic inflammation, Endometriosis, chronic Cervicitis, pelvic tumors, etc.

Symptoms of physiological pain

1. The symptoms of physiological pain often start a few hours before menstruation or vaginal bleeding, and the symptoms of periodic physiological pain often include lower abdominal distension, cold pain, burning pain, stabbing pain, dull pain, sagging pain, colic, spasmodic pain, and tearing pain, which extends to the sacrum, waist, back, thighs, and feet

2. The painful area of dysmenorrhea is mostly in the lower abdomen, and in severe cases, it can radiate to the lumbosacral region or the anterior aspect of the femur. About 50% of dysmenorrhea patients can experience systemic symptoms, including breast swelling and pain, anal distension, chest tightness and irritability, sadness and irritability, headache and dizziness, nausea and vomiting, stomach pain and diarrhea, fatigue, pale complexion, cold sweating of limbs, and collapse and fainting.