Post Date November, 16 2024
The condition of dysmenorrhea is a familiar phenomenon that has a particularly serious impact on women, especially when severe pain occurs before and after menstruation. It is necessary to pay attention to its profound causes and pay attention to timely examination and treatment.
Diseases that cause dysmenorrhea
1. Endometriosis: Endometriosis is the most common cause of secondary dysmenorrhea, mainly manifested as progressive dysmenorrhea in patients. The pain is mostly located in the lower abdomen and lumbosacral region, and can spread to the vagina, perineum, anus, or thighs. Starting 1-2 days before menstruation, the first day of menstruation is the most intense, and it continues to disappear after menstruation. People with long menstrual periods also have longer pain duration, and severe ectopic conditions can also affect fertility.
2. Uterine fibroids: Uterine fibroids cover the surface of the endometrium and occupy the uterine cavity, affecting menstrual blood discharge, causing abnormal uterine contractions, physiological pain, and accompanied by excessive menstrual flow and menstrual cycle disorders. Severe abdominal pain can occur when adjacent organs experience compression symptoms, fibroids undergo degeneration, or subserosal fibroids undergo stem torsion.
3. Pelvic disc inflammation: Pelvic disc inflammation is also an important cause of physiological pain. After pelvic infection, the formation of inflammatory masses can compress the bladder, rectum, anus, and urinary frequency, which can cause fatigue, deterioration after sexual activity, and before and after menstruation.
4. Congenital factors of the uterus: The common physiological pain caused by uterine factors is cervical canal stenosis, mainly due to obstruction of menstrual flow. Physiological pain caused by underdeveloped uterus can easily be combined with abnormal blood supply, and uterine ischemia and hypoxia can cause physiological pain caused by abnormal uterine position. The uterine position is extremely backward or forward curved
5. Pelvic congestion syndrome: Pelvic congestion syndrome is also an important factor leading to dysmenorrhea. The main manifestation is a wide range of chronic blood stasis dysmenorrhea, with symptoms such as lower abdominal pain, low back pain, sexual discomfort, extreme fatigue, and premenstrual breast pain. Pain often worsens a few days before menstruation and alleviates on the first or second day after the onset of menstruation. There are also a few cases of persistent pain. Pain often worsens when patients stand for a period of time, run, jump, or suddenly sit, worsens after sexual intercourse, and becomes heavier in the afternoon than in the morning. Deep sexual pain is a common symptom of not wanting to speak.
6. Cervical or intrauterine adhesions: commonly seen in patients with abortion, endometrial tuberculosis, etc.
7. Genital malformation: Mechanical blockage of the uterine body, vaginal septum, etc., poor menstrual flow, and accumulation of blood leading to physiological pain.
