Post Date November, 16 2024
Physiological pain can occur in our daily lives. It mainly occurs before and after menstruation in women, and its impact on women is also severe. We must understand it clearly.
Classification of dysmenorrhea
1. Primary dysmenorrhea: also known as functional dysmenorrhea, refers to those who have undergone gynecological examination without obvious organic lesions in the reproductive organs. It often occurs at or shortly after menarche, and is more common in unmarried and non pregnant women. Pain often subsides or disappears after childbirth.
2. Secondary dysmenorrhea: Refers to those with organic lesions in the genitalia. This type of pain often occurs after a pathological change in the reproductive organs, after a period of time after menarche.
Symptoms of dysmenorrhea
1. Primary pain often occurs during adolescence, within 1-2 years after menarche.
2. Pain often starts after the onset of menstruation, initially appearing 12 hours before menstruation. The pain is most severe on the first day of menstruation and subsides 2-3 days later. The pain is often spasmodic, located on the pubic bone in the lower abdomen and can radiate to the lumbosacral region and the inner thigh.
3. May be accompanied by symptoms such as nausea, vomiting, diarrhea, dizziness, fatigue, etc. In severe cases, the complexion may turn white and cold sweat may occur.
4. No abnormalities were found in the gynecological examination.
Causes of physiological pain
1. Abnormal uterine position: Abnormal uterine position refers to the extreme backward or forward bending of the female uterus, which greatly affects the smooth flow of menstrual blood and causes physiological pain in women.
2. Endocrine imbalance: If progesterone in women's body and Luteal phase gradually increases, it will lead to endocrine imbalance in women, and then cause abdominal pain during menstruation.
3. Related to contraceptives: if there are contraceptives in the body, especially the configuration of the Intrauterine device contraceptive ring, the degree of physical pain will worsen, which has a certain impact on women's daily life.
4. Cervical canal stenosis: Female cervical canal stenosis, obstructed menstrual flow, and physiological pain.
5. Excessive fatigue and tension: Due to excessive fatigue, most women may experience dysmenorrhea, or excessive tension can also lead to dysmenorrhea.
6. Dysplasia of the uterus: Dysplasia of the uterus in women is prone to merging with blood, leading to abnormal blood supply and ultimately leading to uterine ischemia, hypoxia, and physiological pain.
Diseases that cause dysmenorrhea
1. Endometriosis: Endometriosis is the most common cause of secondary dysmenorrhea, and patients mainly show progressive dysmenorrhea. Pain often occurs 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.
