Post Date November, 16 2024
Physiological pain is also very common in women, mainly appearing before and after menstruation. Many women feel particularly painful, and physiological pain is only a manifestation, with many reasons. We should pay attention to the hidden culprits behind it, and let's understand together.
Classification of dysmenorrhea
1. Primary dysmenorrhea
Primary dysmenorrhea refers to abdominal pain that occurs from the beginning of menstruation and occurs every menstrual period. The cause of primary dysmenorrhea is a narrow uterine opening, underdeveloped uterus, or a large amount of endometrium in the menstrual blood. The latter condition is called membranous dysmenorrhea. Sometimes menstrual blood contains blood clots, which can also cause lower abdominal pain.
2. Secondary dysmenorrhea
Secondary dysmenorrhea refers to menstrual abdominal pain that occurs after several years or more, often caused by diseases. Such as endometriosis, pelvic inflammatory disease, pelvic congestion, etc. In recent years, it has been found that when the endometrial synthesis of Prostaglandin increases, dysmenorrhea will also be caused.
Diseases that may occur due to physiological pain
1. Endometriosis
Endometriosis is one of the important causes of physiological pain, accounting for about 60% of pathological physiological pain. There is a layer of membrane in the uterine cavity called the endometrium, which undergoes periodic changes under the influence of ovarian hormones. If ovulation does not occur in the same month, the endometrium will detach and cause bleeding, and blood will flow out of the vagina as menstruation. Due to some factors, the endometrium goes to other places outside the uterus, and like the endometrium, bleeding every month is called Endometriosis. These ectopic endometrium can also be affected by ovarian hormones to produce periodic bleeding, but these blood have no channels to be expelled from the body, accumulate locally, form cysts, and grow larger. Local inflammatory reactions stimulate local nerves, causing pain.
2. Adenomyosis
The appearance of endometrium in the Myometrium is called Adenomyosis. Adenomyosis is related to female endocrine hormones, especially estrogen. The reproductive age of women is the high incidence period of Adenomyosis, but the mechanism of its occurrence is still unclear, and it is difficult to prevent it. It is generally manifested as dysmenorrhea and Menstrual disorder, which often cause infertility. The characteristics and nature of pain are similar to Endometriosis, but more serious. Ultrasound and pelvic CT examination revealed whether the uterus has become larger, the muscle layer has thickened, and the echo is uneven. Gynecological examination reveals whether the uterus is uniformly enlarged, with a hard texture and a nodular sensation on the surface. The level of CA-125 in the blood of most patients increased significantly, which can basically be diagnosed as Adenomyosis.
