Post Date May, 13 2023
Dysmenorrhea is an abnormal condition that occurs from time to time in our daily lives. After experiencing abnormal symptoms, we must make timely and reasonable judgments and examinations.
Symptoms of dysmenorrhea
1. Primary pain often occurs during adolescence and often occurs within 1-2 years after menarche
2. Starting after menstruation, it initially appears 12 hours before menstruation. The pain is most severe on the first day of menstruation and lasts for 2-3 days to relieve. The pain is mostly spasmodic and usually located in the pubic bone of the lower abdomen, which can radiate to the lumbosacral and inner thighs
3. Symptoms such as nausea, vomiting, diarrhea, dizziness, weakness, etc
Dysmenorrhea judgment
1. Women over the age of 25 or married, especially those who have had children, experience severe menstrual pain that cannot be tolerated without treatment.
2. Menstrual period is prolonged or shortened, with a normal period of 3-7 days. If there is excessive bleeding, usually 6-8 sanitary napkins are required for a normal daily amount.
3. If the body temperature increases during menstruation, and even if the fever persists, patients should consider the possibility of endometritis. If it is a patient whose menstrual cramps have gradually decreased but have recently worsened, or a patient with other physical conditions.
Dysmenorrhea examination
1. Laparoscopic examination: This is the key to finding the cause of dysmenorrhea through examination, which can determine the location and degree of endometriosis such as pelvic inflammatory disease or uterine malformations in biopsy, such as unicorn uterus, residual horn uterus, bicorner uterus, etc
2. Physical examination: pay attention to the development of general health and nutritional status. During gynecological examination, attention should be paid to the size, location, texture, and activity of the uterus, whether there are protrusions or nodules, whether there is adhesion or thickening of the uterine cuboid ligament and both sides of the uterus, nodules or lumps, tenderness, etc. Many patients can be diagnosed through medical history and gynecological examination.
3. Medical history: Detailed inquiry about menstrual history, including cycle, menstrual period, menstrual volume, and whether there is tissue discharge. The examination of dysmenorrhea is essential by asking if there are any triggers for pain, such as excessive tension, anxiety, sadness, overwork, or cooling. The entire process of pain includes the time, nature, degree, and progression of dysmenorrhea.
Diagnosis of dysmenorrhea
1. Primary dysmenorrhea: after a period of regular menstruation after menarche, lower abdomen pain during menstruation. Measurement of basal body temperature proves that dysmenorrhea occurs in the ovulation cycle. Gynecological examination excludes organic diseases, which can be clinically diagnosed.
