Dysmenorrhea can be treated with oral prostaglandin synthase inhibitors. Commonly used drugs include ibuprofen, ketoprofen, meclofenac, diclofenac, mefenamic acid, naproxen, etc., which can reduce prostaglandin production, prevent excessive uterine contraction and spasm, and thus relieve or eliminate dysmenorrhea.

1. Dysmenorrhea is one of the most common gynecological symptoms. Dysmenorrhea refers to spasmodic pain, swelling pain, back pain or other general discomfort in the lower abdomen before or after menstruation, which seriously affects daily life and work.

Second, the cause of dysmenorrhea can be found through medical history and general and local examination, so as to effectively treat it. Dysmenorrhea can be divided into primary dysmenorrhea and secondary dysmenorrhea. Primary dysmenorrhea, also known as functional dysmenorrhea, accounts for more than 90% of dysmenorrhea if no obvious pathological changes are found in pelvic organs after detailed gynecological clinical examination. Secondary dysmenorrhea refers to obvious pathological changes in reproductive organs with dark red blood, such as endometriosis, adenomyosis, pelvic inflammatory disease and gynecological tumors.

Third, abdominal pain or menstrual cramps before and after menstruation, even low back pain, sometimes accompanied by dizziness or nausea and vomiting. In severe cases, crises such as pallor, cold sweat, cold hands and feet, and severe pain and fainting can be seen.

Fourth, dysmenorrhea is divided into primary dysmenorrhea and secondary dysmenorrhea according to the incidence. The former refers to dysmenorrhea caused by no obvious organic pathological changes in reproductive organs, while the latter refers to dysmenorrhea caused by organic pathological changes in reproductive organs, such as endometriosis, adenomyosis and pelvic inflammatory disease.

Up to now, there is no clear consensus on the pathogenesis of dysmenorrhea. Most scholars realize that the occurrence and development of dysmenorrhea are closely related to endocrine factors such as prostaglandin, mental factors, endocrine regulation such as sex hormones and organic gynecological diseases.

At present, there are many treatments for primary dysmenorrhea. Non-steroidal anti-inflammatory drugs are the most commonly used first-line treatment drugs, and the effective rate of oral contraceptives is over 90%. Calcium channel blockers, antispasmodic sedatives, receptor agonists and vitamin E are all effective therapeutic drugs. In addition, great progress has been made in surgical treatment and traditional Chinese medicine treatment.