Dysmenorrhea is one of the most common gynecological symptoms, with many causes, complicated pathogenesis, great repetitiveness and great difficulty in treatment, especially for young women at the end of marriage and girls at menarche. It is characterized by periodic abdominal distension, cold pain, burning pain, stabbing pain, dull pain, falling pain, colic, spasmodic pain and tearing pain before and after menstruation, and the pain extends to the lumbosacral back and even involves thighs and feet. Often accompanied by systemic symptoms: breast pain, anal dilatation, chest tightness and irritability, sadness and irritability, palpitation and insomnia, headache and dizziness, nausea and vomiting, stomachache and diarrhea, fatigue, pale face, cold limbs, cold sweat, collapse and fainting. Its high incidence, wide range, short cycle and great pain have seriously affected women's work and study and reduced their quality of life.
First, treatment
Dysmenorrhea is a common symptom of women. Premarital dysmenorrhea will disappear naturally after old age, especially after giving birth to a child after marriage, so there is no need to treat it. Except in a few cases. However, if dysmenorrhea lasts for 3 days, it should be treated if it affects life. The treatment of primary dysmenorrhea is mainly symptomatic treatment, mainly analgesia and sedation.
1. General therapy
(1) Pay attention to psychotherapy to eliminate tension and anxiety.
(2) Adequate rest and sleep, regular and moderate exercise, and quitting smoking.
(3) When the pain can't be tolerated, it should be supplemented by medication.
2. Drug therapy
(1) For dysmenorrhea caused by adenomyosis without fertility requirements, Manyue Lehuan is the first choice.
(2) Oral contraceptives are suitable for dysmenorrhea women who need contraception, and the effective rate is over 90%.
(3) Over-the-counter acetaminophen, acetaminophen plus palmar bromide and ethylene salicylic acid (aspirin).
Second, prevention.
1. Keep warm during menstruation to avoid catching cold during menstruation.
2. fasting cold drinks and cold food during menstruation. Swimming, bath and cold water bath are prohibited during menstruation.
3. Keep vagina clean and menstrual hygiene.
4. Adjust mood, keep mental comfort and eliminate fear.
5. In case of severe dysmenorrhea or even syncope, you should keep warm first, and then give antispasmodic analgesics.
6. Drink more hot milk. For example, drinking a cup of hot milk with a spoonful of honey before going to bed every night can relieve dysmenorrhea.
7. Practicing yoga, bending over, relaxing and other actions can relax muscles and nerves, and strengthening the body will help improve menstrual pain.
8. Actively and correctly check and treat gynecological diseases, and try to avoid unnecessary gynecological examinations and various operations during menstruation to prevent bacterial infection. Suffering from gynecological diseases, we should actively treat them to get rid of the hidden danger of dysmenorrhea.