What are the causes of dysmenorrhea?

Patient's question:

Female, 30 years old. After giving birth, her menstrual cycle has always been abnormal, either the timing is wrong or the amount and color of the menstruation are abnormal. Please ask: What are the causes of dysmenorrhea?

Doctor's answer:

Dysmenorrhea refers to recurrent lower abdominal cramping pain during or before menstruation, accompanied by general malaise, severely interfering with daily life. It is classified into primary and secondary types. If a detailed gynecological clinical examination fails to reveal any significant abnormalities in pelvic organs, it is referred to as primary dysmenorrhea, also known as functional dysmenorrhea. Secondary dysmenorrhea, on the other hand, refers to cases with obvious inflammation in the reproductive organs, such as endometriosis, pelvic inflammatory disease, or tumors. Functional dysmenorrhea generally does not require treatment and can be alleviated by drinking brown sugar water. Patients should develop good daily habits, maintain regular sleep schedules, avoid smoking and alcohol, and increase physical exercise to enhance immunity and prevent recurrence.

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