Irregular menstruation and severe menstrual pain, how to handle it?

Patient's question:

My daughter is in her second year of junior high school this year. She started her menstrual cycle last year and has always had irregular periods. Every time she has her period, she experiences severe abdominal pain. Sometimes the pain is so intense that she has to take leave from school or take pain relievers. Therefore, I would like to ask the doctor for advice on how to deal with irregular periods and unbearable menstrual pain.

Doctor's answer:

Hello. Since the child is only 14 years old and this condition has reappeared, it is likely to be primary dysmenorrhea. Primary dysmenorrhea does not involve organic inflammation and is mainly caused by high levels of prostaglandins in the endometrium. The pain can be quite severe, so it is appropriate to take some blood-activating medications. During menstruation, pay attention to keeping the abdomen warm and avoid exposure to cold. In daily life, always maintain hygiene in the perineal area. For gynecological patients, in addition to medication for relief, it is also important to focus on self-care and keep the private area clean. Finally, I advise female patients to have regular follow-up examinations.

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