Patient's question:
I am eighteen years old, and my first menstrual period was five years ago. In the past year, I have noticed that sometimes I experience lower abdominal pain that is very severe, similar to menstrual cramps, with a feeling of tightness inside that doesn’t ease. However, drinking some hot water and resting helps relieve it. At first, it only occurred a few times a month, but now it happens almost once a month. In the past two months, I’ve noticed that the pain occurs during the first half of my menstrual cycle. I have no sexual experience. Is this a gynecological issue?Doctor's answer:
The possibility may be related to endocrine disorders of hormones, or it may be related to mental stress and anxiety. It is recommended that you first undergo a gynecological examination. If there are no positive signs, it can be diagnosed as primary dysmenorrhea. Mental and psychological therapy should be given importance. Mild discomfort during menstruation is a physiological phenomenon. If the pain is unbearable, prostaglandin synthase inhibitors can be taken to relieve symptoms. If there are abnormalities in the gynecological examination, it is recommended that you undergo a laparoscopic examination to differentiate it from secondary dysmenorrhea caused by conditions such as endometriosis and adenomyosis. Gynecological diseases have a significant impact on patients. Once symptoms are noticed, it is important to seek medical attention promptly. At the same time, more attention should be paid to self-care, including eating more fruits and vegetables and avoiding stimulating foods.