Patient's question:
Female, 22 years old. Every time during menstruation, she experiences severe pain, a heavy and distended lower abdomen, cramping sensations, weakness in all limbs, restlessness, and tossing and turning in bed. During severe episodes, she often experiences nausea. These symptoms usually last for about half a day to a full day on the first day of her period. Generally, after she falls asleep and wakes up, the pain improves somewhat. Her menstrual cycle is shorter, lasting about three to four days, with a relatively light flow.Previous treatment and effectiveness: Before her period, she avoids spicy and cold foods, and she has been mindful of this. She often starts drinking brown sugar water and Motherwort effervescent tablets before her period, but these have almost no effect on her symptoms. She is worried about developing drug resistance, so she hasn’t taken pain relievers during the pain. Others have suggested taking traditional Chinese medicine, but she is afraid of its effects on her body’s endocrine system, as she has a tendency toward diarrhea and poor digestion. She is married and not pregnant. What matters to her is...
Doctor's answer:
Hello, generally speaking, patients with dysmenorrhea are advised to undergo a thorough examination at the hospital. The main examinations include the external genitalia, vagina, uterus, and ovaries to check for any special inflammation or abnormalities. For patients with secondary dysmenorrhea, it is necessary to examine for endometriosis. Additionally, based on the characteristics of the pain and the results of the gynecological examination, it may be necessary to conduct basal body temperature measurements, vaginal smear tests, and measurements of estrogen and progesterone levels, as well as B-mode ultrasound examinations, to determine the underlying cause of the dysmenorrhea.