Primary dysmenorrhea, how is it treated?

Patient's question:

Each time I have my period, the pain is unbearable. I've been to the hospital several times and taken many medications, but nothing has helped. The doctor said it's primary dysmenorrhea, and it will only improve after getting divorced and having children. I'm about to have my period again, and I've developed a fear of it. Now my knees have started to hurt, and my lower back is also aching. Could it really be that there's no cure for this? Hello, how can I relieve the pain?

Doctor's answer:

The primary cause of primary dysmenorrhea is a narrow cervix, underdeveloped uterus, or the presence of large pieces of endometrium in the menstrual blood, the latter of which is referred to as membrane-like dysmenorrhea. At times, blood clots in the menstrual blood can also cause lower abdominal pain. The causes of secondary dysmenorrhea are mostly disease-related, such as endometriosis, pelvic inflammatory disease, pelvic congestion, etc. In recent years, it has been discovered that when the production of prostaglandins by the endometrium increases continuously, it can also lead to dysmenorrhea. Therefore, it is necessary to conduct a thorough examination to identify the cause of the dysmenorrhea and then treat the underlying issue accordingly.

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