Patient's question:
Menstrual cramps started in April 2012. In 2011, I underwent endometriosis surgery at West China Hospital in Chengdu.Doctor's answer:
Dysmenorrhea is a common and frequently occurring gynecological disorder with multiple etiologies and complex pathogenesis, exhibiting a high recurrence rate. It is particularly prevalent among unmarried young women and adolescent girls during their initial menstrual periods. The symptoms typically manifest as periodic lower abdominal pain during menstruation or in the days leading up to or following it, including cramping, cold pain, burning pain, sharp pain, dull pain, heavy pain, colicky pain, spasmodic pain, and tearing pain. The pain may radiate to the sacral and lumbar regions, and in some cases, even affect the thighs and legs. It is often accompanied by systemic symptoms such as breast tenderness, rectal fullness, chest tightness, irritability, sadness, restlessness, insomnia, headaches, dizziness, nausea, vomiting, stomach pain, diarrhea, fatigue, pallor, cold extremities, profuse cold sweat, and even collapse or fainting.Treatment should first involve physical exercise to strengthen the body. Daily life should follow a regular routine, balancing work and rest, with proper nutrition and adequate sleep. Emphasis should be placed on educating about the physiological aspects of menstruation to eliminate fear, anxiety, and mental burdens. It is also important to maintain good menstrual hygiene, avoid strenuous exercise, excessive fatigue, and exposure to cold.