Patient's question:
Menstrual abdominal pain, starting from April 2012. In 2011, I had an 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 manifest as periodic lower abdominal pain during menstruation or in the days leading up to or following it, including cramping, cold pain, burning pain, stabbing pain, dull pain, heavy pain, cramping pain, spasmodic pain, and tearing pain. The pain may extend to the sacro-lumbar region and even involve the thighs and feet. It is often accompanied by systemic symptoms such as breast tenderness, rectal fullness, chest tightness, irritability, sadness, anxiety, palpitations, insomnia, headaches, dizziness, nausea, vomiting, stomach pain, diarrhea, fatigue, pale complexion, cold extremities, profuse cold sweat, and even collapse and fainting.Treatment should first involve physical exercise to strengthen the body. Daily life should follow a regular routine, balancing rest and activity, with proper nutrition and adequate sleep. Emphasis should be placed on educating about the physiology 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.