Patient's question:
I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried it might affect fertility, and I also feel extremely cold and afraid of the cold. What are the causes of multiple uterine fibroids?Doctor's answer:
Dysmenorrhea occurs due to excessively high levels of prostaglandins synthesized by the endometrium, leading to abnormal uterine contractions. Clinically, it is classified as primary or secondary dysmenorrhea. It is a common gynecological condition.Primary dysmenorrhea typically occurs within the first year after menarche and is not associated with pelvic organic lesions. It is also referred to as functional dysmenorrhea, such as in cases of psychological factors, uterine developmental abnormalities, or excessive anteroposterior flexion of the uterus.
Secondary dysmenorrhea usually occurs more than 2 years after menarche and is caused by pelvic organic lesions, such as:
1. Pelvic inflammation, adnexitis, or parametritis.
2. Endometriosis or adenomyosis of the uterus.
3. Uterine fibroids.
Therefore, it is recommended that you visit a regular hospital for examination to confirm the cause and receive symptomatic treatment. Oral ibuprofen and Xiaoyao Pill can help alleviate the pain. Wishing you good health!