Patient's question:
Patient Gender:Female
Detailed Medical Condition and Purpose of Consultation:
Every menstrual period is extremely painful, unbearable. My leukorrhea is always yellow, and my external genitalia are slightly itchy with a small, rice-grain-sized lump. It hurts a bit when touched. I always wait for the pain to subside when urinating to be considered normal. Is it an inflammation? Is it urethritis? I went to the hospital, and the doctor said it was urethritis and gave me intravenous fluids for 5 days, but there was no improvement. The itching in my external genitalia has subsided, but recently there have been small lumps with some pain. What tests should I undergo? What kind of illness is this? I haven’t been married yet. How could I get such an illness?
Doctor's answer:
Hello: Based on your condition, you should consider suffering from vaginitis. It is recommended to go to the hospital for a secretion test to determine the medication. Dysmenorrhea refers to lower abdominal pain during or around the menstrual period, which affects work or health. Dysmenorrhea can be divided into primary and secondary types. For secondary dysmenorrhea, etiological treatment should be performed. For primary dysmenorrhea, when the pain is severe, "atropine" 0.5 mg can be given intramuscularly, or symptomatic treatment can be provided with pain relievers such as "aspirin." Progestogen therapy can also be used, such as taking "norethisterone" 2.5–5 mg or "medroxyprogesterone" 4–8 mg orally once a day, starting on the 5th day of the menstrual period, and continuing for 22 days, with 3 cycles. Additionally, "progesterone" 10–20 mg can be given intramuscularly once a day, starting 7 days before the onset of menstruation, and used for 5 days. Estrogen therapy can also be selected, such as taking "ethinyl estradiol" 0.5–1 g orally once a day, starting on the 6th day of the menstrual cycle, and continuing for 20 days.