Patient's question:
Everyone will have very severe menstrual cramps, which are primary dysmenorrhea, inherited from her mother. She has taken many medications, both traditional Chinese medicine and Western medicine. They were effective when she took them, but the pain returned when she stopped. She is very troubled. Now, she has to take Advil every month to relieve the pain. She doesn't know if there are any other good solutions and really doesn't want to keep taking pain medication, but the pain is unbearable!Past Treatment and Effectiveness:
She has taken both traditional Chinese medicine and Western medicine. They were effective when she took them, but the pain returned when she stopped.
Help Needed:
She doesn't know if there are any other good solutions and really doesn't want to keep taking pain medication, but the pain is unbearable!
Doctor's answer:
1) Oral contraceptives that suppress ovulation can be used to relieve menstrual cramps, with an efficacy rate of over 90%. They are primarily suitable for patients who require contraception.2) Medications that inhibit uterine contractions can be taken continuously for 2-3 days before the onset of menstruation or after the onset of menstrual cramps. Examples include indomethacin suppositories, indomethacin tablets, ibuprofen, ketorolac, and mefenamic acid. The main side effects of these drugs are gastrointestinal reactions and allergic reactions. They are contraindicated in patients with gastrointestinal ulcers.
(3) Surgical treatment: This is only suitable for patients with intractable menstrual cramps who do not respond to medication.
1) Cervical canal dilation: This is suitable for postpartum patients with cervical stenosis. The cervical canal is dilated to sizes 6-8 using dilators to ensure smooth blood flow.
2) Nerve resection: Laparoscopic sacral anterior nerve resection surgery can be considered for intractable menstrual cramps. The effect is good, but there are certain complications.