Patient's question:
I have a particularly itchy lower body, and my underwear is always yellow. What's going on? What should I check for if I have long-term menstrual pain while being unmarried?Doctor's answer:
Hello, dysmenorrhea is generally divided into two types: primary dysmenorrhea and secondary dysmenorrhea.Guidelines:
Primary dysmenorrhea is more common in cases of uterine underdevelopment, cervical stenosis (narrowing of the cervical canal), or excessive uterine flexion, which can impede the flow of menstrual blood, leading to its retention and thereby stimulating uterine contractions that cause pain. In some cases during menstruation, the endometrium detaches in sheets, and intense uterine contractions occur before its expulsion, causing pain that subsides afterward, which is referred to as membranous dysmenorrhea. Primary dysmenorrhea often improves after childbirth.
Secondary dysmenorrhea, on the other hand, is more common in postpartum women and middle-aged women, often caused by pelvic inflammation, tumors, or endometriosis. Endometriosis involves the growth of endometrial tissue outside the uterine cavity, such as in the uterine muscle layer, ovaries, or other pelvic locations. These tissues undergo cyclic changes and bleeding, and during menstruation, the inability to expel blood leads to pain. Additionally, adhesions to surrounding tissues and organs can gradually worsen the pain. During internal examination, the uterus may be found to be enlarged, firm, and less mobile, or hard, irregular nodules or masses may be palpated in the rectouterine pouch, with tenderness.