Patient's question:
Detailed medical condition and consultation purpose: I have been married for half a year and have never taken any measures, but have not been able to get pregnant. I hope to find a solution here.Medical history: I have a history of dysmenorrhea, which has lasted for almost two years. In the past year and a half, I have taken emergency contraception twice.
Doctor's answer:
Hello:It is not clear whether it is related to menstrual pain, but menstrual pain requires active examination and treatment.
Menstrual pain refers to lower abdominal pain or a sense of heaviness and pressure during or before menstruation, to the extent that it affects daily life and work quality. It is divided into primary and secondary types. Primary menstrual pain is common in adolescents and has no specific cause, possibly related to spasmodic contractions of the uterine muscles during the menstrual period. This type of menstrual pain often disappears on its own after marriage and childbirth.
Menstrual pain is characterized by paroxysmal lower abdominal cramps, sometimes radiating to the vagina, rectum, etc., accompanied by symptoms such as nausea, vomiting, frequent urination, and diarrhea. The pain can last for several hours or 1–2 days, and in some cases, symptoms improve after the flow of menstrual blood. Some menstrual pain is caused by conditions such as uterine fibroids, pelvic inflammatory disease, or endometriosis, known as secondary menstrual pain, and should be treated based on the underlying cause.
Treatment for menstrual pain:
(1) Pay attention to menstrual hygiene, maintain a positive and cheerful mood, and avoid strenuous exercise and excessive fatigue.
(2) Take pain relievers orally, mainly prostaglandin synthetase inhibitors, such as indomethacin, ibuprofen, etc., to alleviate pain.
(3) Traditional Chinese medicine treatment: Take collaborative women's Xinjing, female medicine Jindan, which improves symptoms by clearing heat, promoting diuresis, activating blood circulation, and regulating the uterine temperature. If menstrual pain is caused by endometriosis, take TCM Yiweling, which controls menstrual pain by tonifying the kidney and promoting blood circulation.