Patient's question:
I always feel lower abdominal pain on the first or second day of my period, but it's not very painful, sometimes it's more painful. I also always have diarrhea during my period. Is this normal? What medicine is best for menstrual cramps?First follow-up question: Should I get checked during my period or after my period? I have diarrhea on the first or second day of my period, and it improves after these days. Is this due to cold body constitution?
Doctor's answer:
Hello: First, it is important to actively go to the hospital for an ultrasound examination to determine the specific cause of the menstrual cramps. Then, the specific treatment and medication can be determined.Menstrual cramps, also known as dysmenorrhea, refer to lower abdominal pain that occurs during or around the menstrual period, affecting work or health. Dysmenorrhea can be classified into primary and secondary types. For secondary dysmenorrhea, the underlying cause should be treated.
For primary dysmenorrhea, when the pain is severe, atropine 0.5 mg can be administered intramuscularly, or pain-relieving medications such as aspirin can be used for symptomatic treatment. Progestin therapy can also be employed, such as taking ethinyl estradiol 2.5–5 mg or megestrol acetate 4–8 mg orally once daily, starting on the 5th day of the menstrual cycle and continuing for 22 days, with a 3-cycle course.
Progesterone 10–20 mg can also be administered intramuscularly once daily, starting 7 days before the onset of menstruation and continuing for 5 days. Additionally, estrogen therapy can be used, such as taking diethylstilbestrol 0.5–1 g orally once daily, starting on the 6th day of the menstrual cycle and continuing for 20 days.