Patient's question:
This month during my period, I've been experiencing bloated and painful cramps, and the blood flow is very heavy with clots. Every time I go to the bathroom, it's just clots. I'm so worried. What should I do?Doctor's answer:
Dysmenorrhea occurs due to excessively high levels of prostaglandin synthesis in the endometrium, leading to abnormal uterine contractions. Clinically, it is classified into primary dysmenorrhea and secondary dysmenorrhea. It is a common gynecological condition.Primary dysmenorrhea typically occurs within the first year after menarche and is not associated with pelvic organic lesions, also known as functional dysmenorrhea. Examples include psychological factors, uterine maldevelopment, excessive anteroposterior flexion of the uterus, etc.
Secondary dysmenorrhea usually occurs more than 2 years after menarche and is caused by pelvic organic lesions, such as: pelvic inflammatory disease, adnexitis, parametritis, endometriosis, adenomyosis, and uterine fibroids.
It is recommended that you seek medical attention promptly for examination and diagnosis, and actively treat the condition.