What methods or medications can prevent women from experiencing pain during their menstrual cycle?

Patient's question:

Is there any way or any medication that can prevent women from experiencing pain during their menstrual cycle??
Thank you!

Doctor's answer:

Hello; According to the situation you described, the first step is to actively go to the hospital for an ultrasound examination to determine the specific cause of the menstrual pain. Then, the specific treatment and medication can be determined.
Menstrual pain, also known as dysmenorrhea, refers 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, etiological treatment should be administered.
For primary dysmenorrhea, when the pain is severe, "atropine" 0.5 mg can be administered intramuscularly, or symptomatic treatment can be provided using pain relievers such as "aspirin." Progestogen therapy can also be used, such as taking "norethisterone" 2.5–5 mg or "medroxyprogesterone" 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.
Alternatively, "progesterone" 10–20 mg can be administered intramuscularly once daily, starting 7 days before the onset of menstruation and continuing for 5 days. Estrogen therapy, such as taking "ethinyl estradiol" 0.5–1 g orally once daily, starting on the 6th day of the menstrual cycle and continuing for 20 days, can also be chosen.

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