After the crowd, the first menstrual period was particularly painful. Is it normal?

Patient's question:

Detailed medical condition and consultation purpose: I was referred by a doctor and used what they claimed to be the most advanced painless abortion surgery, which takes only three minutes. However, after the surgery, I experienced lower abdominal pain, a small amount of bleeding, inability to walk, and yellow discharge. A month later, when I had my period, the lower abdomen hurt so much that I couldn't straighten my back or sit still. (I did not have menstrual cramps before the abortion.) I would like to ask if this is normal? What should I do if the next period is painful? Will there be any lingering conditions? What measures should I take?

Doctor's answer:

Hello, the causes of dysmenorrhea are mostly due to diseases, such as endometriosis, pelvic inflammatory disease, pelvic congestion, etc. When the synthesis of prostaglandins in the endometrium increases, it can also cause dysmenorrhea. Therefore, it is necessary to undergo examinations to determine the cause of dysmenorrhea and then treat it accordingly. During the onset of dysmenorrhea pain, symptomatic treatment can be administered, such as taking atropine tablets and diazepam tablets, both of which can alleviate the pain. For cases that do not improve over the long term, appropriate TCM syndrome differentiation and regulation can be performed. Additionally, drinking some warm brown sugar ginger water can also yield good results.

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