Patient's question:
I came on my period today and it's really painful, I can't even go to work. This has been going on for many years. My mom says it's normal for women, but I've been trying to get pregnant for half a year and haven't heard any news yet.Doctor's answer:
Hello, the clinical manifestations of primary dysmenorrhea include lower abdominal cramping pain and general malaise, which severely affect daily life. When a detailed gynecological clinical examination fails to reveal any significant abnormalities in pelvic organs, it is referred to as primary dysmenorrhea, also known as functional dysmenorrhea. Primary dysmenorrhea usually begins at the onset of menstruation or several hours before vaginal bleeding, often, lasting 1/2 to 2 hours. After the severe abdominal pain subsides, it transitions to moderate intermittent pain, lasting about 12 to 24 hours. The pain gradually disappears after the menstrual flow becomes smooth, though some may need to bed rest for 2 to 3 days. The pain is primarily located in the lower abdomen and can radiate to the lumbosacral region or the anterior aspect of the thighs in severe cases. Approximately 50% or more of patients experience gastrointestinal and cardiovascular symptoms, such as nausea, vomiting (89%), diarrhea (60%), dizziness (60%), headache (45%), and fatigue (85%). In rare cases, fainting and collapse may occur. Primary dysmenorrhea often resolves spontaneously after childbirth or gradually diminishes with age after marriage.