What should I do about primary dysmenorrhea?

Patient's question:

Every time during menstruation, I have unbearable abdominal bloating and pain, feel uncomfortable all over, and no matter how I sit, it's not comfortable. Applying a heating pad to the abdomen helps relieve it.

Doctor's answer:

Hello, regarding primary dysmenorrhea, the first step should be to treat the underlying cause. For those with developmental abnormalities or weak constitutions, correction should be administered. Hormonal treatments such as estrogen, progesterone, and androgen can be used. If the pain is severe, symptomatic treatment can be provided, such as oral ibuprofen or acetaminophen. When necessary, 2 milliliters of metamizole can be administered intramuscularly, or pain relievers like metamizole or metamizole can also be used. Antispasmodics such as atropine or compound belladonna tablets can also be used. For patients with cervical stenosis, cervical dilation is quite effective, but it is only suitable for married individuals.

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