How to know if you have primary dysmenorrhea or secondary dysmenorrhea?

Patient's question:

Every time I come for the first day, it will be very painful, very painful. The second day it's not as painful. When it hurts, I sweat coldly, sometimes I faint, sometimes it gets a little better. I don't know if my menstrual cramps are the severe type, and I'm afraid to take medicine randomly.

Doctor's answer:

Hello, dysmenorrhea can be divided into two types: primary dysmenorrhea and secondary dysmenorrhea. The most common type among women is primary dysmenorrhea, which begins after menarche and is mostly functional, more common in unmarried, childless young women. The reasons are many, such as psychological factors, intense physical activity, neglecting warmth and cold, and endocrine disorders, but the main cause is still the excessive production of prostaglandin F2α in the endometrium. Secondary dysmenorrhea usually appears after a period of menstruation and is mostly organic, common causes include endometriosis, pelvic inflammatory disease, or the use of an intrauterine device.

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