Patient's question:
Dysmenorrhea is mainly severe pain on the left side and very sore lower back.Doctor's answer:
For women with severe menstrual pain, atropine 0.5 mg can be administered via intramuscular injection, or pain-relieving medications such as aspirin can be taken. Alternatively, both medications can be used in combination. Additionally, treatment should be targeted at the underlying cause of the menstrual pain. For example, if pelvic inflammation or tumors are the causes of menstrual pain, treating these primary conditions can lead to the resolution of the pain.Hormonal therapy can also be used, such as taking ethinyl estradiol at a dose of 2.5–5.0 mg orally, or medroxyprogesterone at a dose of 4–8 mg, once daily, starting on the 5th day of the menstrual cycle and continuing for 22 days, followed by a break. This regimen should be repeated for three cycles.
Alternatively, progesterone can be administered at a dose of 10–20 mg via intramuscular injection, once daily, starting seven days before the onset of menstruation and continuing for five days.
Starting from the 6th day of the menstrual cycle, diethylstilbestrol can be taken orally at a dose of 0.5–1.0 mg daily, for a total of 20 days.