Dysmenorrhea

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Written by Wang Jing Hua
Obstetrics and Gynecology
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How to quickly alleviate menstrual pain

To quickly alleviate menstrual cramps, one can opt for heat therapy. This is because menstrual pain is often due to contractions and spasms of the uterine smooth muscles, so heat therapy can quickly relieve these spasms. You can choose to use a hot water bottle or a heating pad on your abdomen, or soak your feet in warm water, or use other various physical therapy methods. Drinking some hot water can also be quite effective for some people. In more severe cases, taking pain medication to help relieve the symptoms of menstrual pain is an option, but it is essential to rule out other causes of pain such as ectopic pregnancy. (The use of medication should be under the guidance of a professional doctor.)

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Written by Xu Xiao Ming
Obstetrics and Gynecology
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Why does adenomyosis cause dysmenorrhea?

Patients with adenomyosis primarily exhibit significant dysmenorrhea as a clinical symptom, which is related to the pathological factors of the disease. The cause of adenomyosis is the ectopic placement of the endometrial tissue into the muscular layer and glands of the uterus. Due to this displacement, with each menstrual period, the changes in the body's estrogen levels affect the ectopic endometrial tissue, causing the production of substances similar to menstrual blood. This results in the enlargement of the uterine cavity and the hardening of the uterus, contributing to the pathologic types of adenomyosis and resulting in painful menstruation. It is recommended that patients with adenomyosis seek medical examination and treatment at a hospital.

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Written by Qiu Xin Hui
Traditional Chinese Medicine
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How to deal with dysmenorrhea caused by cold in the body?

Painful menstruation caused by a cold constitution is mainly due to the deficiency of spleen and kidney yang. Therefore, in the treatment of dysmenorrhea, it is first necessary to consider taking some medications that warm and supplement the spleen and kidneys. In daily life, special attention should also be paid. In terms of diet, one should avoid raw and cold food and eat more warm-natured foods such as beef, lamb, dog, fish, shrimp, pigeon meat, etc. In choosing medications, you can select some over-the-counter traditional Chinese medicines that warm and supplement the spleen and kidneys, such as Fu Zi Li Zhong Wan combined with Jin Kui Shen Qi Wan. (Specific medications should be taken under the guidance of a physician.)

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Symptoms of dysmenorrhea

If you usually have regular periods and experience dysmenorrhea during menstruation, you should first compare it with your usual state. If the symptoms have worsened, you should consider whether this is caused by inflammation. Some people have adenomyosis and also often experience progressively worsening dysmenorrhea. In others, dysmenorrhea symptoms occur along with delayed menstruation, which is often related to pregnancy. Some experience dysmenorrhea symptoms related to exposure to cold or consuming cold foods. Therefore, it is necessary to conduct an examination to clarify the situation.

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Written by Li Li Jie
Obstetrics and Gynecology
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Can sexual activity alleviate dysmenorrhea?

Sexual activity can alleviate menstrual pain. The reason sexual activity can alleviate menstrual pain to some extent is that during the process of enjoying sex, the excitement of the cerebral cortex and the pleasurable sensations from the nervous system guide our body, thereby releasing some well-known hormones and chemicals. Having sexual activity a few days before the onset of menstruation can create a reserve of mental pleasure, putting the body in a relaxed state. This releases the muscle tension associated with the habitual fear of menstruation, so the pain during menstruation will not be as pronounced. Furthermore, sexual activity can promote indirect movement of the uterus, thereby regulating the flow of Qi and blood and improving the circulation of Qi and blood.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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How to quickly relieve menstrual pain?

If the symptoms of dysmenorrhea are severe, to quickly alleviate the pain, it is essential to keep warm strictly. You can use a hot water bottle to apply heat to the lower abdomen or soak your feet in warm water. Heat therapy generally quickly relieves the pain caused by the contraction of the uterine smooth muscle and spasms. If necessary, painkillers can be used for treatment, although painkillers have side effects, such as gastrointestinal damage. If you have noticeable symptoms of dysmenorrhea, you should have regular physical examinations to determine if it is related to pelvic inflammation. Some cases are due to conditions like adenomyosis or endometriosis, and targeted treatments can be performed.

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Written by Shen Li Wen
Obstetrics and Gynecology
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What should I do if the menstrual pain is very severe?

When the symptoms of dysmenorrhea are very severe in women, it is important to actively search for the causes of dysmenorrhea. For example, routine gynecological examinations are conducted along with some relevant ancillary tests. For instance, vaginal ultrasound, hysteroscopic examinations, and blood tests for CA125, etc., are used to understand the causes of dysmenorrhea. If it is primary dysmenorrhea, prostaglandin synthetase inhibitors can be taken orally during menstruation to relieve the symptoms of dysmenorrhea. Short-acting contraceptive pills can also be taken orally to inhibit ovulation and improve the symptoms of dysmenorrhea. For secondary dysmenorrhea, women often have organic lesions in the reproductive system. For example, those with submucosal uterine fibroids or endometrial polyps often require surgical treatment. (The use of medicines should be carried out under the guidance of a professional doctor.)

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Written by Li Li Jie
Obstetrics and Gynecology
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Why does it not hurt when lying down during menstrual cramps?

Dysmenorrhea is generally caused by a cold uterus or catching a cold, which can be alleviated by lying down to press and shape the abdomen, thus reducing the pain. During menstruation, it is important to rest more and avoid vigorous activities, getting cold, and consuming raw, cold, or spicy foods which are irritating. Do not drink cold water, but use a hot water bottle to apply heat to the abdomen. One can seek treatment in hospitals or Traditional Chinese Medicine clinics for a diagnosis to promote blood circulation and remove blood stasis through medication. During menstruation, women should not take baths or cold showers as it can easily harm physical and mental health, and it is also important to maintain vaginal cleanliness and hygiene. Additionally, attention should be given to getting more rest and eating nutritious foods.

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Written by Jia Rui
Obstetrics and Gynecology
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What is the cause of having many blood clots during painful menstruation?

During the menstrual period, the appearance of dysmenorrhea and more blood clots is often due to blood stasis within the body. Some Chinese patent medicines that invigorate the blood and dispel stasis can be used for conditioning. Additionally, some Chinese medicinal ingredients can be used for treatment. It is appropriate to consume some goji berries and longan, which have the effects of invigorating blood, dispelling stasis, and promoting blood circulation. These can greatly help in reducing excessive menstrual blood clots. Normally, drink more water and pay more attention to exercising. Avoid sexual intercourse during the menstrual period. (Specific medications should be used under the guidance of a physician.)

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Written by Wang Jing Hua
Obstetrics and Gynecology
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What should I do if menstrual cramps are very painful?

In cases of severe menstrual pain, it is crucial to strictly keep warm and to avoid eating or touching cold items. You can also opt for heat therapy, such as using a hot water bottle on the lower abdomen or soaking feet in hot water. This can quickly relieve contractions and spasms of the uterine smooth muscle, and swiftly ease the symptoms of painful menstruation. Some people’s menstrual pain is related to inflammation, and others might suffer from conditions such as adenomyosis or endometriosis. These cases require regular check-ups and treatment.