Adenomyosis without dysmenorrhea

Written by Liu Jian Wei
Obstetrics and Gynecology
Updated on September 03, 2024
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Some women with adenomyosis may not experience symptoms of dysmenorrhea, which is a relatively good scenario as it does not affect their quality of life due to the disease. It is recommended that patients regularly visit the gynecology and obstetrics outpatient clinic at their local hospital for gynecological examinations, gynecological color ultrasound, and other related tests to monitor the occurrence and development of the disease. If the disease progresses and worsens, and clinical symptoms appear with the uterus gradually enlarging, then surgery may be necessary if surgical indications are met.

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Written by Li Lin
Obstetrics and Gynecology
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How is dysmenorrhea caused by adenomyosis treated?

Adenomyosis is a condition in which active endometrial tissue invades the muscular layer of the uterus. The main symptom of adenomyosis is progressively worsening dysmenorrhea. When symptoms are mild, conservative treatments such as physical therapy, traditional Chinese medicine, or pain relief medication can be adopted. However, if the symptoms are severe and conservative treatments fail to alleviate the dysmenorrhea, surgical options may be considered. There are several surgical methods available: one is presacral neurectomy for pain relief, and another, for patients who do not require fertility, is total hysterectomy.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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How to treat dysmenorrhea?

If menstrual pain is severe, initial treatment can often include heat therapy, such as using a hot water bottle or applying a warm bottle to the abdomen, and soaking feet in warm water. Heat therapy generally provides quick relief from the spasm of smooth muscles, and alleviates pain. Menstrual pain is primarily caused by the contraction and spasm of smooth muscles. In severe cases, painkillers may be necessary, but they can potentially harm the stomach and have other side effects, so they are generally not the first choice. To manage menstrual symptoms, it is important to keep warm before and during the menstrual period, avoid getting chilled, maintain regular exercise, and work on improving overall physical health.

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Written by Li Li Jie
Obstetrics and Gynecology
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How long does it take for ibuprofen to work for menstrual pain?

Dysmenorrhea refers to lower abdominal pain and a sense of heaviness around or during the menstrual period, accompanied by back pain or other discomforts. If dysmenorrhea occurs, taking ibuprofen can relieve the symptoms significantly within about 20 to 30 minutes. Drinking a bowl of hot brown sugar water during menstruation can also promote smoother menstrual flow and relieve pain. During menstruation, it is advisable to eat less spicy and stimulating food, as well as fewer cold fruits, vegetables, etc., and to maintain appropriate rest. Consume more warm foods and supplement with high-protein, high-calorie diets.

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Written by Li Lin
Obstetrics and Gynecology
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What causes menstrual cramps?

Dysmenorrhea is divided into primary dysmenorrhea and secondary dysmenorrhea. Primary dysmenorrhea refers to menstrual pain that occurs without organic lesions in the uterus. It is caused by the increase of prostaglandin levels in the body during menstruation, which stimulates uterine contractions. Secondary dysmenorrhea is caused by organic pathological changes in the uterus itself, such as endometriosis, adenomyosis, and pelvic inflammatory disease, which stimulate uterine contractions and lead to lower abdominal pain during menstruation.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Why do I have scanty menstrual flow and dysmenorrhea?

When women experience reduced menstrual flow and dysmenorrhea, it is important to ask in detail about their menstrual history, including whether they have had any intrauterine procedures. For instance, some women may experience reduced menstrual flow and dysmenorrhea after undergoing late-term abortions, multiple childbirths, diagnostic curettage, or abortion surgeries. At this time, it is essential to consider whether there are any uterine factors, such as intrauterine adhesions that could cause these symptoms. Besides affecting menstruation, these conditions can also lead to infertility in women. A hysteroscopic examination can be performed for diagnosis. Additionally, some women might exhibit these symptoms without any abnormal medical history; in such cases, the causes could be endocrine disorders or primary dysmenorrhea.