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 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 Xia Min
Traditional Chinese Medicine
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How to regulate menstrual pain caused by a cold uterus?

For menstrual pain due to a cold uterus, the commonly used gynecological formula "Wen Jing Tang" is typically selected. Wen Jing Tang is a standard formula for regulating menstruation and is generally used for cold uterus and painful menstruation due to a deficiency-cold in the Ren and Chong meridians with blood stasis. Its main ingredients include Evodia, Ophiopogon, Cinnamon Twig, Angelica, Chuanxiong, Peony, Moutan Bark, Donkey-hide Gelatin, Ginseng, Licorice, Pinellia, and Ginger. If there is severe cold pain in the lower abdomen, Moutan Bark and Ophiopogon are removed and Artemisia leaves are added, or Cinnamon is used instead of Cinnamon Twig to enhance the effect of dispelling cold and relieving pain. If there is abdominal distension, Cyperus and Lindera are added.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Is it normal to have painful periods?

Dysmenorrhea is generally abnormal. Under normal circumstances, if menstruation involves ovulation, there may be slight discomfort in the lower abdomen during menstruation, which is considered normal. If dysmenorrhea is present and tends to worsen over time, this condition usually indicates the possibility of endometriosis. In such cases, it is essential to visit a hospital for a color ultrasound and a CA125 blood test to confirm if the pain is caused by endometriosis, and treatment should be based on the diagnostic results. Furthermore, if dysmenorrhea is caused by a cold uterus, symptoms might include pain accompanied by a cold sensation in the lower abdomen and cold extremities. In this case, it is typically necessary to take medicine that warms the meridians, dispels cold, and alleviates pain in the uterus. If dysmenorrhea is due to qi stagnation and blood stasis, one can take medicine that promotes blood circulation, removes blood stasis, and relieves pain in the meridians. Therefore, dysmenorrhea is not normal.

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Written by Jia Rui
Obstetrics and Gynecology
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What foods relieve menstrual pain?

You should pay attention to eating foods that warm the uterus and promote blood circulation, which can help alleviate menstrual pain. Such foods mainly include red dates and longan. If consumed in summer, you can appropriately add some lotus seeds to prevent heatiness, while in winter, you can add some goji berries. Additionally, you can eat some mutton and drink brown sugar water during your menstrual period. Usually, avoid cold foods, especially those taken straight from the refrigerator, as well as chilled drinks and cold desserts. Try to avoid spicy foods and abstain from smoking and alcohol.

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Written by Jia Rui
Obstetrics and Gynecology
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What to drink for menstrual pain?

Women experiencing menstrual cramps can drink some hot soup, brown sugar water, or ginger sugar water. Additionally, using a heating pad can help warm the uterus. Drinking a cup of hot milk before bedtime during the menstrual period can also aid in sleep and alleviate symptoms of menstrual pain. Menstrual pain is a common gynecological condition among women, occurring before, after, or during menstruation, characterized by lower abdominal pain, a feeling of heaviness accompanied by lower back pain or other discomforts. Severe cases can impact the quality of life. During menstruation, women should maintain regular sleep patterns, avoid staying up late, eat a light diet, and refrain from consuming spicy or stimulating foods. Consumption of cold and chilled foods should be avoided, and additional care should be taken to keep the lower abdomen warm.