Dysmenorrhea In Women

The concept of menstrual cramping is used to refer to a series of symptoms of women before, after or during menstruation ...
These include lower abdominal pain (sometimes cramping and persistent), low back pain, abdominal bloating, and anus that are uncomfortable, such as sadness, diarrhea, etc. pay close attention to this

. But severely, dysmenorrhea will affect work and life.
In addition to abdominal pain, some people also experience chest pain, nausea, diarrhea. If this phenomenon persists, the patient must take medication Then it can be considered as a disease symptom.




1. Classification of menstrual pain like?
Menstrual cramps are generally classified into two types: primary and secondary.
Primary type (also known as dysmenorrhea): The patient does not detect any changes in the genital organs, but still has menstrual cramps. This phenomenon is usually seen in women under 25 years of age, unmarried and not having children. Dysmenorrhea appears after ovulation.
In the category of secondary dysmenorrhea (also called mood dysmenorrhea), the patient's genitalia has many changes. The disease is common in people with gynecological diseases such as endometriosis, adenoma, uterine muscle gland, cervical stenosis, adenocarcinoma .



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It is very difficult to distinguish the two types of abdominal pain clearly. For example, people with primary dysmenorrhea after many years will have changes in the genitals, making the phenomenon of dysmenorrhea worse; then it is difficult to judge.
In some cases, patients have been diagnosed with primary dysmenorrhea, but in fact they have mild endometriosis, when a laparoscopic examination revealed secondary dysmenorrhea.
In short, primary and secondary dysmenorrhea are just two forms of dysmenorrhea, between these two types it is sometimes difficult to accurately identify by clinical manifestations.
2. Is menstrual cramps common?
Menstrual pain is a fairly common gynecological disease. Up to now, due to the different pain sensations of each person, the tolerance level of each person is also different.



The statistical differences of menstrual period in women are quite large.
According to some surveys, in 1980 in China, 33% of menstrual cramps were out of the 72,000 women surveyed. Inside:
- 36% of primary dysmenorrhea.
- 32% have secondary pain.
- 32% for unknown reasons.
- 13.6% of people affected on work and daily life.
In 1982, Andersch and Milsom issued a report: Up to 72% of young men aged 19 in Sweden suffered from menstrual cramps, of which 15% took painkillers.



In 1985, 50% of women in puberty had dysmenorrhea at different rates in the US, 10% of menstrual cramps had to take one to three days a month. From there it can be seen, dysmenorrhea is a very common disease, especially in young women under 19 years old.
3. What are the symptoms of menstrual cramps?
Factors associated with primary menstrual cramps include:
- Early or late first menstrual period: There are investigations showing that the degree of pain and age of first menarche are related. In people who first menstruation early, the rate of dysmenorrhea is high, and the level of pain is also more severe.
- Marriage and childbirth: Between dysmenorrhea and marriage are related or not, there are two perspectives. Most people think that menstrual cramps have nothing to do with marriage. But many people think that after marriage, the level of menstrual pain in many women will decrease.



This is in need of clinical research to draw accurate conclusions.
- Menstrual cramps are also associated with factors of prolonged fatigue, stress, cold weather or hypersensitivity.
Factors related to the phenomenon of secondary dysmenorrhea: - Poor hygiene during menstruation, pregnancy and after birth, too early sexual activity, too much leading to uterine inflammation.
- Abortion or impact on the uterine cavity repeatedly causing inflammation of the endometrium.
- Contraception: Menstrual cramps and contraceptive methods have a certain effect on each other. In particular, the method of insertion often increases the level of menstrual cramps. Birth control pills that contain progestagen work to relax the smooth muscles of the uterus, alleviating the symptoms of cramping abdominal pain. Taking birth control pills can reduce the incidence and pain of menstrual cramps.




- Effects of menstrual cycle and the length of each cycle: In general, the severity of menstrual cramps and the short length of menstrual cycle have no effect on each other. But because dysmenorrhea manifests during menstruation, if menstrual periods are long, the period of menstrual cramps will be extended accordingly.
- Some other factors: There is an opinion that fat people are often prone to menstrual cramps; Smoking habits and menstrual cramps are always proportional.

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