Dysmenorrhea

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Written by Jia Rui
Obstetrics and Gynecology
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How to alleviate menstrual pain: little tips

For women with dysmenorrhea, it is recommended to maintain sufficient sleep and rest, apply a hot water bag on the abdomen or use heating pads for relief. During dysmenorrhea, drinking warm water, brown sugar water, or ginger sugar water can be helpful. Additionally, avoiding raw, cold, and spicy foods can alleviate the symptoms. Dysmenorrhea is a common gynecological disease characterized by pain in the lower abdomen, a sense of heaviness, backache, and other physical discomforts before and during menstruation, significantly affecting the patient's quality of life.

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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 Yan Qiao
Obstetrics and Gynecology
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Causes of irregular menstruation and dysmenorrhea

There are many causes of menstrual disorders and dysmenorrhea, so we must first consider changes caused by organic lesions, such as adenomyosis, which can cause increased menstrual flow, prolonged menstruation, and progressively worsening dysmenorrhea. There may even be pain during sexual intercourse, and abdominal pain may also occur occasionally. Apart from organic lesions, even after excluding organic conditions, some women may still experience menstrual disorders and dysmenorrhea. For example, adolescent girls often experience primary dysmenorrhea along with menstrual irregularities, which could lead to functional bleeding.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Can I drink milk tea during menstrual cramps?

Dysmenorrhea primarily requires avoiding cold beverages. Milk tea can certainly be consumed as long as it's not too cold and you don't have a diet that leans excessively in any direction. Pay attention to not consuming too much to avoid conditions such as high blood sugar, high urine sugar, and high body weight. Dysmenorrhea mainly involves identifying the underlying causes. It's important to determine whether it is related to inflammation of the uterus, or conditions such as endometriosis or adenomyosis. Some cases of dysmenorrhea are simply due to what is known as a "cold uterus", which requires regular physical exercise to improve overall blood circulation and body constitution, gradually alleviating the symptoms of dysmenorrhea.

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Written by Jia Rui
Obstetrics and Gynecology
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Can you drink milk during menstrual cramps?

Generally, it is okay, but it is recommended to heat the milk before drinking to avoid catching a cold. During menstruation, women can drink a cup of hot milk before going to bed each night, which can help with sleep and alleviate symptoms of painful menstruation. Dysmenorrhea is a common gynecological condition in women, characterized by pain in the lower abdomen, bloating, accompanied by backache or other discomforts before and during menstruation, which in severe cases can affect the quality of life. During menstruation, it is important to maintain a regular schedule, avoid staying up late, avoid consuming spicy and stimulating foods, and refrain from eating cold foods such as ice cream. It is also important to keep the abdomen warm, possibly using a hot water bottle to apply heat to the abdomen.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Does dysmenorrhea cause infertility?

The causes of dysmenorrhea are divided into primary dysmenorrhea and secondary dysmenorrhea. In primary dysmenorrhea, women do not have organic pathological changes in the reproductive system, and it usually does not affect normal pregnancy. Secondary dysmenorrhea is often caused by organic pathological changes in the reproductive system, such as submucosal fibroids, adenomyosis, ovarian endometriomas, etc. These conditions can change the internal environment of the pelvic and uterine cavities, affecting various aspects such as the implantation of the fertilized egg, thus impacting normal pregnancy. Therefore, when a woman is diagnosed with secondary dysmenorrhea, it is important to identify the cause of the pain and provide appropriate treatment to avoid affecting future normal pregnancies.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Adenomyosis without dysmenorrhea

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 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.