Causes of Dysmenorrhea

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 20, 2024
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The general causes of dysmenorrhea include endometriosis or cold in the uterus, or stagnation of qi and blood stasis, all of which can lead to painful menstruation. Clinically, if dysmenorrhea is generally mild abdominal discomfort without affecting study or work, this mild dysmenorrhea is generally not a big problem. If dysmenorrhea shows a gradually worsening trend, it generally requires a visit to the hospital for a color ultrasound to check for endometriosis. If dysmenorrhea caused by endometriosis is present, it will show a worsening trend and in severe cases, may include symptoms of nausea and vomiting, so this situation is generally caused by a displacement of the endometrial lining. Additionally, some patients may experience cold hands and feet, and cold abdominal pain during the painful menstruation, which is mostly considered to be caused by cold in the uterus. Furthermore, stagnation of qi and blood stasis can also lead to dysmenorrhea, typically presenting with blood clots during menstruation, where pain relief follows the discharge of blood clots, suggesting a high possibility of being caused by stagnation of qi and blood stasis.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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What should I do if I have severe menstrual cramps?

In clinical practice, dysmenorrhea can be divided into primary dysmenorrhea and secondary dysmenorrhea. If the patient has primary dysmenorrhea, there are no specific effective treatment plans available clinically. It is recommended that the patient take oral painkillers to alleviate the symptoms of dysmenorrhea. If it is secondary dysmenorrhea, the patient needs to immediately undergo gynecological ultrasound and examinations at a local hospital to determine the cause of the dysmenorrhea. Once the cause is identified, an effective treatment plan can be developed based on the cause. Once the cause is addressed, the symptoms of dysmenorrhea will naturally be alleviated.

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Written by Wang Jing Hua
Obstetrics and Gynecology
1min 6sec home-news-image

What is the cause of dysmenorrhea with scanty flow?

Dysmenorrhea and scanty menstrual flow are often related to a cold uterus. Therefore, women must be careful not to consume too much cold food, engage in appropriate outdoor activities, improve overall blood circulation, enhance gynecological circulation, and change their physical constitution. However, some people experience dysmenorrhea and reduced menstrual flow due to having undergone an abortion, which causes damage to the endometrium. Specific treatments are required in those cases, such as hysteroscopy for examination and treatment, and the use of estrogen and various traditional Chinese medicines for treatment and conditioning. It is also necessary to check for other issues like pelvic inflammation, endometriosis, adenomyosis, or cervical adhesions, etc. Identifying the specific cause is essential for targeted treatment.

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Written by Jia Rui
Obstetrics and Gynecology
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What to eat to alleviate dysmenorrhea

If the dysmenorrhea is non-pathological, it can be improved through medication and dietary adjustments. In terms of medication, if the dysmenorrhea is caused by a cold uterus with scanty menstrual flow and poor blood circulation, Yimu Capsules can be taken continuously for three days starting from the first day of menstruation. During non-menstrual periods, Wujibaifeng Pills can be taken for conditioning. You can eat more foods that invigorate blood circulation and warm the uterus, such as red dates and longans. Additionally, avoid cold foods in your regular diet, especially in summer; try not to consume frozen drinks or cold foods. It's beneficial to drink some warm water and pay attention to keeping your abdomen warm. (Medications should be used under the guidance of a physician.)

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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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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.