What should I do if I have severe menstrual cramps?

Written by Liu Jian Wei
Obstetrics and Gynecology
Updated on September 13, 2024
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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 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.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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What causes menstrual cramps?

Dysmenorrhea is generally caused by endometriosis in the majority of cases. If the endometrium is misplaced in the ovaries, it can form ovarian chocolate cysts; if misplaced into the myometrium, it can lead to adenomyosis, which generally presents with dysmenorrhea that tends to worsen over time. In most cases, this condition is considered to be caused by endometriosis. Additionally, the occurrence of dysmenorrhea should not exclude the possibility of being caused by a cold uterus. Patients with a cold uterus might experience lower abdominal pain and a cold lower abdomen during menstruation; in such cases, treatment can involve warming the meridians to dispel cold and using warming and pain-relieving medicines for symptomatic treatment. Moreover, if dysmenorrhea is caused by Qi stagnation and blood stasis, there might be a large volume of menstrual blood accompanied by large blood clots during the bleeding process. Treatment in this scenario would involve using medicines that invigorate the blood, break up stasis, soften hardness, and disperse conglomeration for symptomatic management.

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Written by Tao Zhong E
Obstetrics and Gynecology
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The principle of dysmenorrhea

Dysmenorrhea generally refers to lower abdominal pain during menstruation. There are two types of dysmenorrhea: primary and secondary. Primary dysmenorrhea involves no substantive lesions; that is, no problems can be identified through examinations, yet menstrual pain occurs. This type is generally due to internal inflammatory factors and pain mediators, such as an increased secretion of prostaglandins, making the pain more pronounced. Secondary dysmenorrhea generally refers to organic lesions, such as adenomyosis or endometrial cysts. In these cases, noticeable menstruation pain also occurs due to organic lesions leading to an increased secretion of pain mediators.

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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.