What is the cause of dysmenorrhea with scanty flow?

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on September 15, 2024
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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 Wang Jing Hua
Obstetrics and Gynecology
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What should I do if menstrual cramps are very painful?

In cases of severe menstrual pain, it is crucial to strictly keep warm and to avoid eating or touching cold items. You can also opt for heat therapy, such as using a hot water bottle on the lower abdomen or soaking feet in hot water. This can quickly relieve contractions and spasms of the uterine smooth muscle, and swiftly ease the symptoms of painful menstruation. Some people’s menstrual pain is related to inflammation, and others might suffer from conditions such as adenomyosis or endometriosis. These cases require regular check-ups and treatment.

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Written by Du Rui Xia
Obstetrics
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Does dysmenorrhea affect pregnancy?

Whether dysmenorrhea affects pregnancy cannot be generalized. Dysmenorrhea can be divided into primary dysmenorrhea, which is physiological, and secondary dysmenorrhea. Primary dysmenorrhea refers to cases where there are no pathological changes in the female reproductive organs, and the pain is solely due to uterine contractions during menstruation, commonly seen in adolescent girls. Moreover, conditions such as adenomyosis, severe uterine fibroids, and endometriosis can also cause pain and are associated with changes in the uterus, which can affect pregnancy. However, primary, functional dysmenorrhea generally does not impact the ability to conceive. Thus, whether dysmenorrhea affects pregnancy depends on the specific circumstances.

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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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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 Li Lin
Obstetrics and Gynecology
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Is dysmenorrhea a disease?

Dysmenorrhea is divided into primary dysmenorrhea and secondary dysmenorrhea. Primary dysmenorrhea refers to painful menstruation without organic lesions in the reproductive organs. It is mainly caused by an increase in chemicals during menstruation that stimulate uterine contractions and enhance vascular spasms, leading to uterine ischemia and hypoxia. This condition is not a disease, and relieving excessive tension can effectively alleviate the pain. However, if the pain is severe and unbearable, oral analgesics can be taken for symptomatic treatment. Secondary dysmenorrhea, on the other hand, is caused by organic lesions in the reproductive organs and is considered a disease.