The harm of dysmenorrhea

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on December 04, 2024
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Some women experience severe dysmenorrhea, where the pain can radiate to the root of the thigh, affecting their normal sleep and concentration during the day, which in turn affects their work efficiency. Some women experience such severe dysmenorrhea during their menstrual period that they even need to take leave from work to rest at home. Additionally, some women may suffer from secondary dysmenorrhea, which is linked to underlying diseases. For example, conditions like adenomyosis, endometriosis, and endometrial polyps can alter the internal environment of the uterine cavity and change its coagulation state, leading to increased menstrual flow. This can cause anemia due to blood loss and also affect normal pregnancy.

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Written by Jia Rui
Obstetrics and Gynecology
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What is the cause of having many blood clots during painful menstruation?

During the menstrual period, the appearance of dysmenorrhea and more blood clots is often due to blood stasis within the body. Some Chinese patent medicines that invigorate the blood and dispel stasis can be used for conditioning. Additionally, some Chinese medicinal ingredients can be used for treatment. It is appropriate to consume some goji berries and longan, which have the effects of invigorating blood, dispelling stasis, and promoting blood circulation. These can greatly help in reducing excessive menstrual blood clots. Normally, drink more water and pay more attention to exercising. Avoid sexual intercourse during the menstrual period. (Specific 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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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 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 Zhang Xiu Rong
Obstetrics and Gynecology
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Can I take painkillers for menstrual cramps?

Patients with dysmenorrhea usually take painkillers when the pain is severe. Dysmenorrhea is generally treated with painkillers which relieve symptoms but do not address the root cause. If the pain during menstruation does not alleviate, it's not advisable to continually use painkillers. Therefore, before taking painkillers again, it is crucial to undergo relevant examinations to identify the cause of the dysmenorrhea. If the pain is caused by a cold uterus, it is advisable to take medicine that warms the meridians, dispels cold, and relieves pain, and to manage the condition regularly. If the dysmenorrhea is caused by stagnation of Qi and blood stasis, one can take medicine that activates blood circulation, removes blood stasis, and relieves pain before the onset of the next menstruation to properly manage the symptoms. Thus, severe pain can be managed with painkillers. For minor abdominal discomfort, observing the situation generally suffices. If dysmenorrhea gradually worsens, it is essential to visit a hospital for an ultrasound to check for endometriosis. Painkillers can be used during painful episodes of dysmenorrhea, but other times should be managed with appropriate medicines. (Please take medications under the guidance of a physician and do not self-medicate.)

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How to quickly relieve menstrual pain?

If the symptoms of dysmenorrhea are severe, to quickly alleviate the pain, it is essential to keep warm strictly. You can use a hot water bottle to apply heat to the lower abdomen or soak your feet in warm water. Heat therapy generally quickly relieves the pain caused by the contraction of the uterine smooth muscle and spasms. If necessary, painkillers can be used for treatment, although painkillers have side effects, such as gastrointestinal damage. If you have noticeable symptoms of dysmenorrhea, you should have regular physical examinations to determine if it is related to pelvic inflammation. Some cases are due to conditions like adenomyosis or endometriosis, and targeted treatments can be performed.