What should I do if I have persistent dysmenorrhea?

Dysmenorrhea is common for most women. The main reason is that women always do strenuous exercise or eat spicy and greasy food during menstruation, which will cause dysmenorrhea. This pain is unbearable for ordinary people, so some methods should be used to treat dysmenorrhea. So, what should you do if you have dysmenorrhea all the time? Let’s take a brief look at it!

Method 1: General treatment

Do physical exercise to improve your physical fitness. Pay attention to your daily life, combine work and rest, get proper nutrition and adequate sleep. Attach importance to the publicity and education of menstrual physiology, and eliminate patients' fear, anxiety and mental burden through explanation and persuasion. Strengthen menstrual hygiene, avoid strenuous exercise, excessive fatigue and prevent cold.

Method 2: Inhibit ovulation

If the patient is willing to control fertility, oral contraceptive tablets (norethindrone combined tablets or megestrol acetate combined tablets) are the first choice for the treatment of primary dysmenorrhea. With the use of oral contraceptives, more than 90% of symptoms can be relieved, possibly because endometrial growth is inhibited, menstrual volume is reduced, and the amount of PG drops below normal levels, resulting in weakened uterine activity. The treatment can be tried for 3 to 4 cycles. If the effect is satisfactory, it can be continued; if the symptoms do not improve significantly, a PGS synthesis inhibitor can be appropriately added. Since the medication needs to be taken throughout the entire menstrual cycle and its effect only occurs in the last 1 to 2 days of the cycle, it is generally not popular with patients unless contraception is required at the same time.

Method 3: Prostaglandin synthesis inhibitors (PGSIs)

This type of drug, ibuprofen, can inhibit the synthesis of prostaglandins, reduce uterine tension and contractility, and achieve the purpose of treating dysmenorrhea. Dosage: Generally, take the medicine continuously for 2 to 3 days before the onset of menstrual dysmenorrhea, 1 tablet/qd. If the pain is severe, 2 tablets/q12h can be given. Because the release of prostaglandins is the highest in the first 48 hours of menstruation, early use of the medicine can correct the excessive synthesis and release of prostaglandins in the blood during menstruation. Taking it when you have pain may not be effective, and it will take at least 3 hours to take effect. Indomethacin is also OK.

The above methods are all very effective in treating dysmenorrhea. What women need to pay attention to is that they must pay attention to rest during menstruation and avoid eating cold food. Of course, cold boiled water cannot be drunk. Patients are advised to eat more warm foods. Eating warm foods regularly can also improve the phenomenon of dysmenorrhea.