Pathological analysis of lower abdominal pain before menstruation

Most women experience some symptoms of physical discomfort during their menstruation every month. Mild symptoms include fatigue and abnormal complexion, while severe symptoms include vomiting, fever, and cold sweats. Among them, lower abdominal pain is a common condition, which is actually a type of dysmenorrhea. Below we will discuss the classification of dysmenorrhea and its pathogenesis, so as to have a deeper understanding of the pathology of lower abdominal pain.

1. Dysmenorrhea is divided into two categories: primary dysmenorrhea and secondary dysmenorrhea.

1. The cause of primary dysmenorrhea is not yet fully understood, and there is no organic disease. It is most common in unmarried and non-parous women under 25 years old. Most of them develop the disease 6-12 months after menarche. Most of them will be relieved or even disappear after reaching childbearing age or marriage.

2. Secondary dysmenorrhea has a clear cause and is common in women of childbearing age, especially married women after the age of 30. Their reproductive organs have organic lesions. Gynecological examination may reveal an enlarged uterus, limited mobility, and tenderness; the appendages are thickened or flaky and tender. You must go to a regular hospital to see a doctor and treat the primary disease symptomatically to eliminate the symptoms.

2. According to Western medicine, the pathogenesis of dysmenorrhea can be roughly summarized into the following aspects:

1. Excessive contraction of the uterus.

2. Abnormal uterine contraction leads to ischemia of uterine smooth muscle. The ischemia of uterine muscle can cause spasmodic contraction of uterine muscle, resulting in pain and dysmenorrhea.

3. It is related to the increased level of prostaglandins in the endometrium and menstrual blood. The levels of prostaglandins in the endometrial tissue and menstrual blood of patients with dysmenorrhea are significantly higher than those of normal women.

3. Nursing treatment

1. Provide girls with menstrual health education; strengthen their physical fitness, pay attention to regular life, and combine work and rest; pay attention to nutrition and adequate sleep.

2. Avoid strenuous exercise, excessive fatigue, cold water baths or working in water during menstruation; mentally, eliminate fear, anxiety and mental burden.

If there is any systemic disease, it should be treated and corrected.

3. The principle of treatment is symptomatic treatment: hot compress, analgesics, Chinese patent medicine dysmenorrhea pills, Western medicine estrogen, etc. If the condition is serious, seek medical attention promptly.

Therefore, female friends who experience lower abdominal pain before menstruation should not be alarmed. It depends on their age group and their usual menstrual reactions to see if there are any abnormalities and whether it is primary dysmenorrhea or secondary dysmenorrhea. In addition, they should pay attention to regularity in their daily routine, combine work and rest, and pay attention to physical and psychological conditioning and relaxation to avoid and aggravate the symptoms caused by dysmenorrhea.