The difference between menstruation and pregnancy

The feeling of menstruation and the feeling of pregnancy are completely different. Female friends must learn to distinguish them, otherwise the best time for treatment may be delayed. Especially after pregnancy, you should pay more attention to your feelings. When any situation occurs, you should go for a detailed examination. Usually, it is easy to have some pregnancy pain after pregnancy, which is relatively normal.

1. Primary dysmenorrhea is more common in adolescence, often occurring within 1 to 2 years after menarche. The main symptom is lower abdominal pain that occurs regularly during the menstrual cycle. The symptoms of secondary dysmenorrhea are the same as those of primary dysmenorrhea. Secondary pain caused by endometriosis often progressively worsens.

2. The pain usually starts after menstruation, and the earliest appearance is 12 hours before menstruation. The pain is most severe on the first day of menstruation and lasts for 2 to 3 days before being relieved. The pain is often spasmodic. It is usually not accompanied by abdominal muscle tension or rebound pain.

3. It may be accompanied by symptoms such as nausea, vomiting, diarrhea, dizziness, fatigue, etc. In severe cases, the face will turn pale and cold sweats will occur.

4. No abnormalities were found during gynecological examination.

It needs to be differentiated from secondary dysmenorrhea caused by endometriosis, adenomyosis, and pelvic inflammatory disease.

1. Endometriosis

(1) Symptoms: dysmenorrhea and infertility.

(2) Gynecological examination and auxiliary examinations: Pelvic examination revealed endometriosis lesions; imaging examinations (pelvic ultrasound, pelvic CT and MRI) revealed endometriosis lesions, and serum CA125 levels were slightly to moderately elevated.

(3) Laparoscopy: Laparoscopy is currently the common method for diagnosing endometriosis. The diagnosis can be confirmed by observing typical lesions described in gross pathology under laparoscopy or by performing a biopsy on suspicious lesions.

2. Adenomyosis

①Symptoms: dysmenorrhea; abnormal menstruation (which may manifest as excessive menstruation, prolonged menstruation and irregular bleeding);

② Gynecological and auxiliary examinations: uterine enlargement, tenderness, etc.; imaging examinations (pelvic B-ultrasound), serum CA125, etc.