Dysmenorrhea can make women feel very uncomfortable. Some women have so much dysmenorrhea that they cannot even sit up and their whole body starts to tremble. This is very serious and must be treated in time. Sometimes the situation can be well alleviated through daily care. Only a small number of women may need to use Chinese patent medicine for treatment. 1. General treatment First, it is necessary to explain the basic physiological knowledge to patients with dysmenorrhea, especially for adolescent girls. It is a normal physiological phenomenon. It helps patients dispel their worries and build confidence. During dysmenorrhea, they can rest in bed or apply hot compress to the lower abdomen and pay attention to menstrual hygiene. You can also take general non-specific analgesics such as salicylates, which have the effect of reducing fever and relieving pain. 2. Oral contraceptives are suitable for patients with dysmenorrhea who need to take contraceptive measures. Since the 1960s, a large number of research observations have confirmed that oral contraceptives can effectively treat primary dysmenorrhea, completely relieving pain in 50% of patients and significantly reducing pain in 40%. Oral contraceptives can inhibit endometrial growth, reduce the levels of prostaglandins vasopressin and oxytocin (oxytocin) in the blood, and inhibit uterine activity. In women with primary dysmenorrhea, increased uterine activity is partly due to an imbalance of ovarian hormones, which may be caused by increased estrogen levels during the luteal phase and premenstrual period. Estrogen can stimulate the synthesis and release of PGF2a and vasopressin. Oral contraceptives may inhibit uterine activity by changing the imbalance of ovarian hormones. It was once believed that progestin activity was an important factor in the treatment of dysmenorrhea. However, studies in recent years have confirmed that various estrogen-progestin combined contraceptives can reduce the occurrence of dysmenorrhea, but there is no significant difference in the effect of reducing the severity of dysmenorrhea. Prostaglandin synthase inhibitors can be used as non-steroidal anti-inflammatory drugs (NSAIDs) for patients with primary dysmenorrhea who do not need to seek contraceptive measures or who are not well responded to oral contraceptives. They are prostaglandin synthase inhibitors that inhibit PG synthesis by blocking the cyclooxygenase pathway, thereby reducing uterine tension and contractility, achieving the effect of treating dysmenorrhea. Since the 1970s, it has been widely used to treat primary dysmenorrhea due to its good effect (effectiveness 60% to 90%). It is a simple menstrual medication taken for 2 to 3 days with few side effects. NSAIDs can not only relieve pain, but also relieve related symptoms; such as nausea, vomiting, headache, diarrhea, etc. Side effects are generally mild and uncommon and generally tolerated. They are mainly gastrointestinal and central nervous system symptoms such as indigestion, nausea, anorexia, heartburn, diarrhea, constipation, headache, dizziness, irritability, and drowsiness; more serious side effects include skin reactions, bronchospasm, temporary renal impairment, etc., which are very rare. |
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