Pain during menstruation, commonly known as dysmenorrhea, is a common gynecological disease. The pain of dysmenorrhea is very unbearable and has a great impact on the normal quality of life. Depending on the cause, dysmenorrhea can be divided into two categories: secondary and primary. If dysmenorrhea occurs every month, the consequences can be imagined. Therefore, many women hope to relieve the pain by taking painkillers. So, what kind of painkillers should you take for menstrual pain? Let’s take a look below.
Dysmenorrhea is divided into primary and secondary types. Secondary dysmenorrhea occurs 2 years after menarche. The age and course of dysmenorrhea vary for different diseases, and the early and late onset of dysmenorrhea also varies. Primary dysmenorrhea, dysmenorrhea starts at the beginning of menstruation, with no obvious organic lesions in the reproductive organs. It is more common in unmarried or childless women, and some recover naturally after marriage and childbirth. Primary dysmenorrhea is mostly caused by a narrow uterine opening, excessive uterine curvature or uterine hypoplasia, which prevents menstrual blood from being discharged smoothly, stimulating uterine contractions or even spasms and causing dysmenorrhea. In addition, due to mental and emotional tension and weak constitution, the pain is often quite severe. For this type of dysmenorrhea, estrogen therapy is appropriate.Yuanhu analgesic tablets: regulate qi, promote blood circulation, and relieve pain. Used for stomachache, hypochondriac pain, headache and dysmenorrhea caused by qi stagnation and blood stasis Tongjing Pills: warm the meridians and activate blood circulation, regulate menstruation and relieve pain. It is used for dysmenorrhea and irregular menstruation caused by cold stagnation and blood stasis in the lower abdomen, with symptoms including delayed menstruation, scanty menstrual flow with blood clots, cold pain in the lower abdomen during menstruation, and preference for warmth.
Secondary dysmenorrhea is often caused by some organ diseases in the body. Such as endometriosis, adenomyosis, chronic pelvic inflammatory disease, uterine malformation, etc. Nonsteroidal anti-inflammatory drugs or oral contraceptives are the first choice for dysmenorrhea caused by endometriosis. The course of treatment is generally not less than six months, and the usage is the same as primary dysmenorrhea. If the therapeutic effect is not good, gonadotropin-releasing hormone analogs can be used for treatment, with one injection subcutaneously or intramuscularly, once every four weeks, for a course of six months. If the patient has no temporary desire to have children and is not suitable for long-term oral medication, she can choose to place the levonorgestrel-releasing intrauterine system (also known as Mirena, an intrauterine device) or a vaginal ring that releases progesterone into the uterus, which can not only relieve dysmenorrhea, but also significantly reduce menstrual volume. If the patient wants to have children and has a large endometriosis cyst in the pelvis, laparoscopic minimally invasive surgery should be the first choice. |
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