How painful is my period?

In contemporary society, many girls are troubled by their periods. Every time they have their periods, it is very painful. Boys cannot understand this feeling, and girls generally experience menstrual pain. As for the degree of pain, many people cannot express it. This pain can be relieved. Our pain is divided into many levels, and different levels correspond to different pains. So how painful is menstruation?

Dysmenorrhea is one of the most common gynecological symptoms. It refers to lower abdominal pain and distension before, during, or after menstruation, accompanied by backache or other discomfort, which seriously affects the quality of life. Dysmenorrhea is divided into two categories: primary dysmenorrhea and secondary dysmenorrhea. Primary dysmenorrhea refers to dysmenorrhea without organic lesions of the reproductive organs; secondary dysmenorrhea refers to dysmenorrhea caused by organic pelvic diseases, such as endometriosis and adenomyosis.

Causes: 1. The occurrence of primary dysmenorrhea is mainly related to the increase in endometrial prostaglandin content during menstruation. Elevated PGF2α levels are the main cause of dysmenorrhea. High levels of PGF2α can cause excessive contraction of uterine smooth muscle and vascular spasm, resulting in uterine ischemia and hypoxia and dysmenorrhea.

2. Increase in substances such as vasopressin, endogenous oxytocin and β-endorphin.

3. Mental and neurological factors.

4. Secondary pain is often caused by endometriosis, adenomyosis, etc.

Dysmenorrhea can be divided into three degrees medically. Mild cases occur during or before and after menstruation, with obvious lower abdominal pain and accompanied by lower back pain, but the patient can continue to work and has no systemic symptoms. Painkillers are sometimes needed. Moderate dysmenorrhea mainly occurs during or before and after menstruation, with unbearable pain in the lower abdomen, accompanied by low back pain, nausea, vomiting, and cold limbs. The pain can be temporarily relieved by using analgesics. The main symptoms of severe dysmenorrhea are unbearable lower abdominal pain during or before and after menstruation, restlessness, and serious impact on work, study, and daily life. The patient must stay in bed to rest, and is accompanied by lower back pain, pale complexion, profuse cold sweats, cold limbs, vomiting, diarrhea, and anal swelling. Some pain relief measures do not provide significant relief.