What to do about dysmenorrhea caused by adenomyosis?

Adenomyosis is a common gynecological disease in clinical practice. This disease may cause women to experience symptoms of dysmenorrhea. Many people do not know what to do if they have adenomyosis and dysmenorrhea. To address the problem of dysmenorrhea caused by adenomyosis, you must pay attention to physical exercise and a regular lifestyle.

1. Distract Your Attention

Patients with adenomyosis should keep warm during menstruation, avoid getting wet in the rain and cold, lead a regular life, and ensure sleep; strengthen nutrition, avoid eating sour, cold, spicy and other irritating foods; avoid engaging in heavy physical labor or strenuous sports. At the same time, mental pleasure is important for relieving symptoms. When you have dysmenorrhea, you might try listening to music, reading books, participating in cultural and entertainment activities, etc. to distract your attention.

2. General treatment

Do physical exercise to improve your physical fitness. Pay attention to your daily life, combine work and rest, get proper nutrition and adequate sleep. Attach importance to the publicity and education of menstrual physiology, and eliminate patients' fear, anxiety and mental burden through explanation and persuasion. Strengthen menstrual hygiene, avoid strenuous exercise, excessive fatigue and prevent cold.

3. Inhibit ovulation

If the patient is willing to control fertility, oral contraceptive tablets (norethindrone combined tablets or megestrol acetate combined tablets) are the first choice for the treatment of primary dysmenorrhea. With the use of oral contraceptives, more than 90% of symptoms can be relieved, possibly because endometrial growth is inhibited, menstrual volume is reduced, and the amount of PG drops below normal levels, resulting in weakened uterine activity. The treatment can be tried for 3 to 4 cycles. If the effect is satisfactory, it can be continued; if the symptoms do not improve significantly, a PGS synthesis inhibitor can be appropriately added. Since the medication needs to be taken throughout the entire menstrual cycle and its effect only occurs in the last 1 to 2 days of the cycle, it is generally not popular with patients unless contraception is required at the same time.