What symptom does secondary dysmenorrhea have?

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summary

"Secondary dysmenorrhea" is another concept relative to "primary dysmenorrhea"“ Primary dysmenorrhea "refers to dysmenorrhea at the time of the first holiday, while secondary dysmenorrhea refers to dysmenorrhea that gradually appears several years after the beginning of menstruation. The etiology and treatment of dysmenorrhea are different from those of primary dysmenorrhea. Often for a variety of pain: abdominal pain, abdominal distension, anal pain, sexual pain.

What symptom does secondary dysmenorrhea have?

Dysmenorrhea is the most typical symptom of endometriosis. Dysmenorrhea caused by endometriosis is often described as "progressive aggravation", that is, there is no pain at the beginning. As time goes on, dysmenorrhea slowly appears and gradually intensifies. The occurrence time may occur before the menstruation, the menstrual period and after the menstruation. It can be tolerated at first, and needs painkillers after several months or years. In severe stage, the pain is unbearable, and the dosage of painkillers is even ineffective. The pain is caused by the inflammatory reaction of local tissue stimulated by the internal bleeding of endometriosis. Endometriosis lesions secreting prostaglandins increased, leading to uterine muscle contracture, dysmenorrhea is bound to be more significant. After menstruation, the bleeding stopped and the pain relieved. Dysmenorrhea is not only related to the severity of the disease, but also related to the implantation site of endometriosis.

The main cause of dysmenorrhea is the congestion and bleeding of endometrial glands in the myometrium, which results in the increased pressure in the lesion. This kind of dysmenorrhea belongs to the sexual characteristics of muscle spasm, which lasts for the whole month and then gradually decreases. Due to uterine hyperemia and enlarged uterine cavity, patients are often accompanied by menorrhagia and prolonged menstruation. The doctor's examination can find that the patient's uterus is enlarged.

The symptoms of chronic pelvic inflammation are abdominal distension, pain and lumbosacral soreness, which are often aggravated after fatigue, sexual intercourse and menstruation. The second is abnormal menstruation, irregular menstruation.

matters needing attention

Treatment mainly depends on the patient's symptoms, age, fertility requirements. Because of dysmenorrhea caused by endometriosis, doctors usually need to examine and evaluate it carefully before deciding the specific treatment. Mild patients, if there is no cyst or cyst is small, a simple treatment is to take oral contraceptives, which has the effect of relieving dysmenorrhea. For the treatment of endometriosis, there is also the saying that "pregnancy is the best treatment for endometriosis", because once pregnant, if full-term pregnancy and childbirth, the body produces a large amount of progesterone, it has a strong inhibitory effect on endometriosis, these ectopic endometrium, so many people after pregnancy, Dysmenorrhea symptoms will be greatly relieved, and even no longer appear in a short time. Of course, the more times full-term pregnancy, endometriosis is not easy to aggravate, on the contrary, early abortion, for endometriosis is to aggravate the impact, many people also have dysmenorrhea symptoms after abortion.