Severe dysmenorrhea?

summary

Stomachache. If it's too painful, take painkillers. This is the first choice for many women to deal with dysmenorrhea. However, "pain" is not only the performance of unmarried women dysmenorrhea, but also a lot of "not sick" signs. If the pain lasts from one or two days to the whole menstrual period, and some serious patients also have symptoms in the non menstrual period, accompanied by varying degrees of sexual pain, it should be highly suspected that endometriosis is at fault at this time. Severe dysmenorrhea? Let's talk about it.

Severe dysmenorrhea?

Dysmenorrhea is the primary symptom of endometriosis, which is characterized by secondary and gradual aggravation. The pain usually begins one or two days before menstruation, and it is the most severe on the first day of menstruation. After menstruation, the pain gradually disappears.

The pain mostly occurs in the lower abdomen and lumbosacral region, and can radiate to the vagina, perineum, anus or legs. A few patients may have a feeling of anal urgency. The degree of pain is not necessarily proportional to the size of the lesions. Extensive pelvic endometriosis may only cause mild dysmenorrhea, while a small number of lesions can cause severe pain. According to statistics, about 15-20% of patients with endometriosis have no dysmenorrhea symptoms.

When the symptoms are mild and the clinical examination is normal, expectant therapy is suitable. The only treatment is to use some simple analgesics to relieve the pain and promote pregnancy. Once pregnant, the disease can be expected to subside. If the disease develops or fails to get pregnant in about a year, the expectant therapy should be abandoned and more active treatment should be adopted.

matters needing attention

Surgical treatment should be based on the patient's age and requirements to determine the surgical method, there are conservative surgery to preserve fertility.