If women have worsening dysmenorrhea, especially those who have given birth, there is a possibility of endometriosis or adenomyosis in this case, because this is usually the growth of endometrium outside the uterine cavity, most of which is the pelvic cavity. In this case, when menstruation comes, the ectopic endometrium will also fall off, and clinical manifestations such as fibrosis will also appear, so a mass will form locally in the pelvic cavity, causing worsening dysmenorrhea. If this is the case, you must go to the hospital for B-ultrasound examination to confirm the diagnosis. What’s going on if I have chest pain and my period hasn’t come yet? If the breast swelling and dysmenorrhea have not yet arrived, it may be a sign that menstruation is about to arrive, and the possibility of dysmenorrhea cannot be ruled out. In order to make a clear diagnosis, first draw blood to check the blood chorionic progesterone. If the value is normal, pregnancy is ruled out. Color Doppler ultrasound examination understands the thickness of the endometrium, whether there is fluid accumulation in the uterus, whether there is adhesion in the uterus, etc. If the thickness of the endometrium is normal, there is no fluid accumulation and adhesion in the uterus, you can observe it first. If menstruation does not come after 10 days of delay, progesterone treatment can be given. After stopping the drug, the endometrium will fall off and menstruation will come. Treating Dysmenorrhea in Teenagers The reason for dysmenorrhea in girls is the increased secretion of prostaglandins in the body, which leads to spasmodic contraction of the uterus and uterine ischemia. Clinically, prostaglandin inhibitors are often used to treat dysmenorrhea. When dysmenorrhea comes, you must pay attention to keeping warm and avoid catching a cold. You can also apply a hot water bottle on your stomach, or boil ginger, brown sugar and water into soup. This is also very effective in relieving dysmenorrhea. Do not eat raw, cold, spicy and irritating foods during menstruation. |
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