Experts discuss how to diagnose dysmenorrhea

The diagnosis of dysmenorrhea is relatively complicated in clinical practice. It requires not only detailed questioning of the female patient's medical history and routine gynecological examinations, but also the use of certain instrumental examinations to finally determine the diagnosis of dysmenorrhea. So how should dysmenorrhea be diagnosed ? Let's ask the experts to talk about the relevant issues of dysmenorrhea diagnosis.

Generally, the common diagnostic steps for dysmenorrhea are:

1. Medical history

The diagnosis of dysmenorrhea first requires detailed inquiry into the menstrual history, including cycle, menstrual period, menstrual volume, whether there is tissue discharge, etc. It is also necessary to understand whether there are any triggers for pain, such as excessive tension, anxiety, sadness, overwork or cold, as well as the whole process of pain, including the time, nature, degree and whether there is gradual aggravation of dysmenorrhea.

2. Physical Examination

Paying attention to overall health, including birth and menstrual type, development and nutritional status, is of great significance for the diagnosis of dysmenorrhea. During gynecological examination, pay attention to the size, position, texture and mobility of the uterus, whether there are protrusions or nodules, and whether there are adhesions, thickening, nodules or lumps, tenderness, etc. on the uterine cuboid ligament and both sides of the uterus.

3. Equipment Inspection

1. B-ultrasound: This method of diagnosing dysmenorrhea can determine whether there are organic lesions in the pelvic cavity, such as uterine fibroids, ovarian tumors, pelvic inflammation, etc.

2. Laparoscopy: Determine the location and extent of lesions, such as pelvic inflammation; can also confirm endometriosis or take biopsies; can identify uterine malformations such as unicornuate uterus, rudimentary horn uterus, bicornuate uterus, etc.; identify pelvic masses, such as inflammatory masses, uterine fibroids and ovarian tumors.

3. Hysteroscopy: It can diagnose subuterine fibroids, intrauterine adhesions, intrauterine contraceptive device incarceration, endometrial polyps, ulcers and inflammation, etc.

4. Pelvic venography: It helps in diagnosing pelvic venous congestion syndrome and is also helpful in diagnosing dysmenorrhea.

5. Hysterosalpingography: This diagnostic method for dysmenorrhea can help diagnose congenital uterine malformations such as unicornuate, septate uterus, as well as cervical stenosis, uterine adhesions, etc.

The above is a common diagnostic step for dysmenorrhea, I hope it will be helpful to female friends. Once diagnosed with dysmenorrhea, you must go to the hospital for treatment immediately to avoid missing the best time for treatment, which is very detrimental to the condition of patients with dysmenorrhea.