What are the valuable diagnostic bases for dysmenorrhea in Western medicine?

The diagnosis of dysmenorrhea in Western medicine can be divided into primary and secondary. What is the diagnosis method for primary dysmenorrhea? What is the diagnosis method for secondary dysmenorrhea? The following is an introduction to the diagnosis of these dysmenorrhea by experts.

Diagnosis of primary dysmenorrhea is based on:

1. The pain is spasmodic or similar to labor pain;

2. Pain starts a few hours before or during the menstrual cycle, and the pain lasts no longer than 48 to 72 hours;

3. Negative results of bimanual examination or anal examination can lead to the diagnosis of primary dysmenorrhea.

Diagnosis of secondary dysmenorrhea is based on:

Through bimanual and triple examinations, some causes of dysmenorrhea can be found, such as uterine malformation, uterine leiomyoma, ovarian cyst, pelvic inflammatory mass, etc. Rectal examination can palpate nodular thickening of the uterosacral ligament, which is particularly important for the diagnosis of early dysmenorrhea.

Other examinations: such as erythrocyte sedimentation rate, leucorrhea bacterial culture, B-ultrasound pelvic scan, hysterosalpingography, diagnostic curettage, and finally hysteroscopy and laparoscopy can be used to identify the cause of dysmenorrhea as early as possible. Hysteroscopy can find small lesions missed during curettage, such as small myomas, polyps, ulcers, etc., and provide valuable diagnostic evidence for dysmenorrhea. It can be performed after diagnostic curettage.

What are the methods for diagnosing different types of dysmenorrhea? The above is a detailed introduction by experts on the diagnosis of dysmenorrhea. After reading the diagnosis of dysmenorrhea, do you have a certain understanding of it? If you have any questions about the diagnosis of dysmenorrhea, please consult our online experts.