Various causes and symptoms of dysmenorrhea

 　　Someone may ask, Dysmenorrhea How was it formed? Why do different people have different feelings about dysmenorrhea? The following is an analysis of the causes of dysmenorrhea. You can identify which cause you have and choose treatment and prevention. In addition, different disease Dysmenorrhea caused by menstrual cramps is also called secondary. ..

　　Causes of dysmenorrhea

　　1. Qi stagnation and blood stasis

　　Main symptoms: Every time one or two days before menstruation or in the lower abdomen during menstruation distended pain , Refusal to press, small amount of menstrual blood, or poor discharge, dark purple color with clots, the pain will be relieved when the blood clots are discharged, swollen chest and flanks, dark purple tongue, or petechiae on the edges of the tongue, and a heavy and stringy pulse.

　　Analysis: To combat qi and blood stagnation, the qi and blood flow is not smooth, so there is distension and pain in the abdomen before or during menstruation, refusal to press, low menstrual flow or poor discharge; menstrual blood is stagnant, so the color is dark and there are lumps; the stasis under the lumps is slightly unblocked, so the pain is temporarily relieved; the stasis leaks out with the menstrual blood, so the postmenstrual pain disappears on its own. However, if the cause of stagnation is not removed, the next menstrual period stomach ache relapse. A dark purple tongue and a deep and stringy pulse are signs of qi stagnation and blood stasis.

　　2. In the cold cells

　　(l) Yang deficiency and internal cold

　　Main symptoms: Cold and pain in the lower abdomen during or after menstruation, with a feeling of pain when pressed, less heat and pain, less menstrual flow, dull color, soreness and weakness in the waist and legs, clear and long urine, white and moist coating, and a heavy pulse.

　　Analysis: The kidney yang is weak, Chong Ren, and the uterus are warm, and the blood is stagnated by deficiency and cold, so the lower abdomen is cold and painful during or after menstruation, and the menstrual period is scanty and dark in color; cold is converted into heat, so the heat and pain are reduced; it is not due to cold coagulation, so massage is preferred. The remaining symptoms are all symptoms of insufficient kidney yang.

　　(2) Cold and damp stagnation

　　Main symptoms: cold pain in the lower abdomen before menstruation or during menstruation, less heat pain, severe pain when pressing, small menstrual flow, dark color and lumps, nausea and vomiting, fear of cold, loose stools, white and greasy coating, and deep and tight pulse.

　　Analysis: The evil of cold and dampness damages the lower burner and lodges in the cells. The blood is coagulated by cold and does not flow smoothly, causing pain. Menstrual blood is dark and lumpy; cold and dampness is blocked, Yang Qi is suppressed, and water and dampness are not transported, resulting in chills, loose stools, nausea and vomiting. The remaining symptoms are all caused by cold-dampness blockage.

　　3. Wet and hot bets

　　Main symptoms: abdominal distension and pain before and during menstruation, heavy menstrual flow, red color, thick or lumpy texture, yellowish vaginal discharge or foul odor, red tongue with yellow and greasy coating, stringy and rapid pulse.

　　Analysis: Exogenous or internal damp-heat, flowing into any vaginal discharge, blocking qi and blood, and sluggish menstruation, resulting in abdominal pain during menstruation; heat disturbing the vaginal discharge, and the amount will be red and lumpy; heat burning body fluid, and the menstrual fluid quality will be thick; damp-heat will injure any vaginal discharge, and the vaginal discharge will be yellow in color or smelly. The tongue and pulse are all symptoms of excessive dampness and heat.

　　4. Weakness of qi and blood

　　Main symptoms: dull pain in the lower abdomen during menstruation or after menstruation, like to be massaged, menstruation is light in color, scanty in quantity, thin in quality, accompanied by mental fatigue, pale complexion, pale tongue with thin coating, and weak and thready pulse.

　　Analysis: Physical deficiency with insufficient Qi and blood, empty blood sea after menstruation, lack of nourishment of cell veins, or physical deficiency with weak Yang Qi and inability to transport blood, so you will see dull pain in the lower abdomen during menstruation or after menstruation, and you like to massage; Qi deficiency with insufficient Yang Qi, blood deficiency with poor essence and blood, so menstrual blood is light in color, less in quantity, and thin in quality. The remaining symptoms are also signs of blood deficiency and weak Qi.

　　5. Liver and kidney deficiency

　　The main symptoms include dull pain in the lower abdomen and soreness in the lower back after menstruation, low menstrual blood volume and thin quality, dark menstrual blood, or dizziness and tinnitus, empty and tepid lower abdomen, pale tongue, thin white coating, and heavy and thready pulse.

　　secondary dysmenorrhea

　　Uterus endometriosis

　　Characteristics of dysmenorrhea: secondary and progressive aggravation. The so-called progressive means that the pain usually worsens year by year with the aggravation of local lesions. It is mostly located in the lower abdomen and lumbosacral region, and can radiate to the vagina, perineum, anus or thighs. It often starts 1 to 2 days before menstruation. It is most severe on the first day of menstruation, then gradually reduces, and disappears when menstruation is clear.

　　The degree of pain is not necessarily proportional to the size of the lesion. Those with severe lesions, such as larger ovarian endometriosis cysts, may have less pain, while small nodular lesions scattered in the pelvic peritoneum can cause severe dysmenorrhea.

　　Chronic pelvic inflammatory disease

　　Characteristics of dysmenorrhea: wide range. Scar adhesions and pelvic congestion caused by chronic pelvic inflammation often cause lower abdominal distension, pain and lumbosacral soreness, which are aggravated before and after menstruation. Dysmenorrhea manifests as persistent pain in the upper abdomen on both sides, which can radiate to the waist, and is sometimes accompanied by a feeling of swelling in the anus.

　　Adenomyosis

　　Characteristics of dysmenorrhea: progressive aggravation. Severe spasmodic colic. It mostly occurs in multiparous women over 30 years old.

　　Uterine submucosal fibroids

　　Characteristics of dysmenorrhea: Because fibroids grow toward the uterine mucosa and protrude into the uterine cavity, affecting the discharge of menstrual blood, they can cause abnormal uterine contractions and lead to dysmenorrhea, manifested as lower abdominal distension, back pain, increased menstrual volume, and cycle disorders.

　　Chronic Cervicitis

　　Characteristics of dysmenorrhea: The main symptom of chronic cervicitis is increased leucorrhea. When the inflammation spreads along the uterosacral ligament to the pelvis, it will cause dysmenorrhea. The main symptoms are lumbosacral pain, pelvic pain, etc. The pain is aggravated during menstruation, defecation or sexual intercourse. Cervicitis caused by gonococci, etc. often leads to atresia or stenosis of the cervical canal, causing reflux of menstrual blood and leading to dysmenorrhea.

　　pelvic congestion syndrome

　　Characteristics of dysmenorrhea: manifested as a wide range of chronic congestion dysmenorrhea, accompanied by lower abdominal pain, low low back pain , menstrual breast pain and other symptoms. The pain often worsens a few days before menstruation and decreases on the first or second day after menstruation. There are also a few cases where pain persists. The pain worsens after the patient stands for a period of time, runs, jumps, or sits down suddenly, and is worse in the afternoon than in the morning. Commonly seen in women aged 25 to 40 years old.

　　Reproductive tract malformations

　　Characteristics of dysmenorrhea: excessive anteversion of the uterus, hymenal atresia and other mechanical obstructions lead to sluggish menstrual blood flow, accumulation of blood, and induce abnormal contraction of uterine smooth muscle, resulting in dysmenorrhea. Generally, there is periodic lower abdominal pain that gradually worsens, and a gradually enlarging mass may appear in the lower abdomen.

　　Cervical or intrauterine adhesions

　　Characteristics of dysmenorrhea: Cervical or uterine cavity adhesions cause poor menstrual blood circulation and induce dysmenorrhea. More common in repetition flow of people , endometrial tuberculosis, etc.

　　What are the symptoms of various types of dysmenorrhea?

　　(1) Primary dysmenorrhea: Every time a few hours after menstruation, there is unbearable spasmodic pain in the lower abdomen, which is intermittent and difficult to relieve with medicine. Each pain lasts for 2 to 3 minutes, with intervals of more than ten minutes, and lasts for several hours, but generally does not exceed 12 hours, and rarely exceeds 24 hours. The pain can often involve the front of the thigh, and symptoms such as cold limbs, headache, stomachache, and loose stools are common, and bronchitis can also be induced.

　　(2) Membranous dysmenorrhea: This phenomenon is rare, but the pain is severe and starts a few hours or a day or two before menstruation. The pain disappears immediately after the endometrium is discharged. The discharged endometrium was triangular in shape, ranging from 3cm×4cm×0.2cm to 3cm×4cm×0.8cm.

　　(3) Congestive dysmenorrhea: In mild cases, the pain is not obvious, but in severe cases, such as pelvic inflammatory disease, it is particularly severe before and during menstruation. Pelvic pain often occurs one or two days before menstruation, is heavier during menstruation, and disappears when menstruation is clear. One or two days before menstruation, you may also experience symptoms such as breast swelling and pain, headache, loose stools, lower abdominal and back swelling and pain.

　　(4) Secondary dysmenorrhea: The process of dysmenorrhea is relatively complicated. It starts shortly before menstruation, continues throughout the menstrual period, and slowly disappears after menstruation is clear. Common ones include pelvic inflammatory disease, chronic cervicitis, endometriosis, pelvic tumors or abnormal uterine anatomy, etc.