What is the cause of persistent dysmenorrhea?
Asked by:Boardman
Asked on:Apr 09, 2026 02:43 PM
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Stone
Apr 09, 2026
Dysmenorrhea Divided into two types: primary and secondary. After detailed Gynecology clinical If the examination fails to reveal any obvious abnormality in the pelvic organs, it is called primary dysmenorrhea. Secondary dysmenorrhea is mostly disease caused by Uterus endometriosis, pelvic inflammatory disease , tumors, etc. The causes of primary dysmenorrhea are mostly mental stress, hypersensitivity, and weak physical constitution. Improving the physical constitution can relieve the symptoms. However, due to poor position of the uterus and narrow cervical opening, retention of menstrual blood causes dysmenorrhea or dysmenorrhea from menarche. female , symptoms may be relieved after marriage or childbirth.
Therefore, some women choose to endure their menstrual cramps even though they are so painful. Because they think dysmenorrhea is not a big deal and will disappear naturally after a woman gets married and gives birth. In fact, this understanding is one-sided.
Because dysmenorrhea in girls is generally not a big deal, unless it seriously affects life and study, and appropriate painkillers are needed. But for those dysmenorrhea patients whose pain is getting worse and longer, timely medical treatment is the right choice, such as patients with endometriosis.
Endometriosis is the main culprit that causes severe dysmenorrhea in women. The pain lasts from one or two days to the entire menstrual period. Some severe patients also have symptoms during non-menstrual periods and have varying degrees of pain during sexual intercourse, causing them to fear and avoid sexual intercourse. Once endometriosis occurs, it is difficult to cure. After the disease, most patients develop black pasty and tender "chocolate cysts" in their ovaries. As the disease progresses, some people's cysts rupture, causing severe pain and causing adhesions around the uterus, affecting fertility.
If a patient with dysmenorrhea gets married and has children, the ectopic uterine membrane will atrophy after pregnancy, making the condition less severe. If treated early, it will not affect female fertility. However, because some endometriosis is intrinsic, that is, adenomyosis, secondary progressive dysmenorrhea is its characteristic manifestation, accompanied by increased menstrual flow and prolonged menstrual periods. The dysmenorrhea of adenomyosis is more obvious and will continue to worsen. Some women still cannot solve the dysmenorrhea problem after drug treatment, and finally have to have their uterus removed.
Therefore, it is recommended that young women should pay enough attention to dysmenorrhea and not just tolerate it. For more severe and stubborn persistent dysmenorrhea, it is necessary to undergo examination to determine the cause of the dysmenorrhea, and then treat the cause.
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