1, a common cause of dysmenorrhea
There are two kinds of dysmenorrhea, one is primary dysmenorrhea, that is, dysmenorrhea caused by unknown reasons. Although most of them are caused by the increase of prostaglandin, the reasons and laws are often not found.
The other is called secondary dysmenorrhea, including dysmenorrhea caused by all diseases that may lead to dysmenorrhea, such as endometriosis, adenomyosis, hysteromyoma and so on.
2. What are the methods to relieve pain?
First of all, if sister paper is really tortured to death by dysmenorrhea, rolling all over the floor, vomiting and diarrhea, and tumbling over the river, the first thing you have to do is to go to the hospital! Early detection and early treatment of organic diseases, don't just think about Baidu to find a prescription, and then take medicine yourself! Sister, this is extremely irresponsible to yourself! Everything can be solved by Du Niang, and then all doctors can lose their jobs.
Then let's talk about some people's views on whether dysmenorrhea is easy to solve or insoluble. What needs to be emphasized here is that solving dysmenorrhea requires conditioning the entire reproductive system of women. This is by no means an easy thing, but it is by no means unsolvable.
Next, let's take a look at the methods that are mainly used to treat dysmenorrhea at present:
Methods 1, sex hormone
For example, oral contraceptives are mainly aimed at primary amenorrhea. In 2009, a group of idle and miserable scientists abroad always followed and compared 496 women. Does it sound like they are following an idiot? O (* * *) o, the final conclusion is that most people who take medicine have obviously improved dysmenorrhea compared with those who don't take medicine. Don't ask me which oral contraceptive is good! I haven't eaten or followed 496' s sister paper. Anyway, I think the effect should be similar. The following excerpts are taken from relevant examination documents in 2009 (some medical students can refer to some documents of OCP examination in 2009, which should be found).
A study of low-dose estrogen and four studies of medium-dose estrogen combined with oral contraceptives and placebos (a total of 497 women) reported pain improvement, and summarized or suggested benefits of oral contraceptives compared with placebos for pain relief results of different oral contraceptives (7 RCT:Peto or 2.0 1[95% C I 1.32, 3.08]). Chi-square test of heterogeneity showed that there was significant heterogeneity, and the statistical value of I2 was 64%, with significant chi-square test (1 4.06, df-5, p-0.02). A sensitivity analysis ruled out studies with insufficient distribution concealment, and showed that the treatment with OR of 2 had significant benefits. 99(95% confidence interval 1.76%, 5.07), the heterogeneity is no longer statistically significant, and the statistical value of I2 is 0%.
For example, gonadotropin-releasing hormone analogue (GnRH-a) preparations (for pain caused by endometriosis), such as goserelin, triptorelin and leuprolide, are not available here. Please ask your doctor yourself. This time, doctors also included some people to observe, but this time the number was as high as 4935, much higher than the experiment in 2009. The conclusion is that compared with women who don't take drugs, women who take drugs have gained significant connections. At the same time, they also think that there is little difference between different GnRH-a preparations (provided that they are counterfeit drugs, inferior drugs and expired drugs). It is important to say it three times and follow the doctor's advice! Follow the doctor's advice! Follow the doctor's advice!
For example, levonorgestrel intrauterine device (IUD) doesn't matter which manufacturer it is, as long as it is recommended by a regular hospital. To put it bluntly, it is to install a ring to relieve pain. The main function is to release levonorgestrel slowly within four to five years after the ring is put on, which has the effect of relieving pain. There are also experiments and follow-up this time, but only 48 women. The conclusion is that the dysmenorrhea symptoms are obviously relieved after the upper ring, but the effect is not much different from GnRH-A.
Method 2: Non-steroidal anti-inflammatory drugs. In order to avoid advertising, please go to the pharmacy for consultation. There are many manufacturers, both imported and domestic. Please follow the doctor's advice.
To put it bluntly, painkillers include aspirin, acetaminophen, indomethacin, naproxen, naproxen, diclofenac, ibuprofen, nimesulide, rofecoxib and celecoxib. The common feature of these drugs is to inhibit the synthesis of prostaglandin and exert its antipyretic, analgesic and anti-inflammatory effects. As we all know, it is definitely available compared with not taking painkillers. It is important to say three times that painkillers should not be taken indiscriminately and must be followed by doctors' advice. Sisters, don't take medicine indiscriminately because of pain.
Method three. Chinese medicine, the quintessence of Chinese culture, is quite effective for some people, including acupuncture and Chinese medicine. There's a chance. Whether it's a scam or a famous doctor's inheritance, we won't know until we try.
For example, Chinese herbal medicine, in recent years, there are various in-depth studies in China, and various dysmenorrhea treatment studies tend to include 3475 women. The conclusion is that some Chinese herbal medicine products do have a certain curative effect on dysmenorrhea, which is generally better than the universality of acupuncture, but it needs constant conditioning.
Such as acupuncture, there are also various in-depth studies, and various research biases have also included 4640 women. The conclusion is that no matter which acupuncture method is used, there is no sufficient evidence for the effect of dysmenorrhea symptoms, and there are many effective and ineffective ones. Simply put, it is highly targeted and may only be suitable for specific people, but it is not universal.
Method four. Exercise. I have seriously consulted my friend's mother, who used to be the chief physician of obstetrics and gynecology in Beijing 30 1 Hospital, and my female friend who had or is still suffering from dysmenorrhea. They all mentioned that exercise has a certain effect on dysmenorrhea, including continuous moderate aerobic exercise during non-menstrual period and proper walking during menstrual period, which also depends on everyone's physique.
Some studies believe that proper exercise can effectively reduce the MDQ score, that is, exercise can effectively relieve the symptoms of dysmenorrhea. Exercise here refers to aerobic exercise, and warm-up and stretching before and after aerobic exercise. However, due to the particularity of exercise, it must last for a long time to produce experimental data, so there is no clear evidence to show the authenticity of its effect in the past 30 years. However, exercise, as long as it is not excessive, is always harmless. Even if you can't relieve dysmenorrhea, you can at least lose weight and beautify your body.
Method five, diet, try every dysmenorrhea paper, brown sugar water, ginger tea and the like, whether it works or not, at least warm up.
As for dietotherapy, this should be the favorite of food lovers. In the past eight years, scientists have included and followed up 365,438+0,065,438+0 women in several research projects, and analyzed the effects of various foods on dysmenorrhea, including chamomile, cinnamon, Damascus rose (it seems that Aesop's skin care in Britain recently), fennel (dill) and fennel. ......
It can't be proved that diet has any effect on relieving dysmenorrhea symptoms! Simply put, no one knows whether it is effective or not, and whoever eats it knows.
Method 6, surgical treatment, this is the scope of work of doctors, and sisters can consult in detail when they seek medical treatment.
Method 7. Other classes, including but not limited to nitroglycerin, calcium channel blockers, cutaneous nerve stimulators, β2 adrenergic receptor agonists, etc.
Finally, I need to tell you that you should cherish your health, keep a good work and rest, don't stay up late, exercise more and pay attention to taboos.
Dysmenorrhea is a protracted war, so don't expect some so-called folk remedies and specific drugs. With health, everything will be fine.