I still have dysmenorrhea after 12 days of menstruation

If you still have dysmenorrhea after 12 days of menstruation, it may be caused by cold, endocrine disorders, endometritis, endometrial polyps, uterine fibroids, etc. It is recommended to seek medical attention in time and take appropriate improvement or treatment measures under the guidance of a doctor. The specific analysis is as follows:

1. Cold: The normal menstrual cycle is 3 to 7 days, and it is normal to have a menstrual cycle of 12 days occasionally. However, if you do not pay attention to keeping your body warm during menstruation, especially keeping your waist and lower abdomen warm, the coldness can cause the endometrium to contract, which in turn induces dysmenorrhea. You need to choose appropriate clothing to keep warm according to the weather temperature. At the same time, you should also use a 42~45℃ hot water bottle to apply heat to the abdomen for 5~10 minutes, 1~2 times a day.

2. Endocrine disorders: The endocrine system mainly regulates hormone secretion on the basis of nervous system control and material metabolism. If the endocrine system is disordered, it may cause a series of symptoms in patients, such as prolonged menstruation, irregular menstruation, dysmenorrhea, etc. You can follow the doctor's advice to treat it with drugs such as bromocriptine mesylate tablets, ethinyl estradiol cyproterone acetate tablets, and dydrogesterone acetate tablets.

3. Endometritis: The disease is an inflammatory reaction that occurs after the endometrium is infected with pathogens. Under the stimulation of inflammation, patients will experience dysmenorrhea, abnormal menstruation, abnormal vaginal discharge, etc. Patients can follow the doctor's advice and take medications such as amoxicillin clavulanate potassium tablets, metronidazole tablets, and clindamycin hydrochloride capsules.

4. Endometrial polyps: The causes of the disease are related to excessive estrogen levels and inflammatory factors, which can lead to excessive growth of endometrial stroma, causing abnormal uterine bleeding, menstrual disorders, dysmenorrhea, etc. It is usually treated by hysteroscopic polypectomy under the guidance of a doctor, with the aim of completely removing endometrial polyps to achieve the purpose of treatment.

5. Uterine fibroids: The disease is a benign tumor formed by the proliferation of uterine smooth muscle tissue. It is a relatively common tumor. Some patients will experience symptoms such as abnormal menstruation, abdominal masses, and increased leucorrhea. It can be treated with drugs such as mifepristone tablets, tranexamic acid tablets, and triptorelin acetate injection according to the doctor's advice.

During the treatment, patients should maintain a positive and optimistic mood, because negative emotions will affect the recovery of the disease. Patients also need to go to the hospital for regular follow-up visits so that doctors can understand the changes in the disease.