Dysmenorrhea is very common among women. For many women, each month's menstrual period is accompanied by severe pain, which affects their quality of life and work efficiency. However, not everyone's dysmenorrhea is the same. Some people's dysmenorrhea is primary, that is, there is no clear cause to find, while others' dysmenorrhea is secondary, caused by other problems. So, how to check whether dysmenorrhea is primary or secondary? How to diagnose dysmenorrhea? This article will explore these issues. 1. What is primary dysmenorrhea Primary dysmenorrhea refers to dysmenorrhea without a clear cause. This type of dysmenorrhea starts before menstruation and eases with the onset of menstruation. It may be accompanied by other symptoms such as headache, nausea, and bloating. There is no clear test for primary dysmenorrhea other than taking a medical history and taking a physical exam. 2. What is secondary dysmenorrhea Secondary dysmenorrhea is dysmenorrhea caused by other gynecological diseases or pathological problems. This type of dysmenorrhea may start before or during menstruation and last for a long time. Secondary dysmenorrhea is usually accompanied by pain in the lower abdomen and may be accompanied by symptoms such as back pain and pain during sexual intercourse. A series of tests are required to diagnose secondary dysmenorrhea. 3. How to check the cause of dysmenorrhea 1. Medical history inquiry: For both primary and secondary dysmenorrhea, doctors need to take a detailed medical history to understand the degree, frequency, duration, and accompanying symptoms of dysmenorrhea. This will help doctors make a preliminary judgment on the cause of dysmenorrhea. 2. Physical examination: The doctor will perform an abdominal examination, including palpation and percussion, to find out if there are other lesions. For secondary dysmenorrhea, the doctor may also perform a pelvic examination to check the condition of the uterus, appendages and other organs. 3. Laboratory tests: In order to rule out other possible gynecological diseases, the doctor may recommend some laboratory tests, such as blood routine, blood biochemistry, blood coagulation, etc. 4. Imaging examination: For patients suspected of having organ structural abnormalities, doctors may recommend imaging examinations such as ultrasound examinations, CT scans, etc. to further clarify the diagnosis. 4. How to diagnose dysmenorrhea The diagnosis of dysmenorrhea needs to be determined based on the results of a comprehensive assessment. For primary dysmenorrhea, if other gynecological problems are excluded and the condition meets the characteristics of medical history, physical examination, and laboratory tests, it can be diagnosed. For secondary dysmenorrhea, based on information such as medical history, physical examination, and laboratory tests, if other gynecological diseases or pathological problems are found, such as endometriosis, uterine fibroids, etc., then secondary dysmenorrhea can be diagnosed. In addition, further confirmation of the diagnosis through imaging examinations is also necessary. There are many possible causes of dysmenorrhea, some of which are primary and some are secondary. A comprehensive assessment of medical history, physical examination, laboratory tests, and imaging tests can help determine the cause and diagnosis of dysmenorrhea. However, for some causes of primary or secondary dysmenorrhea, further specialist examination and treatment may be required. Therefore, if you are suffering from dysmenorrhea, please be sure to seek medical attention in time and seek professional advice and treatment. Only in this way can you say goodbye to dysmenorrhea as soon as possible and resume a healthy life. |
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